Clinical Comorbidity of Depression and Personality Disorders Among Women Attending Al-Hussein Hospital.

Author: Bahri K.M.H

Source:
The Egyptian Journal of Psychiatry, 1998, Vol. 21,1: 75-83
The study was implemented on 100 individuals attending Al-Hussein Hospital, from November 96 to April 1997. They were divided into group I including 50 depressed married female patients, their age ranged from 20 to 30 years with a mean age of 25, and Group II with 50 normal married females, their age ranged from 20 to 32 with a mean age of 26. Both groups were subjected to Comprehensive medical and psychiatric examination and Personality Assessment Inventory and Beck Inventory scale for group I. The distribution of the different types of depression among Group I showed that Dysthymia and Major Depression constituted the highest percentages reaching 52% and 22% respectively. Cyclothymia patients accounted for 18% of the depressed patients with the Bipolar I and Bipolar II disorders each constituting 4% of the depressed group. The study revealed that 31 out of 50 depressed patients (62%) had personality disorders. In comparison, only 6 individuals (12%) of the control group had personality disorder with a significant difference (p<0,0005). This suggests a positive correlation between depressive and personality disorder. Since major depressive disorder and Dysthymia constitute the highest percentage among Group I patients, it is important to analyze their relationship with the various types of personality disorders. The statistics show that 5 individuals out of 12 major depressed patients had borderline personality disorder (41,6%). Major depression is also associated with other types of personality disorders, including schizotypal (17%), histerionic (17%), avoidant (8%), dependent (8%) and depressive (8%) personality disorders. Another type of depression that correlates highly with personality disorder is Dysthymia (p<0,0005). The highest occurrence of personality disorder types for dysthymic patients were histerionic (30,8%), dependent (15,4%) and borderline (15,4%) personality disorders. Although the comorbidity between personality disorder and other types of depression other than the major depressive and dysthymic disorders is not statistically significant, the percentage of patients suffering from depression other than Dysthymia and major depression who also suffer from personality disorder reaches 19,2%, which is a percentage not to be neglected. To conclude, the diagnosis of depression and axis II personality disorders have been found to co-occur in female patients. In specific, there is a strong link between major depression disorders, Dysthymia and personality disorders. This link will have an implication on the method of treatment suggesting that drug treatment in addition to psychotherapy should be combined in handling this problem. RESUME. Comorbidité entre dépression et Trouble de la Personnalité parmi une Population de Femmes Consultantes a L’hôpital Al-Hussein. Nous avons effectué une étude sur 100 femmes consultantes a l’hôpital Al-Hussein, 50 présentaient un trouble dépressif, principalement dépression majeur et dysthymie, les 50 autres femmes ne présentaient pas de troubles psychiatriques et formaient un groupe témoin. Le but de l’étude était d’évaluer la Comorbidité entre trouble dépressif et trouble de la personnalité. Nous avons trouvé une corrélation positive entre le trouble dépressif et le trouble de la personnalité. Une corrélation significative a été trouvé entre la dépression majeur et le trouble de la personnalité de type borderline ainsi qu’une corrélation significative entre la dysthymie et le trouble de la personnalité de type histrionique. Nos conclusions confirment l’existence d’une Comorbidité entre le diagnostique de trouble dépressif, principalement la dépression majeur et la dysthymie, avec ce lui de trouble de la personnalité chez les patients de sexe féminin de notre étude. Cette association devrait passer sur les méthodes thérapeutiques en associant pharmacothérapie et psychothérapie dans ce type de pathologie.