Abstract
We used the Bond Defense Style and Cloninger Tridimensional Personality questionnaires to assess defense styles and personality dimensions in subjects with anxiety and depressive disorders. When measured against a comparison group, maladaptive defense style scores were significantly higher in those with major depression, panic disorder, generalized anxiety disorder, and social phobia, and higher at a trend level in the subjects with obsessive-compulsive disorder and mixed anxiety and depression. However, there were no differences in adaptive defense style scores between the subjects and the comparison group. The harm avoidance personality dimension scores were significantly higher in subjects with both anxiety and depressive disorders than in the comparison group. The harm avoidance scores correlated positively with the maladaptive defense scores, but negatively with the adaptive defense scores. These findings are discussed in terms of severity of illness, level of functioning, and relationships between Axis I and II disorders.
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REFERENCES
Pollock ME, Otto MW, Rosenbaum JF, et al: Personality disorders in patients with panic disorder: association with childhood anxiety disorder, early trauma, cormorbidity,and chronicity. Comprehensive Psychiatry 33:78–83, 1994.
Sanderson WC, Wetzler S, Beck AT, Betz F: Prevalence of personality disorders among patients with anxiety disorders. Psychiatry Research 51:167–174, 1994.
Sato T, Sakado K, Sato S, et al: Cluster A personality disorder: a marker of worse treatment outcome of major depression? Psychiatric Research 53:153–159, 1994.
Flick SN, Roy-Byrne PP, Cowley DS, Shores MM, Dunner DL: DSM-III-R personality disorders in a mood and anxiety disorders clinic: prevalence, comorbidity, and clinical correlates. Journal of Affective Disorders 27:71–79, 1993.
Rickels K, Downing RW, Case WG, et al: Six-week trial with diazepam: some clinical observations. Journal of Clinical Psychiatry 46:470–474, 1985.
Rickels K, Noyes I, Robinson DS, et al: Evaluating drug treatments of generalized anxiety disorders and adjustment disorders with anxious mood, in Clinical Evaluation of Psychotropic Drugs: Principles and Guidelines. Edited by Prien RF, Robinson DS. New York, NY, Raven Press Ltd., 1994, pp. 373–409.
Reich J: The effect of personality on the outcome of panic disorder patients treated with placebo. Journal of Nervous and Mental Disorders 178: 699–703, 1990.
Reich JH: Effects of DSM-III personality disorders on outcome of tricyclic antidepressant-treated nonpsychotic outpatients with major or minor depressive disorder. Psychiatric Research 32:175–181, 1990.
Pollock C, Andrews G: Defense styles associated with specific anxiety disorders.American Journal of Psychiatry 14611:1500–1502, 1989.
Andrews G, Pollock C, Stewart G: The determination of defense style by questionnaire. Archives of General Psychiatry 46:455–460, 1989.
Bond MP, Vaillant JS: An empirical study of the relationship between diagnosis and defense style. Archives of General Psychiatry 43:285–288, 1986.
Hamilton MA: A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry 23:56–62, 1960.
Hamilton M: The assessment of anxiety states by rating. The British Journal of Medical Psychology 32:50–55, 1959.
Montgomery-Asberg SA, Asberg M: A new depression scale designed to be sensitive to change. British Journal of Psychiatry 134:382–389, 1979.
Davidson JIZ, Potts NL, Richichi EA, et al: The brief social phobia scale. Journal of Clinical Psychiatry 11(suppl):48–51, 1991.
Goodman WK, Price LH, Rasmussen SA, et al: TheYale-Brown Obsessive Compulsive Scale (YBOCS), part 1: development, use, and reliability. Archives of General Psychiatry 46:1006–1011, 1989.
Goodman WK, Price LH, Delgado PL, et al: Specificity of serotonin reuptake inhibitors in the treatment of obsessive compulsive disorder: comparison of fluvoxamine and desipramine. Archives of General Psychiatry 47: 577–585, 1990.
Raskin A, Schulterbrandt JG, Reatig N, McKeon JJ: Differential response to chlorpromazine, imipramine, and placebo. Archives of General Psychiatry 23:164, 1970.
Lipman R, Covi L: Outpatient treatment of neurotic depression: medication and group psychotherapy, in Evaluation of the Psychological Therapies. Edited by Spitzer RL, Klein DL. Baltimore, MD, John Hopkins University Press, 1976.
Cloninger CR: A systematic method for clinical description and classification of personality variants: a proposal. Archives of General Psychiatry 44: 573–588, 1987.
Cloninger C, Przybeck R, Surakic DM: The Tridimensional Personality Questionnaire. Normative Data 69:1047–1057, 1991.
Bond M, Gardner St, Christian J, et al: Empirical study of self-rated defense styles. Arch General Psychiatry 40:333–338, 1983.
Crowley DS, Roy-Byrne DJ, Greenblatt DJ, et al: Personality and benzodiazepine sensitivity in anxious patients and control subjects. Psychiatric Research 47:151–162, 1993.
Bond M: An empirical study of defensive styles: the defense style questionnaire, in Ego Mechanisms of Defense: A Guide for Clinicians and Researchers. Washington, DC, American Psychiatric Press Inc, 1992, pp. 127–158.
Perry JC: Psychological defense mechanisms and the study of affective and anxiety disorders, in Comorbidity of Mood and Anxiety Disorders. Edited by Maser JD, Cloninger CR. Washington, DC, American Psychiatric Press Inc, 30: 545–562, 1990.
Fossey MID, Roy-Byrne PP, Cowley DS, et al: Personality assessment using the tridimensional personality questionnaire (TPQ) in patients with panic disorder and generalized anxiety disorder. Biological Psychiatry 25:12A, 1989.
Mavissakalian M, Hamann MS: DSM-III personality characteristics of panic disorder with agoraphobia patients in stable remission. Comprehensive Psychiatry 335:305–309, 1992.
Pfohl B, Black D, Noyes R: A test of the tridimensional personality theory: association with diagnosis and platelet imipramine binding in obsessive compulsive disorder. Biological Psychiatry 28:41–46, 1990.
Pfohl B, Bloom N: Obsessive-compulsive personality disorder: a review of available data and recommendations for DSM-IV. Journal of Personality Disorders 54:363–375, 1991.
Klein DF, Liebowitz MR, Gorman JM et al: Evaluation of psychotropic drug treatment of panic-related disorders and social phobia, in Clinical Evaluation of Psychotropic Drugs: Principles and Guidelines. Edited by Prien RF, Robinson DS. New York, NY, Raven Press Ltd, 17:411–429, 1994.
Cloninger CR, Przybeck TR, Surakic DM, Wetzel RD: The Temperament and Character Inventory (TCI): A Guide to Its Development and Use. St. Louis, MO,Center for Psychobiology of Personality, Washington University, 1994.
Brown TA, Barlow DH: Comorbidity among anxiety disorders: implications for treatment and DSM-IV. Journal of Consultative and Clinical Psychology 60: 835–844, 1992.
Svrakic DM, Whitehead C, Przybeck TF, Cloninger CR: Differential diagnosis of personality disorders by the seven factor model of temperament and character.Archives of General Psychiatry 50:991–999, 1993.
Bronisch T, Klerman GL: Personality functioning: change and stability in relationship to symptoms and psychopathology. Journal of Personality Disorders 5:307–317, 1991.
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Kennedy, B.L., Schwab, J.J. & Hyde, J.A. Defense Styles and Personality Dimensions of Research Subjects with Anxiety and Depressive Disorders. Psychiatr Q 72, 251–262 (2001). https://doi.org/10.1023/A:1010353116016
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DOI: https://doi.org/10.1023/A:1010353116016