title: Assessing Interpersonal Subtypes in Depression.
abstract: The context-free diagnoses outlined by the Diagnostic and Statistical Manual of Mental Disorders might not provide enough information to represent the heterogeneity observed in depressed patients. Interpersonal factors have been linked to depression in a mutually influencing pathoplastic relationship where certain problems, like submissiveness, are related to symptom chronicity. This study evaluated interpersonal pathoplasticity in a range of depressive presentations. We examined archival data collected from 407 participants who met criteria for major depressive disorder (MDD), dysthymic disorder (DD), or subthreshold depression (sD). Latent profile analysis (LPA) identified 5 interpersonal subtypes (vindictive, intrusive, socially avoidant, exploitable, and cold). Apart from gender, the subtypes did not differ significantly on demographic characteristics, psychiatric comorbidity, or self-report depression severity. Socially avoidant participants were more likely to meet criteria for a clinical depression diagnosis (MDD or DD), whereas vindictive participants were more likely to have sD. Our results indicate that interpersonal problems could account for heterogeneity observed in depression.
authors: a Department of Psychology , Long Island University-Brooklyn Campus.
authors: Sarah
authors: S
authors: Simon
authors: Nicole M
authors: NM
authors: Cain
authors: Lisa
authors: L
authors: Wallner Samstag
authors: Kevin B
authors: KB
authors: Meehan
authors: J Christopher
authors: JC
authors: Muran
mesh_terms: D000328:Adult; D000368:Aged; D015897:Comorbidity; D003863:Depression / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D019263:Dysthymic Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009519:New York City; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D011613:Psychotherapy; D017678:Sex Distribution; D012919:Social Behavior; D055815:Young Adult