{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:41:27Z","timestamp":1777520487061,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[1994,9,1]],"date-time":"1994-09-01T00:00:00Z","timestamp":778377600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[1994,9]]},"abstract":"<jats:p>The objectives of this study were to examine the association of personality disorder with outcome of depression in older patients (age \u2265 60) treated in a psychiatric day hospital for depression and to compare the clinical diagnosis of personality disorder at admission with the results of a semi-structured interview at follow-up. Sixty-four patients were followed up for a mean interval of 30 (13\u201349) months after admission to the psychiatric day hospital and the semi-structured interview, Social Support Scale, Life Events Inventory, Hamilton Depression Rating Scale and Mini-Mental State Examination administered by a psychiatrist blind to the details of the index admission. Forty-nine informants (a close friend or relative) were also interviewed using the semi-structured interview. Axis II diagnoses at the time of admission were determined from patient records. Personality disorder diagnoses were analysed according to DSM-III-R clusters. Twenty-one (33%) patients fulfilled criteria for personality disorder at admission and 23 (36%) at follow-up. There was strong agreement (k = 0.78) between patient and informant semi-structured interview results and moderate agreement (k = 0.41) between diagnosis at admission and at follow-up. Presence of a personality disorder, and in particular a cluster B personality disorder diagnosis was associated with chronic outcome of depression and with impaired social support. Personality is a significant factor in the outcome of depression in the elderly. It remains unclear whether current methods of assessment tap enduring characteristics, or manifestations of affective state.<\/jats:p>","DOI":"10.1177\/070674379403900702","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T03:58:52Z","timestamp":1493179132000},"page":"392-398","source":"Crossref","is-referenced-by-count":35,"title":["Personality Disorder in the Elderly Depressed"],"prefix":"10.1177","volume":"39","author":[{"given":"Ruth G.","family":"Vine","sequence":"first","affiliation":[{"name":"University of Toronto, Baycrest Centre for Geriatric Care, Toronto, Ontario."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allan B.","family":"Steingart","sequence":"additional","affiliation":[{"name":"Baycrest Centre for Geriatric Care; Assistant Professor, University of Toronto, Toronto, Ontario."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1994,9,1]]},"reference":[{"key":"bibr1-070674379403900702","first-page":"1352","volume-title":"Comprehensive textbook of psychiatry, volume 2, fifth edition.","author":"Perry J.C.","year":"1989"},{"key":"bibr2-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.136.1.67"},{"key":"bibr3-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.138.12.1601"},{"key":"bibr4-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.157.1.19"},{"key":"bibr5-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.157.1.13"},{"key":"bibr6-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1987.1.1.27"},{"key":"bibr7-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.140.6.695"},{"key":"bibr8-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1016\/0006-3223(89)90080-2"},{"key":"bibr9-070674379403900702","first-page":"1325","volume":"41","author":"Kroessler D.","year":"1990","journal-title":"Hosp Community Psychiatry"},{"key":"bibr10-070674379403900702","volume-title":"Handbook of studies on psychiatry and old age.","author":"Gurland B.J.","year":"1984"},{"key":"bibr11-070674379403900702","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, third edition, revised.","year":"1987"},{"key":"bibr12-070674379403900702","volume-title":"Handbook of mental health and aging,","author":"Sadavoy J.","edition":"2"},{"key":"bibr13-070674379403900702","first-page":"377","volume-title":"Comprehensive review of geriatric psychiatry.","author":"Abrams R.","year":"1991"},{"key":"bibr14-070674379403900702","first-page":"133","volume":"21","author":"Thompson L.W.","year":"1988","journal-title":"J Geriatr Psychiatry"},{"key":"bibr15-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1987.tb04658.x"},{"key":"bibr16-070674379403900702","volume-title":"User's guide for the structured clinical interview for DSM-III-R. New York State Psychiatric Institute, Biometrics Research.","author":"Spitzer R.L.","year":"1990"},{"key":"bibr17-070674379403900702","volume-title":"Structured Interview for DSM-III Personality.","author":"Pfohl B.","year":"1982"},{"key":"bibr18-070674379403900702","first-page":"338","volume-title":"Aging and mental disorders: International perspectives.","volume":"22","author":"Steingart A.B.","year":"1992"},{"key":"bibr19-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.142.2.111"},{"key":"bibr20-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.23.1.56"},{"key":"bibr21-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"bibr22-070674379403900702","doi-asserted-by":"publisher","DOI":"10.3109\/00048677609159482"},{"key":"bibr23-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1007\/BF00578071"},{"key":"bibr24-070674379403900702","volume-title":"The design and analysis of clinical experiments.","author":"Fleiss J.L.","year":"1986"},{"key":"bibr25-070674379403900702","volume-title":"Statistical methods for rates and proportions, second edition.","author":"Fleiss J.L.","year":"1981"},{"key":"bibr26-070674379403900702","volume-title":"StatView.512+.","year":"1986"},{"key":"bibr27-070674379403900702","volume-title":"Los Angeles CA","year":"1990"},{"key":"bibr28-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1988.01800320045005"},{"key":"bibr29-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1177\/089198878900200206"},{"key":"bibr30-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.135.7.797"},{"key":"bibr31-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.145.4.435"},{"key":"bibr32-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1983.01790060099013"},{"key":"bibr33-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.141.2.135"},{"key":"bibr34-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1037\/0882-7974.5.3.315"},{"key":"bibr35-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.148.6.648"},{"key":"bibr36-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(86)90110-1"},{"key":"bibr37-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.149.5.574"},{"key":"bibr38-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.154.4.478"},{"key":"bibr39-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.158.1.64"},{"key":"bibr40-070674379403900702","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.140.1.11"}],"container-title":["The Canadian Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674379403900702","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674379403900702","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:11:43Z","timestamp":1777392703000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/070674379403900702"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,9]]},"references-count":40,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1994,9]]}},"alternative-id":["10.1177\/070674379403900702"],"URL":"https:\/\/doi.org\/10.1177\/070674379403900702","relation":{},"ISSN":["0706-7437","1497-0015"],"issn-type":[{"value":"0706-7437","type":"print"},{"value":"1497-0015","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,9]]}}}