Correlates of DSM-III personality disorder in panic disorder and agoraphobia.
Correlates of DSM-III personality disorder in panic disorder and agoraphobia.
复制标题
DSM-III 人格障碍与恐慌症和广场恐惧症的相关性。
DOI：
10.1016/0010-440x(88)90072-7
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发表时间：
1988
影响因子：
7.3
通讯作者：
Hamann,MS
中科院分区：
文献类型：
--
作者：
Mavissakalian,M;Hamann,MS
187例符合DSM-III标准的惊恐障碍（n = 26）或广场恐怖症伴惊恐（n = 161）患者采用人格诊断问卷（PDQ）进行评估，PDQ是一种旨在评估轴II人格障碍和特质的自评量表。结果重复了我们先前的研究结果，即依赖性、回避性和表演性特征占优势，并且发现表现出更多个性特征的患者也明显更有症状。诊断为惊恐障碍的患者与诊断为广场恐怖症伴惊恐的患者在任何人格障碍变量上均无差异。此外，没有一个特定的症状维度，即，在回归分析中，惊恐、焦虑或广场恐怖症被选为任何人格变量的唯一预测因子。相反，在这些患者中，人格障碍的最重要的相关因素包括一般因素，如焦虑情绪，社交恐惧症，或人际关系敏感，和艾森克神经质维度。结果进行了讨论，根据最近的研究结果表明恐慌症或广场恐怖症和人格障碍之间的非特异性联系。
One hundred eighty-seven patients meeting DSM-III criteria for panic disorder (n = 26) or agoraphobia with panic (n = 161) were assessed with the Personality Diagnostic Questionnaire (PDQ), a self-rating scale designed to assess Axis II personality disorders and traits. Results replicated our earlier findings of a preponderance of dependent, avoidant, and histrionic features and the finding that patients exhibiting a greater number of personality traits were also significantly more symptomatic. Patients with the diagnosis of panic disorder did not differ on any personality disorder variables from patients with the diagnosis of agoraphobia with panic. Furthermore, none of the specific symptom dimensions, i.e., panic, anxiety, or agoraphobia, was selected as a unique predictor of any personality variables in the regression analyses. Rather, the most important correlates of personality disorder in these patients consisted of general factors such as dysphoric mood, social phobia, or interpersonal sensitivity, and Eysenck's neuroticism dimension. The results are discussed in light of recent findings suggesting a nonspecific link between panic disorder or agoraphobia and personality disorder.