[老年人的人格障碍。三例病例报告]

[Personality disorders in the elderly. Three case reports].

作者信息

van Alphen S P, Engelen G J, Kuin Y, Derksen J J, van der Staak C P

出版信息

Tijdschr Gerontol Geriatr. 2001 Dec;32(6):245-51.

Abstract

Little is known about diagnosing personality disorders in elderly persons. The current Axis II nosology is not age related and the majority of psychological tests are unreliable. Three cases dealing with personality disorders are presented. In these cases loss of health, relationships and autonomy are pointed out as the age specific stressors. We studied the relation between psychological symptoms, personality, coping style and age specific stressor. It appeared that elderly persons with personality disorders often have difficulties coping with these stressors. Inadequate coping styles may luxate or exaggerate axis I disorders. Therefore we recommend to pay more attention to the axis II classification during the diagnostical process.

摘要

关于老年人的人格障碍诊断，人们所知甚少。当前的轴II分类法与年龄无关，而且大多数心理测试都不可靠。本文介绍了三例人格障碍病例。在这些病例中，健康、人际关系和自主性的丧失被指出是特定于年龄的应激源。我们研究了心理症状、人格、应对方式与特定于年龄的应激源之间的关系。结果显示，患有人格障碍的老年人在应对这些应激源时往往存在困难。不恰当的应对方式可能会引发或加重轴I障碍。因此，我们建议在诊断过程中更多地关注轴II分类。