Treatment of older adults with co-morbid personality disorder and depression: A dialectical behavior therapy approach

International Journal of Geriatric Psychiatry

Volumn 22, Issue 2, 2007, Pages 131-143

  Lynch, Thomas R ^a,b   Cheavens, Jennifer S ^b   Cukrowicz, Kelly C ^c   Thorp, Steven R ^d   Bronner, Leslie ^b   Beyer, John ^b  

^a DUKE UNIVERSITY   (United States)

^b DUKE UNIVERSITY MEDICAL CENTER   (United States)

^c DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d VA SAN DIEGO HEALTHCARE SYSTEM   (United States)

Author keywords

Co morbid; Depression; Dialectical behavior therapy; Late life; Personality disorders

Indexed keywords

ANTIDEPRESSANT AGENT;

ADULT; AGED; ARTICLE; BEHAVIOR THERAPY; CHRONIC DISEASE; CLINICAL ARTICLE; CLINICAL TRIAL; COMORBIDITY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEPRESSION; DRUG TREATMENT FAILURE; FEMALE; FOLLOW UP; HAMILTON SCALE; HUMAN; MALE; PERSONALITY DISORDER; RANDOMIZED CONTROLLED TRIAL; REMISSION; SKILL; TELEPHONE;

AGED; ANTIDEPRESSIVE AGENTS; BEHAVIOR THERAPY; COMBINED MODALITY THERAPY; DEPRESSIVE DISORDER, MAJOR; FEMALE; HUMANS; MALE; MIDDLE AGED; PERSONALITY DISORDERS; PSYCHIATRIC STATUS RATING SCALES; REMOTE CONSULTATION; SOCIOECONOMIC FACTORS; TELEPHONE; TREATMENT OUTCOME;

EID: 33847211034     PISSN: 08856230     EISSN: 10991166     Source Type: Journal    
DOI: 10.1002/gps.1703     Document Type: Article

References (73)

