Immature defense mechanisms predict poor response to psychotherapy in major depressive patients with comorbid cluster B personality disorder
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022000500469 |
Resumo: | Objective: To evaluate the impact of defense mechanisms at baseline on depressive symptoms after brief psychotherapies and after 6-months of follow-up among depressed patients with and without cluster B personality disorders (PDs). Methods: This quasi-experimental study nested within a randomized clinical trial included a clinical sample of adults (18-60 years) diagnosed with major depressive disorder using the Mini-International Neuropsychiatric Interview. The Millon Clinical Multiaxial Inventory-III was applied to assess PD, the Defense Style Questionnaire 40 was used to analyze defense mechanisms, and the Beck Depression Inventory was used to measure the severity of depressive symptoms. Adjusted analysis was performed by linear regression. Results: The final sample consisted of 177 patients diagnosed with major depressive disorder, of whom 39.5% had cluster B PDs. Immature defenses at baseline significantly predicted the persistence of depressive symptoms at post-intervention and at 6-months of follow-up only in patients with PDs. Conclusion: In depressed patients with cluster B PDs, immature defenses predicted a poor response to brief therapies. The assessment of immature defenses at baseline can help identify patients at greater risk of poor therapeutic results and enable more appropriate treatment choices. |
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Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
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Immature defense mechanisms predict poor response to psychotherapy in major depressive patients with comorbid cluster B personality disorderMajor depressive disorderdepressive symptomspersonality disorderdefense mechanisms Objective: To evaluate the impact of defense mechanisms at baseline on depressive symptoms after brief psychotherapies and after 6-months of follow-up among depressed patients with and without cluster B personality disorders (PDs). Methods: This quasi-experimental study nested within a randomized clinical trial included a clinical sample of adults (18-60 years) diagnosed with major depressive disorder using the Mini-International Neuropsychiatric Interview. The Millon Clinical Multiaxial Inventory-III was applied to assess PD, the Defense Style Questionnaire 40 was used to analyze defense mechanisms, and the Beck Depression Inventory was used to measure the severity of depressive symptoms. Adjusted analysis was performed by linear regression. Results: The final sample consisted of 177 patients diagnosed with major depressive disorder, of whom 39.5% had cluster B PDs. Immature defenses at baseline significantly predicted the persistence of depressive symptoms at post-intervention and at 6-months of follow-up only in patients with PDs. Conclusion: In depressed patients with cluster B PDs, immature defenses predicted a poor response to brief therapies. The assessment of immature defenses at baseline can help identify patients at greater risk of poor therapeutic results and enable more appropriate treatment choices.Associação Brasileira de Psiquiatria2022-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022000500469Brazilian Journal of Psychiatry v.44 n.5 2022reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABP10.47626/1516-4446-2021-2214info:eu-repo/semantics/openAccessScaini,Carolina RheingantzVieira,Igor SoaresMachado,Rosienede Azevedo Cardoso,TaianeMondin,ThaiseSouza,LucianoMolina,Mariane LopezJansen,Karenda Silva,Ricardo Azevedoeng2022-10-19T00:00:00Zoai:scielo:S1516-44462022000500469Revistahttp://www.bjp.org.br/ahead_of_print.asphttps://old.scielo.br/oai/scielo-oai.php||rbp@abpbrasil.org.br1809-452X1516-4446opendoar:2022-10-19T00:00Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)false |
dc.title.none.fl_str_mv |
Immature defense mechanisms predict poor response to psychotherapy in major depressive patients with comorbid cluster B personality disorder |
title |
Immature defense mechanisms predict poor response to psychotherapy in major depressive patients with comorbid cluster B personality disorder |
spellingShingle |
Immature defense mechanisms predict poor response to psychotherapy in major depressive patients with comorbid cluster B personality disorder Scaini,Carolina Rheingantz Major depressive disorder depressive symptoms personality disorder defense mechanisms |
title_short |
Immature defense mechanisms predict poor response to psychotherapy in major depressive patients with comorbid cluster B personality disorder |
title_full |
Immature defense mechanisms predict poor response to psychotherapy in major depressive patients with comorbid cluster B personality disorder |
title_fullStr |
Immature defense mechanisms predict poor response to psychotherapy in major depressive patients with comorbid cluster B personality disorder |
title_full_unstemmed |
Immature defense mechanisms predict poor response to psychotherapy in major depressive patients with comorbid cluster B personality disorder |
title_sort |
Immature defense mechanisms predict poor response to psychotherapy in major depressive patients with comorbid cluster B personality disorder |
author |
Scaini,Carolina Rheingantz |
author_facet |
Scaini,Carolina Rheingantz Vieira,Igor Soares Machado,Rosiene de Azevedo Cardoso,Taiane Mondin,Thaise Souza,Luciano Molina,Mariane Lopez Jansen,Karen da Silva,Ricardo Azevedo |
author_role |
author |
author2 |
Vieira,Igor Soares Machado,Rosiene de Azevedo Cardoso,Taiane Mondin,Thaise Souza,Luciano Molina,Mariane Lopez Jansen,Karen da Silva,Ricardo Azevedo |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Scaini,Carolina Rheingantz Vieira,Igor Soares Machado,Rosiene de Azevedo Cardoso,Taiane Mondin,Thaise Souza,Luciano Molina,Mariane Lopez Jansen,Karen da Silva,Ricardo Azevedo |
dc.subject.por.fl_str_mv |
Major depressive disorder depressive symptoms personality disorder defense mechanisms |
topic |
Major depressive disorder depressive symptoms personality disorder defense mechanisms |
description |
Objective: To evaluate the impact of defense mechanisms at baseline on depressive symptoms after brief psychotherapies and after 6-months of follow-up among depressed patients with and without cluster B personality disorders (PDs). Methods: This quasi-experimental study nested within a randomized clinical trial included a clinical sample of adults (18-60 years) diagnosed with major depressive disorder using the Mini-International Neuropsychiatric Interview. The Millon Clinical Multiaxial Inventory-III was applied to assess PD, the Defense Style Questionnaire 40 was used to analyze defense mechanisms, and the Beck Depression Inventory was used to measure the severity of depressive symptoms. Adjusted analysis was performed by linear regression. Results: The final sample consisted of 177 patients diagnosed with major depressive disorder, of whom 39.5% had cluster B PDs. Immature defenses at baseline significantly predicted the persistence of depressive symptoms at post-intervention and at 6-months of follow-up only in patients with PDs. Conclusion: In depressed patients with cluster B PDs, immature defenses predicted a poor response to brief therapies. The assessment of immature defenses at baseline can help identify patients at greater risk of poor therapeutic results and enable more appropriate treatment choices. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022000500469 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022000500469 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.47626/1516-4446-2021-2214 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
dc.source.none.fl_str_mv |
Brazilian Journal of Psychiatry v.44 n.5 2022 reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online) instname:Associação Brasileira de Psiquiatria (ABP) instacron:ABP |
instname_str |
Associação Brasileira de Psiquiatria (ABP) |
instacron_str |
ABP |
institution |
ABP |
reponame_str |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
collection |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
repository.name.fl_str_mv |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP) |
repository.mail.fl_str_mv |
||rbp@abpbrasil.org.br |
_version_ |
1754212560913039360 |