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Depression Research and Treatment
Volume 2012 (2012), Article ID 208435, 12 pages
Clinical Study

Mood and Global Symptom Changes among Psychotherapy Clients with Depressive Personality

Department of Psychology, Lund University, P.O. Box 213, 221 00 Lund, Sweden

Received 10 July 2012; Revised 14 October 2012; Accepted 15 October 2012

Academic Editor: H. Grunze

Copyright © 2012 Rachel E. Maddux and Lars-Gunnar Lundh. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The present study assessed the rate of depressive personality (DP), as measured by the self-report instrument depressive personality disorder inventory (DPDI), among 159 clients entering psychotherapy at an outpatient university clinic. The presenting clinical profile was evaluated for those with and without DP, including levels of depressed mood, other psychological symptoms, and global severity of psychopathology. Clients were followed naturalistically over the course of therapy, up to 40 weeks, and reassessed on these variables again after treatment. Results indicated that 44 percent of the sample qualified for DP prior to treatment, and these individuals had a comparatively more severe and complex presenting disposition than those without DP. Mixed-model repeated-measures analysis of variance was used to examine between-groups changes on mood and global severity over time, with those with DP demonstrating larger reductions on both outcome variables, although still showing more symptoms after treatment, than those without DP. Only eleven percent of the sample continued to endorse DP following treatment. These findings suggest that in routine clinical situations, psychotherapy may benefit individuals with DP.