{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T04:14:06Z","timestamp":1748405646418,"version":"3.41.0"},"reference-count":63,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T00:00:00Z","timestamp":1731456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010248","name":"Royal College of Psychiatrists","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010248","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Distinguishing those with a personality disorder from those with major depressive disorder (MDD) can be challenging, but establishing the correct diagnosis can direct appropriate management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify whether behavioural themes differ between those with personality disorders from those with MDD, and how those differences might relate to a clinical team's perception of diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>An observational study identifying all inpatients presenting with symptoms of depression. At discharge, patients (<jats:italic>n<\/jats:italic>\u2009=\u200960) underwent a structured diagnostic interview and were grouped according to diagnosis. Qualitative data was analysed to determine whether behavioural themes differed between those with MDD and those with a personality disorder (with or without MDD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ward staff perceptions of diagnosis aligned in all cases of personality disorder, but they also attributed that diagnosis to 54% of patients who had only MDD. Several behavioural themes were evident in those with a personality disorder but not those with MDD. Many behavioural themes were observed in both groups, and it is likely these that drove differences in diagnostic views.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Practice<\/jats:title><jats:p>Certain behavioural themes may be determinants of the perception of diagnosis held by inpatient staff, and when present in acute episodes in MDD, may risk diagnostic misattribution.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpm.13134","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T14:38:52Z","timestamp":1731508732000},"page":"591-602","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Staff Observational Differences Between Depressive Disorders and Personality Disorders"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5896-8538","authenticated-orcid":false,"given":"Kaushadh","family":"Jayakody","sequence":"first","affiliation":[{"name":"Translational and Clinical Research Institute, Faculty of Medical Sciences Newcastle University  Newcastle upon Tyne UK"},{"name":"Cumbria, Northumberland Tyne and Wear NHS Foundation Trust  Newcastle upon Tyne UK"},{"name":"Faculty of Medicine Nursing and Health Sciences, School of Rural Health Monash University  Bendigo Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5760-9824","authenticated-orcid":false,"given":"Iain","family":"McKinnon","sequence":"additional","affiliation":[{"name":"Cumbria, Northumberland Tyne and Wear NHS Foundation Trust  Newcastle upon Tyne UK"},{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5682-7507","authenticated-orcid":false,"given":"David Andrew","family":"Cousins","sequence":"additional","affiliation":[{"name":"Translational and Clinical Research Institute, Faculty of Medical Sciences Newcastle University  Newcastle upon Tyne UK"},{"name":"Cumbria, Northumberland Tyne and Wear NHS Foundation Trust  Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_14_2_1","DOI":"10.1176\/appi.books.9780890425596"},{"doi-asserted-by":"publisher","key":"e_1_2_14_3_1","DOI":"10.1080\/10673220600975121"},{"doi-asserted-by":"publisher","key":"e_1_2_14_4_1","DOI":"10.1007\/s00127\u2010020\u201001892\u20104"},{"doi-asserted-by":"publisher","key":"e_1_2_14_5_1","DOI":"10.1080\/028393100300006843"},{"volume-title":"Social Research Methods","year":"2000","author":"Bernard H. 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