Estimating the prevalence of borderline personality disorder in psychiatric outpatients using a two-phase procedure
Estimating the prevalence of borderline personality disorder in psychiatric outpatients using a two-phase procedure
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DOI：
10.1016/j.comppsych.2008.01.007
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发表时间：
2008-07-01
影响因子：
7.3
通讯作者：
Webb, Steven P.
中科院分区：
文献类型：
--
作者：
Korzekwa, Marilyn I.;Dell, Paul F.;Webb, Steven P.
边缘型人格障碍（BPD）在门诊的患病率差异很大（7%-27%），这取决于设置和方法。我们使用2阶段程序检查了普通成人门诊大学诊所BPD的横断面率：（1）我们使用自我报告的SCID-II-PQ筛选了所有登记的患者，（2）我们进行了修订的边缘诊断访谈（DIB-R）。66%（239/360）的门诊患者完成了筛选：约72.4%（173/239）（95%置信区间[CI] = 66.7%，78.1%）在DSM-IV人格障碍患者问卷的结构化临床访谈中为BPD阳性（SCID-II-PQ）和22.6%（54/239）（95% CI = 17.3%，27.9%）的DIB-R上BPD阳性。我们的BPD率略高于最近的半结构化访谈研究（9%-18%）。我们认为这部分是由于我们的横断面设计和我们决定不排除急性轴I障碍。然而，我们认为我们22.6%的BPD发病率主要来自于我们样本的高发病率。131例DIB-R完成者中130例的人口统计学数据显示：平均年龄为40.2岁，75.4%为女性，大多数患者无法工作，平均终生住院3.8次。(C)2008年爱思唯尔公司All rights reserved.
The prevalence of borderline personality disorder (BPD) in outpatient clinics varies greatly (7%-27%) depending on the setting and methodology. We examined the cross-sectional rate of BPD in a general adult outpatient university clinic using a 2-phase procedure: (1) we screened all registered patients with the self-report SCID-II-PQ and (2) we administered the Revised Diagnostic Interview for Borderlines (DIB-R). Sixty-six percent (239/360) of the clinic patients completed the screening: About 72.4% (173/239) (95% confidence interval [CI] = 66.7%, 78.1%) were positive for BPD on the Structured Clinical Interview for DSM-IV Personality Disorders-Patient Questionnaire (SCID-II-PQ), and 22.6% (54/239) (95% CI = 17.3%, 27.9%) were positive for BPD on the DIB-R. Our BPD rate was somewhat higher than recent semistructured interview studies (9%-18%). We believe this is due, in part, to our cross-sectional design and our decision not to exclude acute Axis I disorders. Mostly, however, we believe that our 22.6% incidence of BPD arises from the high morbidity of our sample. Demographic data from 130 of 131 DIB-R completers reveal the following: mean age was 40.2 years, 75.4% were female, most patients were unable to work, and they averaged 3.8 lifetime hospitalizations. (C) 2008 Elsevier Inc. All rights reserved.