title: A comparison of self-concept and personality disorders in women with pain accounted for by psychological factors, women with major depression, and healthy controls.
abstract: OBJECTIVE
  Do patients with pain accounted for by psychological factors (P) differ in their self-concept and personality disorders from patients with major depression (D) and healthy controls (C)?
  
  
  METHODS
  Thirty hospitalized P-patients (DSM-IV, 307.80) and 30 hospitalized D-Patients (DSM-III-R) were given the Beck Depression Inventory on admission (BDI-1) and at discharge (BDI-2). Together with BDI-2, patients filled out the Personality Disorder Questionnaire for DSM-III-R (PDQR) and the Frankfurt Self-Concept Scales (FSKN). Thirty-two healthy comparisons (C) completed the same questionnaires.
  
  
  RESULTS
  BDI-2 showed no significant differences between groups P and D, a prerequisite for the comparison of psychological traits. PDQR differed in the three groups. D showed more dependent, obsessive-compulsive, and histrionic personality features than group P. The three groups differed in FSKN total score and all 10 subscales (C (healthiest self-concept) > P > D). Groups P and D were different (P > D) in total score and subscales: performance, problem coping, confidence in behavior and decision taking, and self-esteem. Ten P-patients with pathological BDI-2 (P(D)) had significantly more disturbed PDQR and FSKN scores than the non-depressed (P(ND)), and closely resembled the D-patients.
  
  
  CONCLUSIONS
  Personality disorders and self-concept are not homogenous in female patients with P. Subgroup P(ND) differs from patients with depression (fewer personality disorders, better self-concept), whereas subgroup P(D) closely resembles them.
authors.affiliation: University of Geneva, Switzerland.
authors.forename: S I
authors.initials: SI
authors.lastname: Zlot
authors.forename: M
authors.initials: M
authors.lastname: Herrmann
authors.forename: T
authors.initials: T
authors.lastname: Hofer-Mayer
authors.forename: M
authors.initials: M
authors.lastname: Adler
authors.forename: R H
authors.initials: RH
authors.lastname: Adler
mesh_terms: D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000175:diagnosis / Q000523:psychology*; D010554:Personality Disorders / Q000175:diagnosis / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012649:Self Concept; D011795:Surveys and Questionnaires