Grilo Carlos M, Miguel Anez Luis, McGlashan Thomas H
Yale Psychiatric Research at Congress Place, Department of Psychiatry, Yale University School of Medicine, 301 Cedar Street, 2nd Floor, P. O. Box 208098, New Haven, Connecticut 06520, USA.
J Nerv Ment Dis. 2002 May;190(5):324-30. doi: 10.1097/00005053-200205000-00009.
The authors examined the comorbidity of DSM-IV borderline personality disorder (BPD) with other personality disorders (PD) in a series of adult monolingual (Spanish only) Hispanic psychiatric outpatients with substance use disorders. One hundred outpatients (69 men and 31 women) were assessed with the Spanish version of the Diagnostic Interview for DSM-IV Personality Disorders. PD co-occurrence in the group of patients with BPD (N = 34) was statistically compared with that in the group without BPD (N = 66). Bonferroni-corrected chi-square analysis showed significant diagnostic comorbidity with BPD for antisocial, avoidant, and depressive PD. However, analyses conducted separately by gender showed no significant comorbidity of any PD with BPD in women and significant comorbidity with antisocial, avoidant, and depressive PD in men. These results suggest that in monolingual Hispanic psychiatric outpatients with substance use disorders, gender may play a role in the nature of BPD comorbidity. The BPD diagnosis may represent a broader range of psychopathology in Hispanic men than women.
作者在一系列患有物质使用障碍的成年单语（仅西班牙语）西班牙裔精神科门诊患者中，研究了DSM-IV边缘型人格障碍（BPD）与其他人格障碍（PD）的共病情况。100名门诊患者（69名男性和31名女性）接受了西班牙语版的DSM-IV人格障碍诊断访谈评估。对患有BPD的患者组（N = 34）和未患有BPD的患者组（N = 66）的PD共病情况进行了统计学比较。经Bonferroni校正的卡方分析显示，反社会型、回避型和抑郁型PD与BPD存在显著的诊断共病。然而，按性别分别进行的分析显示，女性中任何PD与BPD均无显著共病，而男性中反社会型、回避型和抑郁型PD与BPD存在显著共病。这些结果表明，在患有物质使用障碍的单语西班牙裔精神科门诊患者中，性别可能在BPD共病的性质中起作用。BPD诊断在西班牙裔男性中可能比女性代表更广泛的精神病理学范围。
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