Antisocial and related disorders in a southern community. An application of grade of membership analysis.

Antisocial and related disorders in a southern community. An application of grade of membership analysis.
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南部社区的反社会及相关疾病。

DOI:
10.1097/00005053-198909000-00003
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发表时间:
1989
期刊:
The Journal of nervous and mental disease
影响因子:
--
通讯作者:
Blazer,DG
Blazer,DG
中科院分区:
--
文献类型:
--
作者:
Jordan,BK;Swartz,MS;George,LK;Woodbury,MA;Blazer,DG

文献摘要

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反社会人格障碍(ASPD)和精神疾病的症状报告与ASPD进行等级的成员分析,一个相对较新的程序,医学分类,以确定纯粹的类型,将经验出现在没有事先假设这些症状的集群。样本包括914名受访者谁参加了NIMH流行病学集水区计划在北卡罗来纳州网站。症状和诊断数据采用诊断访谈计划表获得。通过隶属度分析,得出了7个纯型。两种纯粹的类型非常类似于DSM-III对ASPD的描述。其他两个纯类型包括酒精滥用/依赖症状和为娱乐目的使用非法药物的指标。只有两种有症状的纯型在女性中很常见。第一种人格障碍的特征是婚姻不稳定、其他家庭问题和就业困难;因此,这种类型类似于DSM-III对边缘型和/或表演型人格障碍的描述。另一位女性纯型的特征是多种抑郁症状和其他轴I障碍的选定症状。最后一个纯型的特点是没有精神症状,并作为对照组,与有症状的纯型进行比较
Symptoms of antisocial personality disorder (ASPD) and of psychiatric conditions reported to be related to ASPD were subjected to grade of membership analysis, a relatively new procedure for medical classification, to identify the pure types that would empirically emerge in the absence of prior assumptions about the clustering of those symptoms. The sample consists of 914 respondents who participated in the NIMH Epidemiologic Catchment Area Program at the North Carolina site. Symptom and diagnostic data were obtained using the Diagnostic Interview Schedule. Seven pure types emerged from the grade of membership analysis. Two pure types closely resemble the DSM-III portrait of ASPD. Two other pure types consisted of alcohol abuse/dependence symptoms and indicators of illicit drug use for recreational purposes. Only two of the symptomatic pure types were common among women. The first of these was characterized by marital instability, other domestic problems, and employment difficulties; as such this type resembles the DSM-III description of borderline and/or histrionic personality disorder. The other female pure type was characterized by multiple symptoms of depression and selected symptoms of other axis I disorders. The final pure type was characterized by an absence of psychiatric symptoms and served as a comparison group against which the symptomatic pure types were compared