Personality disorder traits: Prevalence and effects on health status in primary care patients
Personality disorder traits: Prevalence and effects on health status in primary care patients
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DOI：
10.2190/ycka-hrq4-u7qv-5h1j
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发表时间：
1999-01-01
影响因子：
2
通讯作者：
Mainous, AG
中科院分区：
文献类型：
--
作者：
Hueston, WJ;Werth, J;Mainous, AG
目的：先前在学术环境下的研究发现，在客观评估工具上对选定的人格障碍评分较高的范围与精神合并症的增加、对医疗保健的满意度下降和健康相关功能状态的下降有关。本研究考察了初级保健实践中患者表现出与这些选定疾病一致的特征的频率，以及这对他们的健康相关功能状态和卫生保健资源的使用有何影响。方法：1997年春季，13家家庭诊所同意对50例患者连续发放问卷。问卷包含评估人格障碍、健康相关功能状态、卫生资源使用、人口统计学和抑郁症风险的工具。探讨了四种特定人格障碍（边缘型、依赖型、分裂型和分裂型）与其他评估变量之间的关系。结果：在250名完成问卷调查的患者中，80名（32%）在与四种目标人格障碍之一相符的特征上得分较高。高风险组的患者在过去6个月里也有更多的门诊、急诊和住院就诊。在与健康相关的八项功能状态测量中，高危组的七项得分也明显较低。结论：具有边缘性、依赖性、分裂性和分裂型人格障碍特征的患者在初级保健实践中很常见。这些患者比其他患者使用服务的比率更高，更有可能在抑郁症状的阳性范围内进行筛查，并且总体上与健康相关的功能状态较低。
Objective: Previous work in an academic setting has found that scoring in the higher ranges for selected personality disorders on an objective assessment tool was associated with increases in psychiatric co-morbidities, decreased satisfaction with health care, and diminished health related functional status. This study examines how often patients in primary care practices exhibit traits consistent with these selected disorders and what impact this has on their health related functional status and use of health care resources. Methods: Thirteen family practices agreed to distribute questionnaires to 50 consecutive patients in the spring of 1997. Questionnaires contained instruments that assess risk for personality disorders, health related functional status, health resource use, demographics, and depression. The relationships between four specific personality disorders (borderline, dependent, schizoid and schizotypal) and other assessed variables were explored. Results: Of the 250 patients returning completed survey instruments, 80 (32%) scored in the high range for traits consistent with one of the four target personality disorders. Patients in the high risk group also were noted to have more outpatient, emergency, and inpatient visits in the previous six months. Those in the high risk group also had significantly lower scores on seven of eight measures of health related functional status. Conclusions: Patients who have several traits for borderline, dependent, schizoid, and schizotypal personality disorders are common in primary care practices. These patients utilize services at higher rates than others and are mon likely to screen in the positive range for depressive symptoms and have overall lower health related functional status.