Two-year stability of personality disorder in older adolescent outpatients
Two-year stability of personality disorder in older adolescent outpatients
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DOI：
10.1521/pedi.18.6.526.54798
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发表时间：
2004-12-01
影响因子：
2.3
通讯作者：
Yuen, HP
中科院分区：
文献类型：
--
作者：
Chanen, AM;Jackson, HJ;Yuen, HP
对一个老年青少年精神科门诊样本的分类人格障碍和维度人格障碍(PD)的2年稳定性进行了检验。101名15-18岁的参与者在基线时使用DSM Axis II疾病结构化临床访谈(SCID-II)进行评估，97名参与者在2年后进行面对面的重新访谈。在基线诊断为帕金森病的患者中，74%的患者在随访时仍符合帕金森病的标准，性别差异显著(83%的女性和56%的男性)。除反社会外，对特定PD的Kappa对所有人都是低的。等级顺序和平均水平维度稳定性从高(反社会、分裂样)到中等(边缘、戏剧性、分裂型)到低(其他PD)，在两年中PD得分没有下降。基线时轴I障碍的存在或门诊或住院治疗对维度PD的稳定性没有实质性影响。然而，在接受住院治疗的患者中，100%的患者经历了绝对性帕金森病。这项研究支持，在青少年晚期门诊患者中，帕金森病全球类别的2年稳定性很高，维度评级的帕金森病的稳定性似乎与在各种环境下在年轻人中发现的相似，特别是对于一些A组和B组PD。在这个年龄段，诊断和早期干预似乎是合理的。
The 2-year stability of categorical and dimensional personality disorder (PD) in an older adolescent psychiatric outpatient sample was examined. One hundred and one 15-18-year-old participants were assessed using the Structured Clinical Interview for DSM Axis II Disorders (SCID-II) at baseline and 97 were re-interviewed, face-to-face, at 2 years. Of those with a categorical PD diagnosis at baseline, 74% still met criteria for a PD at follow-up, with marked gender differences (83% of females and 56% of males). Kappa for specific PDs was low for all except antisocial. Rank order and mean level dimensional stability ranged from high (antisocial, schizoid) to moderate (borderline, histrionic, schizotypal) to low (other PDs), with no decline in PD scores over the 2 years. There was no substantial influence upon stability of dimensional PD from the presence of Axis I disorder at baseline or from outpatient or inpatient treatment. However, categorical PD endured in 100% of those receiving inpatient care. The study supports that, in late teenage outpatients, the 2-year stability of the global category of PD is high and the stability of dimensionally rated PD appears to be similar to that found in young adults in a variety of settings, especially for some cluster A and B PDs. Diagnosis and early intervention appears to be justified in this age group.