Axis II comorbidity of borderline personality disorder.
Axis II comorbidity of borderline personality disorder.
复制标题
轴 II 边缘型人格障碍共病。
DOI：
10.1016/s0010-440x(98)90038-4
复制
发表时间：
1998
影响因子：
7.3
通讯作者：
Reynolds,V
中科院分区：
文献类型：
--
作者：
Zanarini,MC;Frankenburg,FR;Dubo,ED;Sickel,AE;Trikha,A;Levin,A;Reynolds,V
这项研究的目的是评估在标准界定的临界性患者和AXIS II对照的样本中，DSM-III-R AXIS II疾病的全范围患病率。504名人格障碍住院患者的AXIS II共病被评估为临床诊断盲目，采用半结构研究访谈。奇怪的、焦虑的和戏剧性的聚集性障碍在边缘患者中都很常见。然而，只有奇怪和焦虑的聚集性障碍在临界性患者(N=379)中比Axis II对照组(N=125)更常见。偏执型、回避型和依赖型人格障碍是临界性患者和对照组之间最高区分度的障碍。此外，男性和女性交界性患者表现出略有不同的共病模式。尽管回避性人格障碍和依赖型人格障碍的发生率相似，但男性边缘人群比女性边缘人群更有可能满足DSM-III-R关于偏执狂、消极攻击性、自恋型、施虐型和反社会人格障碍的标准。这些结果表明，焦虑性丛集性障碍和边缘性人格障碍(BPD)之间存在着特别强的关系。他们还表明，性别在轴II共病的表达中发挥着重要作用，特别是在戏剧性丛集性疾病方面。
The purpose of this study was to assess the prevalence of a full range of DSM-III-R axis II disorders in a sample of criteria-defined borderline patients and axis II controls. The axis II comorbidity of 504 personality-disordered inpatients was assessed blind to clinical diagnosis using a semistructured research interview. Odd, anxious, and dramatic cluster disorders were each common among borderline patients. However, only odd and anxious cluster disorders were significantly more common among borderline patients (N = 379) than axis II controls (N = 125). Paranoid, avoidant, and dependent personality disorders were the most highly discriminating disorders between borderline patients and controls. In addition, male and female borderline patients exhibited somewhat different patterns of comorbidity. Although the rates of avoidant and dependent personality disorders were similar, male borderlines were significantly more likely than female borderlines to meet DSM-III-R criteria for paranoid, passive-aggressive, narcissistic, sadistic, and antisocial personality disorders. These results suggest that there is a particularly strong relationship between anxious cluster disorders and borderline personality disorder (BPD). They also suggest that gender plays an important role in the expression of axis II comorbidity, particularly with respect to dramatic cluster disorders.