Ohshima T
Chibaken Sodegaura Welfare Center, Chiba, Japan.
Psychiatry Clin Neurosci. 2001 Apr;55(2):131-6. doi: 10.1046/j.1440-1819.2001.00800.x.
The objective of the present study is to demonstrate the traits of the psychopathology of Borderline Personality Disorder (BPD) compared with hysterical neurosis. A total of 48 subjects with BPD and 40 subjects with hysterical neurosis both defined by DSM-III-R were assessed by Diagnostic Interview for Borderlines (DIB). Statistical analysis was done by quantification of the second type, a multivariate data analysis. The total scores of DIB were BPD group, 6.13 +/- 1.52; hysterical neurosis group, 4.9 +/- 2.12 (t = 3.05, P = 0.0016). The correlation ratio (index of to what extent the two groups are discriminated) was 0.2442. Among the four parameters of: (i) affect, (ii) cognition, (iii) impulse-action pattern, (iv), and interpersonal relationships, the partial coefficient correlations of (iii) and (iv) were significantly high (0.342, 0.287, P < 0.01). The question items with high independent coefficients were manipulation (0.4416), intolerance of aloneness (0.3797), demanding nature (0.3768), self-mutilation (0.3609), visual hallucination (0.3395). Those with low score of independent coefficients were counterdependency (0.0533), identity disturbance (0.1010), depression (0.1551), loneliness (0.1752), hypomanic episode (0.1936). Both of BPD and hysterical neurosis groups were not so fairly well discriminated. However, these results suggested that impulse-action pattern and disorder of interpersonal relationships were traits of borderline personality disorder. We could admit manipulation, intolerance of aloneness as its symptoms. In addition, counterdependency, identity disturbance were comparatively common to both. There were some borderline personality traits symptomatically in hysterical neurosis.
本研究的目的是展示边缘型人格障碍(BPD)与癔症神经症相比的精神病理学特征。共有48名符合DSM-III-R定义的BPD患者和40名癔症神经症患者通过边缘型人格诊断访谈(DIB)进行评估。采用第二种类型的量化方法进行统计分析,即多变量数据分析。DIB总分在BPD组为6.13±1.52;癔症神经症组为4.9±2.12(t = 3.05,P = 0.0016)。相关比率(两组区分程度指数)为0.2442。在以下四个参数中:(i)情感,(ii)认知,(iii)冲动-行为模式,(iv)人际关系,(iii)和(iv)的偏系数相关性显著较高(0.342,0.287,P < 0.01)。独立系数较高的问题项目有操纵(0.4416)、孤独不耐受(0.3797)、苛求性(0.3768)、自我伤害(0.3609)、幻视(0.3395)。独立系数较低的有反依赖(0.0533)、身份障碍(0.1010)、抑郁(0.1551)、孤独感(0.1752)、轻躁狂发作(0.1936)。BPD组和癔症神经症组的区分度都不太好。然而,这些结果表明冲动-行为模式和人际关系障碍是边缘型人格障碍的特征。我们可以认可操纵、孤独不耐受为其症状。此外,反依赖、身份障碍在两者中相对较为常见。癔症神经症中存在一些边缘型人格特质的症状。