Kool S, Dekker J, Duijsens I J, de Jonghe F
Leiden University, Amsterdam.
J Pers Disord. 2000 Fall;14(3):274-81. doi: 10.1521/pedi.2000.14.3.274.
Personality disorders are much more common among depressive patients than among normal people. Until now, little research has been conducted into the prevalence of personality disorders among patients with both major depression and dysthymia (double depression). The subject of this study is whether depressive patients with dysthymia have more personality disorders than those with no dysthymia. The Vragenlijst voor Kenmerken van de Persoonlijkheid (a Dutch self-report based on the International Personality Disorder Examination) was completed for 211 outpatients with major depression. Approximately 60% of the patients suffer from one or more personality disorders. Depressive patients with dysthymia differ little from the patients without dysthymia, but patients with dysthymia have more cluster A disorders and are more avoidant. Depressive patients without dysthymia do not differ from the patients with dysthymia in terms of symptoms. Depressive patients with personality disorders have significantly more symptoms than the patients without these disorders. There is no interaction between dysthymia and personality disorder.
人格障碍在抑郁症患者中比在正常人中更为常见。到目前为止，针对重度抑郁症和心境恶劣障碍（双重抑郁症）患者中人格障碍的患病率的研究很少。本研究的主题是，患有心境恶劣障碍的抑郁症患者是否比没有心境恶劣障碍的患者有更多的人格障碍。对211名重度抑郁症门诊患者进行了《人格特征问卷》（一份基于国际人格障碍检查表的荷兰自我报告）调查。大约60%的患者患有一种或多种人格障碍。患有心境恶劣障碍的抑郁症患者与没有心境恶劣障碍的患者差别不大，但患有心境恶劣障碍的患者有更多的A类障碍，且更具回避性。没有心境恶劣障碍 的抑郁症患者在症状方面与患有心境恶劣障碍的患者没有差异。患有 人格障碍的抑郁症患者比没有这些障碍的患者有明显更多 的症状。心境恶劣障碍和人格障碍之间没有相互作用。
