The collaborative longitudinal personality disorders study: Development, aims, design, and sample characteristics

The collaborative longitudinal personality disorders study: Development, aims, design, and sample characteristics
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DOI:
10.1521/pedi.2000.14.4.300
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发表时间:
2000-12-01
影响因子:
2.3
通讯作者:
Keller, MB
Keller, MB
中科院分区:
医学2区
文献类型:
--
作者:
Gunderson, JG;Shea, MT;Keller, MB

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本文介绍了轴II人格障碍(PD)的合作纵向研究的目的,背景,设计和方法。本研究探讨了所选PD诊断和标准的假定稳定性,影响其病程的因素,以及其稳定性和病程是否将其与代表性轴I障碍区分开来,本文还描述了正在进行研究的样本的采集和人口统计学。目前正在波士顿、纽黑文、纽约和普罗维登斯的四个协作城市地点的多个临床环境中进行PD稳定性的重复测量研究,诊断性作业基于半结构化访谈评估样本由668名寻求治疗和可靠诊断的成年人组成,这些成年人从广泛的临床地点招募。通过设计,样本中的患者符合五个诊断亚组之一的标准:(a)异型(N = 86);(B)边缘型(N = 175);(c)回避型(N = 157);(d)强迫型(N = 153)人格障碍或具有(e)不具有人格障碍的重度抑郁障碍的对照组(N = 97)。
This paper describes the aims, background, design, and methods used in a collaborative longitudinal study of Axis II personality disorders (PDs). This study examines the putative stability of selected PD diagnoses and criteria, what factors affect their course, and whether their stability and course distinguishes them from a representative Axis I disorder, This article also describes the acquisition and demographics of the sample on whom the study is being done.A prospective, repeated measures investigation of the stability of PDs is now underway at multiple clinical settings in four collaborating urban sites in Boston, New Haven, New York, and Providence, Diagnostic assignments are based on semistructured interview assessments (by clinically trained raters) and confirmed by at least one additional contrasting diagnostic method.The sample consists of 668 treatment seeking and reliably diagnosed adults recruited from a broad range of clinical sites, By design, patients in the sample met standards for one of five diagnostic subgroups: (a) schizotypal (N = 86); (b) borderline (N = 175); (c) avoidant (N = 157); (d) obsessive-compulsive (N = 153) personality disorders or a control group having (e) major depressive disorder without personality disorder (N = 97).