1. Abrams RC. 1996. Personality disorders in the elderly. Int J Geriatr Psychiatry 11: 759-763.
2. Abrams RC, Alexopoulos GS, Young RC. 1987. Geriatric depression and DSM-III-R personality-disorder criteria. J Am Geriatr Soc 35: 383-386.
3. Abrams RC, Horowitz SV. 1996. Personality disorders after age 50: a meta-analysis. J Person Disord 10: 271-281.
4. Abrams RC, Horowitz SV. 1999. Personality disorders after age 50: a meta-analytic review of the literature. In Personality Disorders in Older Adults, Roscowsky E, Abrams RC, Zweig RA (eds). Lawrence Erlbaum Associates: Hillsdale, NJ; 55-68.
5. Agabayewa MO. 1996. Occurrence and effects of personality disorders in depression: are they the same in the old and young? Can J Psychiatry 41: 223-226.
6. American Psychiatric Association. 1994. Diagnostic and Statistical Manual of Mental Disorders, 4th edn. APA: Washington, DC.
7. Bailey Jr GR. 1998. Cognitive-behavioral treatment of obsessive-compulsive personality disorder. J Psychologic Practice 4: 51-59.
8. Barrick A, Hutchinson R, Deckers L. 1989. Age effects on positive and negative emotions. J Soc Behav Personal 4: 421-429.
9. Beck AT, Rush AJ, Shaw BF, et al. 1979. Cognitive Therapy of Depression. Guilford Press: New York.
10. Beck AT, Steer RA. 1987. Manual for the Revised Beck Depression Inventory. Psychological Corporation: San Antonio,TX.
11. Butler R. 1963. The life review: an interpretation of reminiscence in the aged. Psychiatry 26: 65-76.
12. Devanand DP, Nobler MS, Singer T, et al. 1994. Is dysthymia a different disorder in the elderly? Am J Psychiatry 151: 1592-1599.
13. Devanand D, Turret N, Moody B, et al. 2000. Personality disorders in elderly patients with dysthymic disorder. Am J Geriatr Psychiatry 8: 188-195.
14. Diener E, Sandvik E, Larsen RJ. 1985. Age and sex effects for emotional intensity. Development Psycholog 21: 542-546.
15. Duberstein PF, Conwell Y, Caine ED. 1994. Age differences in the personality characteristics of suicide completers: preliminary findings from a psychological autopsy study. Psychiatry 57: 213-224.
16. Duberstein PR, Conwell Y, Seidlitz L, et al. 2000. Personality traits and suicidal behavior and ideation in depressed inpatients 50 years of age and older. J Gerontolog Ser B Psychologic Sci Soc Sci 55: P 18-26.
17. Ehrlich HJ, Bauer ML. 1966. The correlates of dogmatism and flexibility in psychiatric hospitalization. J Consult Psycholog 30: 253-259.
18. Erikson EH, Erikson JM. 1997. The Life Cycle Completed. Norton: New York.
19. Fiorot M, Boswell P, Murray EJ. 1990. Personality and response to psychotherapy in depressed elderly women. Behav Health Aging 1: 51-63.
20. First MB, Spitzer RL, Gibbon M, et al. 1997. Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Biometrics: New York.
21. Folkman S, Lazarus R, Piley S, Novacek J. 1987. Age-differences in stress and coping processes. Psychology Aging 2:171-184.
22. Folstein MF, Folstein SE, McHugh PR. 1975. 'Mini-Mental State': a practical method for grading the state of patients for the clinician. J Psychiatr Res 12: 189-198.
23. Gradman TJ, Thompson LW, Gallagher-Thompson D. 1999. Personality Disorders and Treatment Outcome. In Personality Disorders in Older Adults, Rosowsky E, Abrams RC, Zweig RA (eds). Lawrence Erlbaum Associates: Hillsdale, NJ; 69-94.
24. Gross JJ, Carstensen LL, Pasupathi M, et al. 1997. Emotion and aging: experience, expression, and control. Psycholog Aging 12: 590-599.
25. Hamilton M. 1960. A rating scale for depression. J Neurologic Neurosurg Psychiatry 23: 56-61.
26. Hibbard MR, Grober SE, Gordon WA, Aletta EG. 1990. Modification of cognitive psychotherapy for the treatment of post-stroke depression. Behav Therapist 13: 15-17.
27. Hirschfeld RM. 1993. Personality disorders: definition and diagnosis. Jperson Disord 7: 9-17.
28. Jacobsberg L, Perry S, Frances A. 1995. Diagnostic agreement between the SCID-II Screening Questionnaire and the Personality Disorder Examination. J Person Assess 65: 428-433.
29. Kenan MM, Kendjelic EM, Molinari VA, et al. 2000. Age-related differences in the frequency of personality disorders among inpatient veterans. Int J Geriatr Psychiatry 15: 831-837.
30. Koons CR, Robins CJ, Tweed JL, et al. 2001. Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behav Therapy 32: 371-390.
31. Kunik ME, Benoit MH, Rifai AH, et al. 1994. Diagnostic rate of co-morbid personality disorder in elderly psychiatric inpatients. Am J Psychiatry 151: 603-605.
32. Labouvie-Vief G, Diehl M, Tamowski A, Shen J. 2000. Age differences in adult personality: findings from the United States and China. J Gerontolog Ser B Psychologic Sci Soc Sci 55: 4-17.
33. Lawton M, Kleban M, Rajagopal D, Dean J. 1992. Dimensions of affective experience in three age groups. Psycholog Aging 7: 171-184.
34. Linehan MM. 1993a. Cognitive-Behavioral Treatment of Borderline Personality Disorder. Guilford Press: New York.
35. Linehan MM. 1993b. Skills Training Manual for Treating Borderline Personality Disorder. Guilford Press: New York.
36. Linehan MM. 1999. Development, evaluation, and dissemination of effective psychosocial treatments: levels of disorder, stages of care, and stages of treatment research. In Drug Abuse: Origins and Interventions, Glantz MD, Hartel CR (eds). American Psychological Association: Washington, DC; 367-394.
37. Linehan MM, Armstrong H, Suarez A, et al. 1991. Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Arch Gen Psychiatry 4812: 1060-1064.
38. Linehan MM, Dimeff LA, Reynolds SK, et al. 2002. Dialectal behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder. Drug Alcohol Depend 67: 13-26.
39. Linehan MM, Schmidt H, Dimeff L, et al. 1999. Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. Am J Addict 8: 279-292.
