Generalized social phobia and avoidant personality disorder: Meaningful distinction or useless duplication?
Generalized social phobia and avoidant personality disorder: Meaningful distinction or useless duplication?
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DOI：
10.1002/da.20266
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发表时间：
2008-01-01
影响因子：
7.4
通讯作者：
Rodebaugh, Thomas L.
中科院分区：
文献类型：
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作者：
Chambless, Dianne L.;Fydrich, Thomas;Rodebaugh, Thomas L.
对有（n = 36）和无（n = 19）回避型人格障碍（AVPD）的广泛性社交恐惧症（GSP）患者进行分组均值对比和AVPD核心特征分类分析。GSP-AVPD参与者在某些组对比中表现出更严重的受损或痛苦。聚类分析确定了样本中的两组，组成员与AVPD诊断显著相关。然而，当社交恐惧症的严重程度在统计上得到控制时，几乎所有重要的发现都被否定了。因此，至少就社交恐惧症患者而言，将AVPD视为一种严重形式的GSP，而不是单独的诊断类别，似乎是最吝啬的。
Participants with generalized social phobia (GSP) with (n = 36) and without (n = 19) avoidant personality disorder (AVPD) were compared via contrasts of group means and classification analysis on purported core features of AVPD. GSP-AVPD participants proved to he more severely impaired or distressed on some group contrasts. Cluster analysis identified two groups in the sample, with group membership significantly correlated to AVPD diagnosis. However, almost all significant findings were nullified when severity of social phobia was statistically controlled. Thus, at least where participants with social phobia are concerned, it seems most parsimonious to consider AVPD a severe form of GSP rather than a separate diagnostic category.