Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders.

Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders.
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修订后的NESARC人格障碍诊断:性别,患病率和合并症,具有依赖性疾病。

DOI:
10.1521/pedi.2010.24.4.412
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发表时间:
2010-08
影响因子:
2.3
通讯作者:
Sher KJ
Sher KJ
中科院分区:
医学2区
文献类型:
--
作者:
Trull TJ;Jahng S;Tomko RL;Wood PK;Sher KJ

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我们将诊断人格障碍的不同诊断规则应用于超过40,000人的NESARC流行病学研究。具体来说,与以前的NESARC出版物不同,我们要求每种人格障碍标准与显著的痛苦或损害相关,以便计入人格障碍(PD)诊断。结果表明PD的患病率显著降低(9.1%对使用原始NESARC算法的21.5%),并且这些修订后的患病率与美国和英国最近的流行病学研究更加一致。我们还发现大多数PD的患病率存在性别差异。共同分析显示PD与酒精依赖、药物依赖和烟草依赖之间存在密切联系。PD诊断还与功能障碍和损伤评分、感知压力和较少的社会支持、自杀企图终身史、人际关系困难和与法律的当局的问题相关。
We applied different diagnostic rules for diagnosing personality disorders to the NESARC epidemiological study of over 40,000 individuals. Specifically, unlike previous NESARC publications, we required that each personality disorder criterion be associated with significant distress or impairment in order to be counted toward a personality disorder (PD) diagnosis. Results demonstrated significant reductions in prevalence rates for PDs (9.1% versus 21.5% using original NESARC algorithms), and these revised prevalence rates were much more consistent with recent epidemiological studies in the U.S. and Great Britain. We also found gender differences in the prevalence rate for most PDs. Comorbidity analyses revealed strong associations between PDs and alcohol dependence, drug dependence, and tobacco dependence. PD diagnoses were also associated with scores on dysfunction and impairment, perceived stress and less social support, lifetime history of suicide attempts, interpersonal difficulties, and problems with legal authorities.
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