40. Linehan MM, Comtois KA, Murray AM, Brown MZ, Gallop RJ, et al. 2006. Two-year randomized control trial and follow-up of Dialectical Behavior Therapy vs Therapy by Experts for Suicidal Behaviors and Borderline Personality Disorder. Arch Gen Psychiatry, 62: 1-10.
41. Link B, Struening E, Rahav M, et al. 1997. On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. J Health Soc Behav 38: 177-190.
42. Lynch TR. 2000. Treatment of elderly depression with personality disorder co-morbidity using dialectical behavior therapy. Cog Behav Practice 7: 468-477.
43. Lynch TR, Chapman AL, Rosenthal MZ, Kuo JR, & Linehan MM. 2006. Mechanisms of change in dialectical behavior therapy: theoretical and empirical observations. J Clin Psychol. 62: 459-480.
44. Lynch TR, Cheavens J, Morse JQ, Rosenthal MZ. 2004. A model predicting suicidal ideation and hopelessness in depressed older adults: the impact of emotion inhibition and affect intensity, Aging Mental Health 8: 486-497.
45. Lynch TR, Morse JQ, Mendelson T, Robins CJ. 2003. Dialectical Behavior Therapy for depressed older adults: a randomized pilot study. Am J Geriatr Psychiatry 11: 1-13.
46. Lynch TR, Morse JQ, Vitt CM. 2002. Dialectical behavior therapy for depressed older adults. Behav Therapist 25: 7-8.
47. McConatha J, Huba H. 1999. Primary, secondary, and emotional control across adulthood. Curr Psychol Development Learning Person Soc 18: 164-470.
48. Meeks S, Carstensen LL, Tamsky BF, et al. 1989. Age-differences in coping - does less mean worse. Int J Aging Hum Develop 28: 127-140.
49. Molinari V, Marmion J. 1995. Relationship between affective-disorders and Axis-II diagnoses in geropsychiatric patients. J Geriatr Psychiatry Neurol 8: 61-64.
50. Morse JQ, Lynch TR. 2000. Personality disorders in the elderly. Curr Psychiatry Rep 2: 24-31.
51. Morse JQ, Lynch TR. 2004. A preliminary investigation of self-reported personality disorders in late life: prevalence, predictors of depressive severity, and clinical correlates. Aging Mental Health 8: 307-315.
52. Onken LS, Blaine JD, Battjes R. 1997. Behavioral therapy research: a conceptualization of a process. In Innovative Approaches from Difficult to Treat Populations, Henngler SW, Amentos R (eds). American Psychological Association: Washington; 477-485.
53. Ogrodniczuk JS, Piper WE, Joyce AS, et al. 2002. Social support as a predictor of response to group therapy for complicated grief. Psychiatry 65: 346-357.
54. Ogrodniczuk JS, Piper WE, Joyce AS, et al. 2003. NEO-five factor personality traits as predictors of response to two forms of group psychotherapy. Int J Group Psychother 53: 417-442.
55. Pasupathi M, Carstensen LL. 2003. Age and emotional experience during mutual reminiscing. Psychology and Aging 18: 430-442.
56. Pearlin LI, Skaff MM. 1996. Stress and the life course: a paradigmatic alliance. Gerontologist 36: 239-247.
57. Pilkonis PA, Kim Y, Proietti IM, Barkham M. 1996. Scales for personality disorders developed from the inventory of interpersonal problems. J Person Disord 10: 355-369.
58. Rokeach M. 1960. The Open and Closed Mind: Investigations into The Nature Of Belief Systems and Personality Systems. Basic Books: New York.
59. Rounsaville BJ, Carroll KM. 2001. A stage model of behavioral therapies research: getting started and moving on from Stage I. Clin Psychol Sci Pract 8: 133-142.
60. Rosenthal MZ, Cheavens JS, Compton JS, et al. 2005. Thought suppression and treatment outcome in late-life depression. Aging Mental Health 9: 35-39.
61. Schaie KW, Willis SL, Caskie GIL. 2004. The Seattle Longitudinal Study: relationship between personality and cognition. Aging Neuropsychol Cog 11: 304-324.
62. Schultz PW, Searleman A. 2002. Rigidity of thought and behavior: 100 years of research. Genetic Soc Gen Psychol Mon 128: 165-207.
63. Staudinger UM, Pasupathi M. 2000. Life-span perspectives on self, personality, and social cognition. In The Handbook of Aging and Cognition, Craik FIM, Salthouse TA (eds). Erlbaum: Hillsdale, NJ; 633-688.
64. Stek ML, van Exel E, van Tilburg W, et al. 2002. The prognosis of depression in old age: outcome six to eight years after clinical treatment. Aging Mental Health 6: 282-285.
65. Thompson LW, Gallagher D, Czirr R. 1988. Personality disorder and outcome in the treatment of late-life depression. J Geriatr Psychiatry 21: 133-153.
66. Turner R. 2000. Naturalistic evaluation of dialectical behavior therapy-oriented treatment for borderline personality disorder. Cog Behav Practice 7: 413-419.
67. Verheul R, van den Bosch LM, Louise MC, et al. 2003. Dialectical behaviour therapy for women with borderline personality disorder: 12-month, randomized clinical trial in The Netherlands. Br J Psychiatry 182: 135-140.
68. Vine RG, Steingart AB. 1994. Personality disorder in the elderly depressed. Can J Psychiatry 39: 392-398.
69. Webster JD, Cappeliez P. 1993. Reminiscence and autobiographical memory: complementary contexts for aging research. Development Rev 13: 54-91.
70. Wenger GC, Jerrome D. 1999. Change and stability in confidant relationships: findings from the Bangor Longitudinal Study of Ageing. J Aging Stud 13: 269-294.
71. Wrosch C, Scheier MF, Miller GE, et al. 2003. Adaptive self-regulation of unattainable goals: Goal disengagement, goal reengagement, and subjective well-being. Person Soc Psychol Bull 29: 1494-1508.
72. Zeiss AM, Breckenridge JS. 1997. Treatment of late life depression: a response to the NIH consensus conference. Behav Therapy 28: 3-21.
73. Zeiss AM, Lewinsohn PH. 1986. Adapting behavioral treatment for depression to meet the needs of the elderly. Clin Psychologist 39: 98-100.