OBJECTIVE: Almost no cross-sectional studies directly compared the rate and pattern of comorbidity of affective disorders in relation to personality traits of patients seen in primary care versus specialty mental health care. METHOD: Using data from the Netherlands Study of Depression and Anxiety, we compared 1086 primary care patients with 790 consecutive specialized mental health care patients. All participants had at least one lifetime Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition-based diagnosis of depression or anxiety. Personality was assessed with the NEO Five-Factor Inventory. RESULTS: In both settings it was common to have at least one lifetime comorbid affective disorder. Compared to primary care patients, specialty care patients showed elevated scores for Neuroticism and lower scores for Extraversion and Conscientiousness. The odds of having another disorder given any one disorder was no longer significant after accounting for personality dimensions. Only Neuroticism proved to be positively associated with comorbidity per se. CONCLUSIONS: Prevalence of and comorbidity among anxiety and depressive disorders in primary care were very similar to those in specialty care. Neuroticism - but no other personality traits - may help to understand the comorbidity among anxiety and depressive disorders irrespective of recruitment setting.
OBJECTIVE: Almost no cross-sectional studies directly compared the rate and pattern of comorbidity of affective disorders in relation to personality traits of patients seen in primary care versus specialty mental health care. METHOD: Using data from the Netherlands Study of Depression and Anxiety, we compared 1086 primary care patients with 790 consecutive specialized mental health care patients. All participants had at least one lifetime Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition-based diagnosis of depression or anxiety. Personality was assessed with the NEO Five-Factor Inventory. RESULTS: In both settings it was common to have at least one lifetime comorbid affective disorder. Compared to primary care patients, specialty care patients showed elevated scores for Neuroticism and lower scores for Extraversion and Conscientiousness. The odds of having another disorder given any one disorder was no longer significant after accounting for personality dimensions. Only Neuroticism proved to be positively associated with comorbidity per se. CONCLUSIONS: Prevalence of and comorbidity among anxiety and depressive disorders in primary care were very similar to those in specialty care. Neuroticism - but no other personality traits - may help to understand the comorbidity among anxiety and depressive disorders irrespective of recruitment setting.
Authors: Jonathan S Adelstein; Zarrar Shehzad; Maarten Mennes; Colin G Deyoung; Xi-Nian Zuo; Clare Kelly; Daniel S Margulies; Aaron Bloomfield; Jeremy R Gray; F Xavier Castellanos; Michael P Milham Journal: PLoS One Date: 2011-11-30 Impact factor: 3.240
Authors: Y Li; S Shi; F Yang; J Gao; Youhui Li; M Tao; G Wang; K Zhang; C Gao; L Liu; Kan Li; Keqing Li; Y Liu; Xumei Wang; J Zhang; L Lv; Xueyi Wang; Q Chen; J Hu; L Sun; J Shi; Y Chen; D Xie; J Flint; K S Kendler; Z Zhang Journal: Psychol Med Date: 2011-11-30 Impact factor: 7.723
Authors: Lucas J B van Oudheusden; Rens van de Schoot; Adriaan Hoogendoorn; Patricia van Oppen; Maarten Kaarsemaker; Gerben Meynen; Anton J L M van Balkom Journal: Brain Behav Date: 2020-05-13 Impact factor: 2.708
Authors: Niklas Ortelbach; Jonas Rote; Alice Mai Ly Dingelstadt; Anna Stolzenburg; Cornelia Koenig; Grace O'Malley; Esther Quinlivan; Jana Fiebig; Steffi Pfeiffer; Barbara König; Christian Simhandl; Michael Bauer; Andrea Pfennig; Thomas J Stamm Journal: Int J Bipolar Disord Date: 2022-01-18