Axis II symptomatology, depression, and life stress during the transition from adolescence to adulthood.
This study examined 2 models of the relationship between personality disorder symptomatology and depression, incorporating life stress as an intervening variable. In a community sample of late adolescent women, symptoms of Cluster B disorders predicted interpersonal chronic stress and self-generated episodic stress over 2 years, controlling for initial depression. Cluster A symptoms also predicted subsequent chronic interpersonal stress, over initial depression. Cluster C pathology did not predict subsequent stress. Personality disorder symptomatology was also associated with partner-reported relationship dissatisfaction. Support was found for a mediation model whereby women with higher levels of initial personality disturbance in Clusters A and B generated excessive amounts of episodic stress and interpersonal chronic stress in the next 2 years, which, in turn, increased vulnerability for depressive symptoms. A moderation model, whereby the presence of greater personality disorder symptoms would increase the likelihood of depression in response to stress, was not supported.
Daley
S E
SE
Department of Psychology, University of California, Los Angeles 90095-1563, USA.
Hammen
C
C
Davila
J
J
Burge
D
D
D000293:Adolescent; D000328:Adult; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology*; D018450:Disease Progression; D004198:Disease Susceptibility; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008016:Life Change Events; D008960:Models, Psychological; D010553:Personality Development; D010554:Personality Disorders / Q000145:classification / Q000209:etiology*; D011446:Prospective Studies; D012044:Regression Analysis; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000209:etiology*; D013997:Time Factors