DIAGNOSING PERSONALITY-DISORDERS IN PSYCHIATRIC-INPATIENTS

DIAGNOSING PERSONALITY-DISORDERS IN PSYCHIATRIC-INPATIENTS
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DOI:
10.1111/j.1600-0447.1991.tb05526.x
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发表时间:
1991-03-01
影响因子:
6.7
通讯作者:
EDWARDS, J
EDWARDS, J
中科院分区:
医学1区
文献类型:
--
作者:
JACKSON, HJ;WHITESIDE, HL;EDWARDS, J

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这项研究调查了DSM-III和DSM-III-R对11个人格障碍(PD)的轴心I-轴II关联和性别差异的假设。共有112名患者组成了4个Axis I诊断组:新近发病的精神分裂症(n=35)、新近发病的躁狂症(n=26)、单相情感障碍(n=30)和混合诊断组(n=21)。使用DSM-III人格障碍结构化访谈(SIDP)来确定帕金森病的患病率。精神分裂症与反社会性帕金森病和分裂型帕金森病有关;躁狂障碍与戏剧性帕金森病有关;单相情感障碍与交界性、依赖型和回避性帕金森病有关。其中一些结果与DSM-III/DSM-III-R假设一致。然而,除了反社会性帕金森病外,几乎没有人支持DSM-III/DSM-III-R关于帕金森病患病率性别差异的声明。讨论了结果对DSM-III/DSM-III-R假设的影响。
This study investigated assumptions made by DSM-III and DSM-III-R regarding Axis I - Axis II associations and sex differences for the 11 personality disorders (PD). A total of 112 patients formed 4 Axis I diagnostic groups: recent-onset schizophrenia (n = 35); recent-onset mania (n = 26); unipolar affective disorder (n = 30); and a mixed diagnostic group (n = 21). The prevalence of PD was determined using the Structured Interview for DSM-III Personality Disorders (SIDP). Schizophrenia was associated with antisocial PD and schizotypal PD; manic disorder was associated with histrionic PD; and unipolar affective disorder was associated with borderline, dependent and avoidant PD. Some of these results were consistent with DSM-III/DSM-III-R postulates. However, there was little support for the DSM-III/DSM-III-R statements on sex differences in the prevalence of PD, except for antisocial PD. The implications of the results for DSM-III/DSM-III-R assumptions are discussed.