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Depressive comorbidity in personality disorders
Comorbilidad depresiva en los trastornos de la personalidad
Miriam Vilaplanaa, Kathryn McKenneyb, María D. Riescoc, Jaume Autonella, Jorge A. Cervillab,
Corresponding author
jacb@ugr.es

Corresponding author.
a CIBERSAM Sant Joan de Déu, Servicios de Salud Mental, Vilanova i la Geltrú, Barcelona, Spain
b CIBERSAM Granada, Centro Investigaciones Biomédicas, PTS, Granada, Spain
c Servicio de Psiquiatría y Salud Mental, Consorci Hospitalari de Vic, Vic, Barcelona, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">We aimed to investigate the nature of the associations between PD clusters and MDs&#44; functionality and mental health services use&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This is a case register study of all cases with a diagnosis of PD detected clinically in a well-defined area in the province of Barcelona covered by 7 Community Mental Health Teams&#46; DSM-IV diagnoses were established by fully trained psychiatrists&#46; Data was also gathered on socio-demographic variables&#59; functional status &#40;GAF&#41; and data on use of health resources&#44; using a systematic computerized method&#46; We performed a nonparametric univariate statistical analysis&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We found a higher percentage of major depressive disorder &#40;MDD&#41; among cluster C patients &#40;17&#37;&#41;&#44; followed by cluster A &#40;10&#37;&#41; and cluster B &#40;9&#44; 8&#37;&#41;&#46; As for the comorbidity between PD clusters and dysthymic disorder&#44; we found that the prevalence was higher among cluster B patients &#40;23&#44;7&#37;&#41; than cluster C &#40;20&#44;2&#37;&#41; or cluster A &#40;7&#44;1&#37;&#41;&#46; When considering both MDs together&#44; we found the highest prevalence among cluster C patients &#40;36&#44;87&#37;&#41;&#44; followed by cluster B &#40;33&#44;5&#37;&#41; and cluster A &#40;17&#44;1&#37;&#41;&#46; Cluster A patients showed worse functioning and visited hospitals most&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A high comorbidity between all MDs analyzed and personality disorders was found&#44; being particularly prominent among cluster C PDs&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Nuestro objetivo fue investigar las asociaciones entre <span class="elsevierStyleItalic">clusters</span> de trastornos de personalidad &#40;TP&#41;&#44; trastornos del estado de &#225;nimo &#40;TA&#41;&#44; funcionalidad y el uso de servicios de salud&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">&#201;ste es un estudio de registro de todos los casos diagnosticados con un TP detectado cl&#237;nicamente en uno de los siete equipos de salud mental de un &#225;rea bien definida de la provincia de Barcelona&#46; Los diagn&#243;sticos DSM-IV fueron establecidos por psiquiatras bien entrenados&#46; Tambi&#233;n se recogieron datos sobre variables sociodemogr&#225;ficas&#44; estado funcional &#40;GAF&#41; y sobre uso de los recursos de salud mediante un m&#233;todo sistem&#225;tico computarizado&#46; Realizamos an&#225;lisis estad&#237;sticos no param&#233;tricos univariables&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Encontramos un mayor porcentaje de trastorno depresivo &#40;TD&#41; entre pacientes del <span class="elsevierStyleItalic">cluster</span> C &#40;17&#37;&#41;&#44; seguido del <span class="elsevierStyleItalic">cluster</span> A &#40;10&#37;&#41; y el B &#40;9&#44;8&#37;&#41;&#46; En cuanto a la comorbilidad entre <span class="elsevierStyleItalic">cluster</span> de TP y trastorno dist&#237;mico&#44; encontramos que la prevalencia era mayor para pacientes del <span class="elsevierStyleItalic">cluster</span> B &#40;23&#44;7&#37;&#41; que del C &#40;20&#44;2&#37;&#41; o del A &#40;7&#44;1&#37;&#41;&#46; Cuando se consideraban ambos TA juntos&#44; encontramos que la mayor prevalencia aparec&#237;a en pacientes del <span class="elsevierStyleItalic">cluster</span> C &#40;36&#44;87&#37;&#41;&#44; seguido del <span class="elsevierStyleItalic">cluster</span> B &#40;33&#44;5&#37;&#41; y del A &#40;17&#44;1&#37;&#41;&#46; Los pacientes de <span class="elsevierStyleItalic">cluster</span> A mostraban peor funcionamiento y visitaban con mayor frecuencia los hospitales&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Se encontr&#243; una alta comorbilidad entre todos los TA analizados y los trastornos de personalidad&#59; esta asociaci&#243;n fue especialmente importante en el <span class="elsevierStyleItalic">cluster</span> C&#46;</p>"
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