Continuities between emotional and disruptive behavior disorders in adolescence and personality disorders in adulthood
Continuities between emotional and disruptive behavior disorders in adolescence and personality disorders in adulthood
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DOI：
10.1176/appi.ajp.162.10.1941
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发表时间：
2005-10-01
影响因子：
17.7
通讯作者：
Torgersen, S
中科院分区：
文献类型：
--
作者：
Helgeland, MI;Kjelsberg, E;Torgersen, S
目的：本研究的目的是准前瞻性地调查青春期情绪和破坏性行为障碍与成年期人格障碍之间的连续性。（年龄：平均=43.2岁），在青春期被诊断患有情绪和破坏性行为障碍（年龄：平均=14.6岁），并根据DSM-IV根据医院记录重新诊断，接受了DSM-IV人格结构化访谈，以确定他们在28年后是否患有人格障碍-up.Results:有破坏性行为障碍的青少年在成年后患人格障碍的可能性并不比有情绪障碍的青少年高。在随访中，有破坏性行为障碍的青少年比有情绪障碍的青少年更容易患B类人格障碍。Logistic回归分析显示，女性破坏性行为障碍与随访时B簇诊断的高风险之间的相关性显著高于男性。情绪障碍是女性C群人格障碍的重要和独立的预测因子，但在男性中不是。破坏性行为障碍是一个显着的和独立的预测反社会人格disorders.Conclusions：这些结果支持的观点，人格障碍可以。追溯到青少年情绪和破坏性行为障碍。性别在B群和C群人格障碍中的调节作用表明，社会文化和生物因素可能导致患有类似青少年精神障碍的男性和女性的不同成年结局。
Objective: The purpose of this study was to quasi prospectively investigate continuities between emotional and disruptive behavior disorders in adolescence and personality disorders in adulthood.Method: One hundred thirty subjects (age: mean=43.2 years) who had been diagnosed with emotional and disruptive behavior disorders during adolescence (age: mean=14.6 years) and rediagnosed based on hospital records, according to DSM-IV, were interviewed with the Structured Interview for DSM-IV Personality to establish whether they suffered from personality disorders at the 28-year follow-up.Results: Adolescents with disruptive behavior disorders were not more likely to have personality disorders in adulthood than adolescents with emotional disorders. Adolescents with disruptive behavior disorders were significantly more likely to have cluster B personality disorders at follow-up than adolescents with emotional disorders. Logistic regression analyses revealed that disruptive behavior disorders in females were significantly more strongly associated with a high risk of cluster B diagnoses at follow-up than in males. Emotional disorders were significant and independent predictors of cluster C personality disorders in women but not in men. Disruptive behavior disorders were a significant and independent predictor of antisocial personality disorders in men.Conclusions: These results support the view that personality disorders can be. traced back to adolescent emotional and disruptive behavior disorders. The moderating effect of gender in cluster B and cluster C personality disorders suggests that sociocultural and biological factors may contribute to different adult outcomes in men and women with similar adolescent psychiatric disorders.