The relationship between personality and DSM-III axis I disorders in the population: results from an epidemiological survey.
The relationship between personality and DSM-III axis I disorders in the population: results from an epidemiological survey.
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人群中人格与 DSM-III 轴 I 疾病之间的关系：流行病学调查的结果。
DOI：
10.1176/ajp.149.9.1228
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
McHugh,PR
中科院分区：
文献类型：
--
作者：
Nestadt,G;Romanoski,AJ;Samuels,JF;Folstein,MF;McHugh,PR
目的本研究的目的是评估社区样本中特定人格障碍与DSM-III轴I条件之间的关系。方法在东巴尔的摩精神健康调查的第二阶段，共有810名受试者接受精神科医生的检查，该调查是国家精神卫生研究所流行病学集水区计划的一部分。采用半结构化的标准精神病学检查来评估I轴和II轴的状况。强迫性和反社会人格障碍的量表来源于DSM-III标准。这些人格障碍量表的得分与广泛性焦虑障碍、酒精使用障碍（酒精滥用和酒精依赖）和单纯恐惧症的存在之间的关系通过逻辑回归进行评估。结果强迫性人格得分越高，患广泛性焦虑症和单纯恐惧症的几率越大，而患酒精使用障碍的几率越小。相反，反社会人格得分越高，患酒精使用障碍的几率越大，患广泛性焦虑症的几率越小。反社会人格得分与单纯恐惧症之间没有关系。结论人格障碍与I轴条件有特定的关系，表明不同的脆弱性和不同的保护作用。
ObjectiveThe aim ofthis study was to assess the relationships between specific personality disorders and DSM-III axis I conditions in a community sample.MethodA total of 810 subjects were examined by psychiatrists in the second stage of the Eastern Baltimore Mental Health Survey, part ofthe Epidemiological Catchment Area Program ofthe National Institute of Mental Health. A semistructured examination, the Standardized Psychiatric Examination, was employed to assess axis I and axis II conditions. Scales for compulsive and antisocial personality disorders were derived from DSM-III criteria. The relationships between scores on these personality disorder scales and the presence ofgeneralized anxiety disorder, alcohol use disorders(alcohol abuse and alcohol dependence), and simple phobia were evaluated by using logistic regression.ResultsHigher compulsive personality scores were associated with a greater odds ofgeneralized anxiety disorder and simple phobia but a smaller odds of alcohol use disorders. In contrast, higher antisocial personality scores were associated with a greater odds of alcohol use disorders but a smaller odds of generalized anxiety disorder. There was no relationship between antisocial personality scores and simple phobia.ConclusionsPersonality disorders have specific relationships to axis I conditions, which suggests different vulnerabilities but also different protective influences.