Personality disorders in the general population: DSM-IV and ICD-10 defined prevalence as related to sociodemographic profile

Personality disorders in the general population: DSM-IV and ICD-10 defined prevalence as related to sociodemographic profile
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DOI:
10.1016/s0191-8869(00)00048-9
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发表时间:
2001-01-19
影响因子:
4.3
通讯作者:
Fredrikson, M
Fredrikson, M
中科院分区:
心理学3区
文献类型:
--
作者:
Ekselius, L;Tillfors, M;Fredrikson, M

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在瑞典社区样本中,对DSM-IV和ICD-IO定义的人格障碍的患病率和社会人口学特征进行了研究。数据通过DSM-IV和ICD-10人格问卷(DIP-Q)邮政调查的方式获得,随机选择1000名来自哥特兰岛的成年人。共有557人对调查表作了答复。任何ICD-10定义的人格障碍的患病率分别为11.0%和11.1%时,使用DSM-IV标准。人格障碍之间的共病是常见的。DSM和ICD定义之间的患病率相似性得到偏执狂,偏执型,边缘/情绪不稳定,表演型,回避型,依赖型和强迫/anancastic,但不是类偏执和反社会/反社会人格障碍。人格障碍在年轻受试者中的诊断率更高,学生和失业/家庭主妇的比例最高。患有人格障碍的人更经常接受精神病治疗,缺乏社会支持。此外,他们报告说,在过去一年中,心理社会和环境问题明显增加。因此,人格障碍在社区中相对常见,受影响的个人比没有人格障碍的受试者受损更严重。(C)2000爱思唯尔科技有限公司版权所有。
Prevalence and sociodemographic characteristics of DSM-IV and ICD-IO defined personality disorders were examined in a Swedish community sample. Data were obtained by means of the DSM-IV and ICD-10 personality questionnaire (DIP-Q) postal survey administered to 1000 randomly selected adults from the Isle of Gotland. A total of 557 individuals responded to the questionnaire. The prevalence of any ICD-10 defined personality disorder was 11.0% and 11.1% when using DSM-IV criteria. Comorbidity between personality disorders were common. Prevalence similarities between DSM and ICD definitions were obtained for paranoid, schizotypal, borderline/emotionally unstable, histrionic, avoidant, dependent, and obsessive-compulsive/anancastic but not schizoid and antisocial/dissocial personality disorders. Personality disorders were significantly more often diagnosed in the younger subjects, students and unemployed/homemakers had the highest rates. Individuals with personality disorders more often received psychiatric treatment and lacked social support. In addition, they reported significantly more psychosocial and environmental problems in the past year. Thus, personality disorders are relatively common in the community and affected individuals are more impaired than subjects without personality disorders. (C) 2000 Elsevier Science Ltd. All rights reserved.