title: Personality pathology factors predict recurrent major depressive disorder in emerging adults.
abstract: OBJECTIVE
  Prior investigations consistently indicate that personality pathology is a risk factor for recurrence of major depressive disorder (MDD). Lack of emipircal support, however, for the Diagnostic and Statistical Manual of Mental Disorders (DSM) Fourth Edition organization of Axis II disorders supports the investigation of empirically derived factors of personality pathology as predictors of recurrence.
  
  
  METHODS
  A sample of 130 previously depressed emerging adults (80% female; aged 18 to 21 years) were assessed for personality disorder symptoms at baseline. Participants were then followed for 18 months to identify MDD recurrence during the first 2 years of college.
  
  
  RESULTS
  Based on a previous factor analysis of DSM personality disorder criteria, eight personality pathology factors were examined as predictors of MDD recurrence. Survival analysis indicated that factors of interpersonal hypersensitivity, antisocial conduct, and social anxiety were associated with increased risk of MDD recurrence.
  
  
  CONCLUSIONS
  These findings suggest that an empirically based approach to personality pathology organization may yield useful predictors of MDD recurrence during emerging adulthood.
authors.affiliation: Colby College.
authors.forename: Erin S
authors.initials: ES
authors.lastname: Sheets
authors.forename: Laramie E
authors.initials: LE
authors.lastname: Duncan
authors.forename: Andri S
authors.initials: AS
authors.lastname: Bjornsson
authors.forename: Linda W
authors.initials: LW
authors.lastname: Craighead
authors.forename: W Edward
authors.initials: WE
authors.lastname: Craighead
mesh_terms: D000293:Adolescent; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D010552:Personality Assessment / Q000706:statistics & numerical data; D010554:Personality Disorders / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology; D011594:Psychometrics / Q000706:statistics & numerical data; D011615:Psychotherapy, Group; D012008:Recurrence; D012307:Risk Factors; D055815:Young Adult
keywords: Axis II pathology; depression; emerging adulthood; factor structure; personality disorders