The prevalence of personality disorders in a community sample
The prevalence of personality disorders in a community sample
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DOI：
10.1001/archpsyc.58.6.590
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发表时间：
2001-06-01
影响因子：
--
通讯作者：
Cramer, V
中科院分区：
文献类型：
--
作者：
Torgersen, S;Kringlen, E;Cramer, V
背景：据我们所知，还没有在普通人群中进行大量代表性样本的人格障碍（pd）的宝贵研究。方法：选取1994 ~ 1997年挪威首都奥斯陆地区年龄在18 ~ 65岁之间的2053人作为代表性样本进行研究。pd的信息是通过DSM-III-R人格障碍的结构化访谈获得的，并结合访谈记录的人口统计数据。研究对象主要在家中接受采访，但在某些情况下，也会在诊所接受采访。结果：pd患病率为13.4% （SE = 0.7）。特定PD的患病率（SEs），无论一个人是否患有一种或多种PD，为：偏执型，2.4% (0.3)；分裂类，1.7% (1.6)；分裂型，0.6% (0.2)；反社会，0.7% (0.2)；虐待狂0.2% (0.1)；边缘性，0.7% (0.2)；戏剧型，2.0%(0.3)，自恋型，0.8；(0.2);回避型，5.0% (0.5)；依赖，1.5% (0.3)；强迫症：2.0% (0.3)；被动攻击的。1.7% (0.3);自我挫败，0.8%,（0.2）。在只有高中或更低学历、没有伴侣居住在市中心的人群中，pd的患病率最高。结论：人格障碍是普遍存在的，逃避型、分裂型和偏执型PD更为常见，而边缘型PD比通常报道的要少。在市中心社会经济阶层较低的单身人士中，人格障碍往往更为常见。通过横断面研究是不可能确定因果关系的。
Background: To our knowledge, no precious studies of personality disorders (PDs) in a large representative sample of the common population have been conducted.Methods: A representative sample of 2053 individuals between the ages of 18 and 65 years in Oslo, the capital of Norway, was studied from 1994 to 1997. Information about PDs was obtained by means of the Structured Interview for DSM-III-R Personality Disorders, in conjunction with an interview recording demographic data. The subjects were interviewed primarily at home, but in some instances, also at the clinic.Results: The prevalence of PDs was 13.4% (SE, 0.7). The prevalence rates (SEs) for specific PDs, irrespective of whether a person had 1 or more PD, were: paranoid, 2.4% (0.3); schizoid, 1.7% (1.6); schizotypal, 0.6% (0.2); antisocial, 0.7% (0.2); sadistic, 0.2% (0.1); borderline, 0.7% (0.2); histrionic, 2.0% (0.3), narcissistic, 0.8; (0.2); avoidant, 5.0% (0.5); dependent, 1.5% (0.3); obsessive-compulsive: 2.0% (0.3); passive-aggressive. 1.7% (0.3); self-defeating, 0.8%, (0.2). The prevalence of PDs was highest among subjects with only a high school education or less, and living without a partner in the center of the cit).Conclusions: Personality disorders were found to be prevalent, with avoidant, schizoid, and paranoid PDs more common, and borderline PD less common than what is usually reported. Personality disorders tend to be more frequent among single individuals from the lower socioeconomic classes in the center of the city. it is impossible to determine what is cause and what is consequence from a cross-sectional study.