Personality Disturbances in Melancholic and Nonmelancholic Unipolar Major Depression: A Systematic Review and Meta-Analysis.
J Nerv Ment Dis
; 208(10): 810-817, 2020 10.
Article
en En
| MEDLINE
| ID: mdl-33002936
ABSTRACT
Although melancholic depression has been associated with a more adequate premorbid personality style, the empirical evidence supporting this statement is inconclusive. We conducted a systematic review and meta-analyzed studies comparing the presence of personality disturbances in melancholic and nonmelancholic subtypes of major depressive disorder (MDD). We defined a) a continuous outcome, defining personality traits as a dimensional construct, and b) a dichotomous outcome, defined as the presence/absence of personality disorders (PD). We also evaluated the role of potential moderators. Our results showed significantly higher levels of neuroticism and interpersonal sensitivity, and a higher likelihood of presenting a PD in nonmelancholic depression. No significant differences were found for extraversion. The scarcity of studies and high heterogeneity were among our limitations. In conclusion, personality disturbances seem to be overrepresented in nonmelancholic MDD. The assessment of personality disturbances can be useful in clinical practice and in the study of MDD heterogeneity.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Trastornos de la Personalidad
/
Trastorno Depresivo Mayor
Tipo de estudio:
Systematic_reviews
Límite:
Humans
Idioma:
En
Año:
2020
Tipo del documento:
Article