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    Scopus© Citations 8  1
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      1Scopus© Citations 14
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    Risk Factors for Adult Depression: Adverse Childhood Experiences and Personality Functioning
    (2020)
    Paula Dagnino
    ;
    María José Ugarte
    ;
    Felipe Morales
    ;
    Sofia González
    ;
    Daniela Saralegui Fernández
    <jats:p><jats:bold>Background:</jats:bold> Depressive disorder is one of the main health problems worldwide. Many risk factors have been associated with this pathology. However, while the association between risks factors and adult depression is well established, the mechanisms behind its impact remains poorly understood. A possible, yet untested explanation is the mediating impact of levels of personality functioning, i.e., impairments with regard to self and interpersonal.</jats:p><jats:p><jats:bold>Method:</jats:bold> Around 162 patients were assessed at the beginning of their therapy, with regard to risk factors, such as sociodemographic, physical, hereditary (Information Form), and adverse childhood experiences (ACE; CTQ). Depressive symptoms (Beck Depression Inventory, BDI) and personality functioning (OPD-SQ) were also measured. Associations between the related variables as well as other possible covariates were examined by means of zero-order correlations and bootstrapping-based mediation analysis.</jats:p><jats:p><jats:bold>Results:</jats:bold> Of all the risk factors taken into account, level of education and physical illness were associated with depression. On the other hand, the most significant predictor of depressive symptomatology was ACE, and this relationship was mediated by personality functioning. This indicates that patients presenting adverse childhood experiences are more likely to develop deficiencies in personality functioning, which in turn increases their likelihood of developing depressive symptomatology.</jats:p><jats:p><jats:bold>Conclusion:</jats:bold> These results reaffirm the importance of incorporating risk and vulnerability factors such as personality functioning in understanding depression.</jats:p>
    Scopus© Citations 53  1
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    Depression and attachment: how do personality styles and social support influence this relation?
    (2017)
    Paula Dagnino
    ;
    ;
    Adriana Gòmez
    ;
    Sergio Gloger
    ;
    Mariane Krause
    <jats:p>The purpose of this study is to improve the current understanding of the relation between depression and attachment through the evaluation of the role of personality styles (dependent vs self-critical) and social support in this association. These variables were studied in a clinical sample of 70 depressed outpatients (83% women; M=41.47 years, SD=12.91). Depressive symptomatology was assessed through the Beck Depression Inventory, adult attachment through the Experiences in Close Relationships Scale, social support through the Social Support Questionnaire and dependency and self-criticism through the Depressive Experiences Questionnaire. Mediational and moderation regression analyses were performed. Results show that the association between the dimensions of attachment (anxiety and avoidance) and depression was partially mediated by self-criticism. Furthermore, results demonstrate the role of social support as a moderating variable: when the level of satisfaction with social support was low and the anxiety dimension in the attachment scale was high, as avoidance increased, depressive symptoms increased as well. Results are discussed in relation to their importance for understanding the complex interplay of the variables involved in depression.</jats:p>
    Scopus© Citations 31  3