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患有个性障碍的成瘾患者:特质、图式及呈现出的问题。

Addicted patients with personality disorders: traits, schemas, and presenting problems.

作者信息

Ball S A, Cecero J J

机构信息

Department of Psychiatry, Yale University School of Medicine, USA.

出版信息

J Pers Disord. 2001 Feb;15(1):72-83. doi: 10.1521/pedi.15.1.72.18642.

DOI:10.1521/pedi.15.1.72.18642
PMID:11236816
Abstract

We evaluated the association of Structure Clinical Interview for the DSM-IV Axis II (SCID-II) severity and personality traits, early maladaptive schemas, and presenting symptoms in 41 methadone-maintained patients meeting criteria for either antisocial, borderline, avoidant, or depressive personality disorder. Correlational analyses indicated that the severity of each personality disorder was associated with a unique profile of presenting problems and underlying traits and schemas. The evaluation of multiple psychological indicators appears to be a useful method for case conceptualization and planning interventions within a promising individual therapy model that focuses both on substance abuse and psychiatric symptoms and maladaptive schemas and coping styles.

摘要

我们评估了41名符合反社会型、边缘型、回避型或抑郁型人格障碍标准的美沙酮维持治疗患者中,《精神疾病诊断与统计手册》第四版轴II障碍的结构化临床访谈(SCID-II)严重程度与人格特质、早期适应不良图式及呈现症状之间的关联。相关性分析表明,每种人格障碍的严重程度都与一系列独特的呈现问题、潜在特质和图式相关。对于一个既关注药物滥用、精神症状,又关注适应不良图式及应对方式的有前景的个体治疗模型而言,评估多种心理指标似乎是进行病例概念化和规划干预措施的一种有用方法。

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