title: Temperament, character and personality disorders as predictors of response to interpersonal psychotherapy and cognitive-behavioural therapy for depression.
abstract: BACKGROUND
  Interpersonal psychotherapy and cognitive-behavioural therapy are widely accepted as effective treatments for major depression. There is little evidence on how personality disorder or personality traits affect treatment response.
  
  
  OBJECTIVE
  To determine whether personality disorder or traits have an adverse impact on treatment response to interpersonal psychotherapy or cognitive-behavioural therapy in people receiving out-patient treatment for depression.
  
  
  METHODS
  The study was a randomised trial in a university-based clinical research unit for out-patients with depression.
  
  
  RESULTS
  Personality disorder did not adversely affect treatment response for patients with depression randomised to cognitive-behavioural therapy. Conversely, personality disorder did adversely affect treatment response for patients randomised to interpersonal psychotherapy.
  
  
  CONCLUSIONS
  Despite the two therapies having comparable efficacy in patients with depression, response to interpersonal psychotherapy (but not cognitive-behavioural therapy) is affected by personality traits. This could suggest the two therapies are indicated for different patients or that they work by different mechanisms.
authors.affiliation: Department of Psychological Medicine, Christchurch School of Medicine and Health Sciences, PO Box 4345, Christchurch, New Zealand. peter.joyce@chmeds.ac.nz
authors.forename: Peter R
authors.initials: PR
authors.lastname: Joyce
authors.forename: Janice M
authors.initials: JM
authors.lastname: McKenzie
authors.forename: Janet D
authors.initials: JD
authors.lastname: Carter
authors.forename: Alma M
authors.initials: AM
authors.lastname: Rae
authors.forename: Suzanne E
authors.initials: SE
authors.lastname: Luty
authors.forename: Christopher M A
authors.initials: CM
authors.lastname: Frampton
authors.forename: Roger T
authors.initials: RT
authors.lastname: Mulder
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003865:Major Depressive Disorder / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000523:psychology / Q000628:therapy*; D011613:Psychotherapy / Q000379:methods*; D013694:Temperament; D016896:Treatment Outcome