Influence of child and adolescent psychiatric disorders on young adult personality disorder.
Influence of child and adolescent psychiatric disorders on young adult personality disorder.
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DOI：
10.1176/ajp.156.10.1529
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发表时间：
1999-10
期刊：
影响因子：
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通讯作者：
Stephanie Kasen;P. Cohen;A. Skodol;Jeffrey G. Johnson;J. Brook
中科院分区：
文献类型：
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作者：
Stephanie Kasen;P. Cohen;A. Skodol;Jeffrey G. Johnson;J. Brook
目的：本研究对551名首次评估时年龄在9 - 16岁的青少年随机抽样，探讨儿童精神病理与青少年人格障碍之间的关系。方法对受试者进行DSM-III-R精神障碍评估。研究人员在10年内的3个时间点对青少年及其母亲进行了前瞻性调查。采用logistic回归分析检验先前I轴障碍和青春期II轴人格障碍A、B、C类对青年人格障碍的预测作用。结果在同一群集中存在青少年人格障碍的情况下，青年人格障碍的发生率增加。先前的破坏性障碍、焦虑症和重度抑郁症都显著增加了独立于青少年人格障碍的年轻成人人格障碍的几率。此外，相对于单一轴上的障碍，I轴和II轴疾病的共病增加了年轻人人格障碍的几率。结论在青春期晚期前进行人格病理评估是有必要的。儿童或青少年I轴障碍可能会引发一系列适应不良行为和环境反应，随着时间的推移，这些行为和环境反应会促进更持久的精神病理。儿童疾病的识别和治疗可能有助于降低这种风险。
OBJECTIVE This study examines associations between childhood psychopathology and young adult personality disorder in a random sample of 551 youths, who were 9 to 16 years old at first assessment. METHOD Subjects were evaluated for DSM-III-R psychiatric disorders. Information was obtained prospectively from youths and their mothers at three points over 10 years. The predictive effects of prior axis I disorders and adolescent axis II personality disorder clusters A, B, and C on young adult personality disorder were examined in logistic regression analyses. RESULTS The odds of young adult personality disorder increased given an adolescent personality disorder in the same cluster. Prior disruptive disorders, anxiety disorders, and major depression all significantly increased the odds of young adult personality disorder independent of an adolescent personality disorder. In addition, comorbidity of axis I and axis II disorders heightened the odds of young adult personality disorder relative to the odds of a disorder on a single axis. CONCLUSIONS Assessment of personality pathology before late adolescence may be warranted. Childhood or adolescent axis I disorders may set in motion a chain of maladaptive behaviors and environmental responses that foster more persistent psychopathology over time. Identification and treatment of childhood disorder may help to reduce that risk.