DSM-IV personality disorders in the WHO World Mental Health Surveys.

DSM-IV personality disorders in the WHO World Mental Health Surveys.
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DOI:
10.1192/bjp.bp.108.058552
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发表时间:
2009-07
期刊:
The British journal of psychiatry : the journal of mental science
影响因子:
--
通讯作者:
Kessler RC
Kessler RC
中科院分区:
其他
文献类型:
--
作者:
Huang Y;Kotov R;de Girolamo G;Preti A;Angermeyer M;Benjet C;Demyttenaere K;de Graaf R;Gureje O;Karam AN;Lee S;Lépine JP;Matschinger H;Posada-Villa J;Suliman S;Vilagut G;Kessler RC

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关于人格障碍(pd)的跨国人群患病率或相关因素知之甚少。估计世卫组织世界精神卫生(WMH)调查中DSM-IV PD集群的患病率及其相关因素。13个国家(n = 21,162)的国际人格障碍检查(IPDE)筛查问题被校准为盲法IPDE临床诊断。患病率和相关因素使用多重Imputation估计。任何PD的患病率估计分别为6.1%(2.4-7.9%)和3.6%(1.1-5.3%),1.5%(0.4-2.1%)和2.7%(0.9-4.2%)。男性、已婚者(C类)、失业者(C类)、年轻人(A类和B类)和受教育程度较低的人的pd显著升高。pd与I轴疾病高度合并症。与pd相关的损伤只能部分地用合并症来解释。pd是一种相对常见的疾病,通常与I轴疾病共同发生,并且除了合并症外,还与显著的功能障碍相关。
Little is known about the cross-national population prevalence or correlates of personality disorders (PDs). To estimate prevalence and correlates of DSM-IV PD clusters in the WHO World Mental Health (WMH) Surveys. International Personality Disorder Examination (IPDE) screening questions in 13 countries (n = 21,162) were calibrated to blinded IPDE clinical diagnoses. Prevalence and correlates were estimated using Multiple Imputation. Prevalence estimates are 6.1% (2.4–7.9%) for any PD and 3.6% (1.1–5.3%), 1.5% (0.4–2.1%), and 2.7% (0.9–4.2%) for Clusters A–C, respectively. PDs are significantly elevated among males, the previously married (Cluster C), unemployed (Cluster C), the young (Clusters A and B) and the poorly education. PDs are highly comorbid with Axis I disorders. Impairments associated with PDs are only partially explained by comorbidity. PDs are relatively common disorders that often co-occur with Axis I disorders and are associated with significant role impairments beyond those due to comorbidity.
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