Personality and self-reported treatment effectiveness in depression

Aust N Z J Psychiatry. 2009 Jun;43(6):518-25. doi: 10.1080/00048670902873730.

Abstract

Objective: The aim of the present study was to examine the associations between eight personality styles and retrospective self-reported response to a wide range of treatments for depression, including pharmacological, psychological and alternative strategies.

Method: An online survey posted on the Black Dog Institute website was completed by 3486 respondents reporting a history of treatment for depression. Inclusion criteria resulted in a sample of 2692 respondents. Participants completed the Temperament and Personality Questionnaire, which assesses eight personality dimensions: anxious worrying, perfectionism, personal reserve, irritability, social avoidance, rejection sensitivity, self-criticism and self-focus.

Results: A series of linear regressions quantified that the personality dimensions--as well as age and gender--accounted for very little of the variance in self-reported treatment effectiveness (1-7%). Self-criticism was associated with a poorer response to most treatments, and social avoidance was associated with a poorer response to psychological treatments (e.g. cognitive behaviour therapy) and behavioural strategies (e.g. exercise). Several other weak associations are reported.

Conclusion: The association between personality style and retrospective self-reported treatment response was overall weak at most. The association between a personality style of self-criticism and poor treatment response warrants clarification.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antidepressive Agents / therapeutic use
  • Cognitive Behavioral Therapy
  • Combined Modality Therapy
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / epidemiology*
  • Depressive Disorder, Major / therapy*
  • Female
  • Humans
  • Irritable Mood
  • Male
  • Middle Aged
  • Personality Assessment
  • Personality Disorders / diagnosis
  • Personality Disorders / epidemiology*
  • Personality Disorders / therapy*
  • Rejection, Psychology
  • Self Concept
  • Surveys and Questionnaires
  • Temperament
  • Young Adult

Substances

  • Antidepressive Agents