Relationship between personality disorder functioning styles and the emotional states in bipolar I and II disorders.
Relationship between personality disorder functioning styles and the emotional states in bipolar I and II disorders.
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DOI：
10.1371/journal.pone.0117353
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Chen W
中科院分区：
文献类型：
--
作者：
Yao J;Xu Y;Qin Y;Liu J;Shen Y;Wang W;Chen W
I型和II型双相情感障碍在临床表现、正常人格特征、对药物治疗的反应、生化背景和神经影像激活方面表现不同。BD I和BD II的不同情绪状态如何与共病的人格障碍有关仍有待解决。因此，我们对37例BD I、34例BD II患者和76例健康志愿者进行了Plutchick-van Praag抑郁量表(PVP)、情绪障碍问卷(MDQ)、低躁狂检查表(HCL-32)和Parker个性测评(PERM)。与健康志愿者相比，BD I和II患者在烫发方式、PVP、MDQ和HCL-32量表上得分较高。在BD I中，烫发分界型预测PVP评分，反社会型预测HCL-32。在BD II中，边缘、依赖、偏执(-)和分裂样(-)预测PVP；边缘预测MDQ；被动攻击性和分裂样(-)预测HCL-32。在对照组中，临界性和自恋性(-)预测PVP；临界性和依附性(-)预测MDQ。除了证实11种功能类型的人格障碍对BD I和BD II的不同预测性外，我们发现这种预测在BD II中更常见，这可能是BD II自杀风险较高和治疗结果较差的原因。
Bipolar disorder types I (BD I) and II (BD II) behave differently in clinical manifestations, normal personality traits, responses to pharmacotherapies, biochemical backgrounds and neuroimaging activations. How the varied emotional states of BD I and II are related to the comorbid personality disorders remains to be settled. We therefore administered the Plutchick – van Praag Depression Inventory (PVP), the Mood Disorder Questionnaire (MDQ), the Hypomanic Checklist-32 (HCL-32), and the Parker Personality Measure (PERM) in 37 patients with BD I, 34 BD II, and in 76 healthy volunteers. Compared to the healthy volunteers, patients with BD I and II scored higher on some PERM styles, PVP, MDQ and HCL-32 scales. In BD I, the PERM Borderline style predicted the PVP scale; and Antisocial predicted HCL-32. In BD II, Borderline, Dependant, Paranoid (-) and Schizoid (-) predicted PVP; Borderline predicted MDQ; Passive-Aggressive and Schizoid (-) predicted HCL-32. In controls, Borderline and Narcissistic (-) predicted PVP; Borderline and Dependant (-) predicted MDQ. Besides confirming the different predictability of the 11 functioning styles of personality disorder to BD I and II, we found that the prediction was more common in BD II, which might underlie its higher risk of suicide and poorer treatment outcome.
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DOI：
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发表时间：
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影响因子：
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作者：
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