The Necessary Rapprochement of Negative Affectivity, Personality Disorder, and Depression.

IF 5.5 2区医学 Q1 PSYCHIATRY

Current Psychiatry Reports Pub Date : 2024-10-03 DOI:10.1007/s11920-024-01532-1

Steven K Huprich, Shichie J Kuribayashi, Vitaliy L Voytenko

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引用次数: 0

Abstract

Purpose of review: The relationship between depression and personality has long been a topic of interest in the fields of psychiatry and psychology, but consensus remains elusive. This lack of consensus poses a significant challenge in both diagnosis and treatment, especially in situations when otherwise effective therapies for depression fail. Our article aims to address this issue by reviewing the historical and recent conceptualizations of the relationship between depression and personality pathology. Specifically, we focus on the trait domain of negative affectivity found in the International Classification of Diseases, 11th Edition (ICD-11) and the Alternative Model for Personality Disorders (AMPD) as a connecting link between the two phenomena.

Recent findings: We review recent empirical studies evaluating the association of negative affectivity, personality, and depression, along with investigations of the relationship between depressive disorders and personality disorders. Additionally, we describe the Hierarchical Taxonomy of Psychopathology (HiTOP) and the AMPD as organizing frameworks for understanding depression within a broader personality framework. Based on the available evidence, we propose that depressive disorders must be assessed within the context of the patient's personality in order to maximize treatment outcomes. Ultimately, this integrated approach can guide clinicians in developing unified treatment protocols and facilitate early detection and intervention for factors contributing to depression in order to minimize treatment resistance.

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消极情绪、人格障碍和抑郁症的必要和睦。

综述的目的：长期以来，抑郁症与人格之间的关系一直是精神病学和心理学领域关注的话题，但至今仍未达成共识。这种共识的缺乏给诊断和治疗带来了巨大的挑战，尤其是在其他有效的抑郁症疗法失效的情况下。本文旨在通过回顾抑郁症与人格病理学之间关系的历史和最新概念来解决这一问题。具体来说，我们将重点放在《国际疾病分类》第 11 版（ICD-11）和人格障碍替代模式（AMPD）中的负性情感这一特质领域，将其作为这两种现象之间的连接纽带：我们回顾了最近对负性情感、人格和抑郁的关联性进行评估的实证研究，以及对抑郁障碍和人格障碍之间关系的调查。此外，我们还介绍了精神病理学层次分类法（HiTOP）和人格障碍分类法（AMPD），将其作为在更广泛的人格框架内理解抑郁症的组织框架。基于现有的证据，我们建议必须在患者人格的背景下评估抑郁障碍，以最大限度地提高治疗效果。最终，这种综合方法可以指导临床医生制定统一的治疗方案，并促进早期发现和干预导致抑郁的因素，从而最大限度地减少治疗阻力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.