Axis II psychopathology as a function of Axis I disorders in childhood and adolescence.
Axis II psychopathology as a function of Axis I disorders in childhood and adolescence.
复制标题
第二轴精神病理学是儿童和青少年时期第一轴疾病的函数。
DOI：
10.1097/00004583-199712000-00024
复制
发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Klein,DN
中科院分区：
文献类型：
--
作者：
Lewinsohn,PM;Rohde,P;Seeley,JR;Klein,DN
目的：探讨在18岁以下的社区青年样本中，人格障碍（PD）维度评分升高的发生率与轴I障碍发生率的关系。（14 - 18岁时第一次）在24岁时仔细评估轴I和轴II精神病理学。（有轴I病史的受试者为3.8%，无轴I病史的受试者为1.7%）。儿童和青少年期所有四个轴I诊断类别（重度抑郁症、焦虑症、破坏性行为障碍、物质使用障碍）的发生与PD维度评分升高相关。PD维度评分升高的可能性随着轴I疾病数量的增加而增加。PD评分升高与重度抑郁症的负向病程显著相关。CONCLUSIONSAlthough the rates of PDs were low，研究结果表明早发性轴I障碍和轴II精神病理学在年轻成年人之间有很大程度的关联。需要更多的研究来制定评估和治疗建议，以解决PD的早期表现。
OBJECTIVETo examine the occurrence of elevated personality disorder (PD) dimensional scores in a community sample of young adults as a function of the occurrence of Axis I disorders through age 18 years.METHOD299 individuals who had been interviewed regarding Axis I disorders twice while in adolescence (first when 14 through 18 years of age) were carefully assessed regarding Axis I and II psychopathology at age 24.RESULTSThe prevalence of PD diagnoses was relatively low (3.8% in participants with a history of Axis I versus 1.7% in participants with no Axis I history). The occurrence of all four Axis I diagnostic categories (major depression, anxiety disorders, disruptive behavior disorders, substance use disorders) in childhood and adolescence was associated with elevated PD dimensional scores. The likelihood of elevated PD dimensional scores increased as a function of the number of Axis I disorders. Elevated PD scores were significantly associated with a negative course of major depression.CONCLUSIONSAlthough the rates of PDs were low, the findings suggest a substantial degree of association between early-onset Axis I disorders and Axis II psychopathology in young adulthood. More research is needed to develop assessment and treatment recommendations addressing the early manifestations of PDs.