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The Domain of Social Dysfunction in Complex Depressive Disorders

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Depression and Personality Dysfunction

Part of the book series: Depression and Personality ((DP))

Abstract

Depressive disorders have a major impact on social functioning. In uncomplicated, episodic depression (i.e., major depressive disorder), transient symptoms of social withdrawal and loss of interest in activities are common functional impairments. However, in more complex forms of depression, social dysfunction can be chronic and pervasive, often leading to more severe and intractable functional impairments. This chapter presents a scoping review of the empirical literature that examines the impact of complex depression on five domains of social functioning: occupational functioning, romantic and sexual relationships, leisure activities, affiliation and attachment, and social support networks. Two case studies are presented that illustrate social dysfunction in two predominant forms of complex depression: chronic depressive disorders (CDD) and depression with personality disorder (DPD). These two forms of complicated depression encompass a range of complex depressive disorders as CDD focuses on persistent and non-remitting forms of depression (including dysthymia, pervasive depressive disorder, depressive personality disorder, and double depression), while DPD relates to episodic depression in the presence of co-occurring personality pathology. The limitations of included studies and the need for treatment development (e.g., lack of treatment studies, need for a focus on social dysfunction as a treatment target) for further investigation are discussed.

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Authors and Affiliations

  1. City College and Graduate Center, City University of New York, New York, NY, USA

    Devika Duggal & Eric A. Fertuck

  2. College of Human Medicine, Michigan State University, East Lansing, MI, USA

    Steven K. Huprich

  3. University of Detroit Mercy, Detroit, MI, USA

    Steven K. Huprich

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  1. Devika Duggal
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  2. Eric A. Fertuck
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  3. Steven K. Huprich
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Correspondence to Eric A. Fertuck .

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Editors and Affiliations

  1. Millennium Institute for Research in Depression and Personality; Department of Psychiatry, Pontificia Universidad Católica de Chile, Santiago, RM - Santiago, Chile

    Guillermo de la Parra

  2. Millennium Institute for Research in Depression and Personality; Faculty of Psychology, Universidad Alberto Hurtado, Santiago, RM - Santiago, Chile

    Paula Dagnino

  3. Millennium Institute for Research in Depression and Personality; School of Psychology, Pontificia Universidad Católica de Chile, Santiago, RM - Santiago, Chile

    Alex Behn

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Duggal, D., Fertuck, E.A., Huprich, S.K. (2021). The Domain of Social Dysfunction in Complex Depressive Disorders. In: de la Parra, G., Dagnino, P., Behn, A. (eds) Depression and Personality Dysfunction. Depression and Personality. Springer, Cham. https://doi.org/10.1007/978-3-030-70699-9_5

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