Mistrustful and Misunderstood: A Review of Paranoid Personality Disorder.
Mistrustful and Misunderstood: A Review of Paranoid Personality Disorder.
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DOI：
10.1007/s40473-017-0116-7
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发表时间：
2017-06
影响因子：
1.7
通讯作者：
Lee R
中科院分区：
文献类型：
--
作者：
Lee R
偏执型人格障碍（PPD）在历史上一直被科学忽视，与其患病率或与负面临床结果的相关性不成比例。本文综述了PPD的患病率、人口统计学特征、合并症、生物学机制、危险因素以及与精神障碍的关系。PPD长期以来一直是丰富而有先见之明的理论文献的主题，这些文献对非妄想性偏执狂的心理机制提供了令人惊讶的连贯解释。现有资料表明，产后抑郁症与儿童期创伤和社会压力有密切关系。描述性数据的样本115个人与偏执型人格障碍的检查与一组边缘型人格障碍的个人相比。描述性数据在很大程度上证实了先前确定的偏执型人格障碍与儿童创伤，暴力和种族之间的关系。我们确定了与边缘型人格障碍的重要相似之处和差异。PPD仍然是临床和实验室中的重要结构。现有的数据导致重新考虑的障碍，更密切相关的创伤比精神分裂症。
Paranoid Personality Disorder (PPD) has historically been neglected by science out of proportion to its prevalence or its association with negative clinical outcomes. This review provides an update on what is known about PPD regarding its prevalence, demographics, comorbidity, biological mechanism, risk factors, and relationship to psychotic disorders. PPD has long been the subject of a rich and prescient theoretical literature which has provided a surprisingly coherent account of the psychological mechanism of non-delusional paranoia. Available data indicate that PPD has a close relationship with childhood trauma and social stress. Descriptive data on a sample of 115 individuals with Paranoid Personality Disorder is examined in comparison with a group of individuals with Borderline Personality Disorder. The descriptive data largely confirm previously identified relationships between Paranoid Personality Disorder and childhood trauma, violence, and race. We identify important similarities to and differences from Borderline Personality Disorder. PPD continues to be an important construct in the clinic and the laboratory. Available data lead to a reconsideration of the disorder as more closely related to trauma than to schizophrenia.