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社区样本中人格障碍的患病率及其相关因素。

Prevalence and correlates of personality disorders in a community sample.

作者信息

Samuels Jack, Eaton William W, Bienvenu O Joseph, Brown Clayton H, Costa Paul T, Nestadt Gerald

机构信息

Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Br J Psychiatry. 2002 Jun;180:536-42. doi: 10.1192/bjp.180.6.536.

DOI:10.1192/bjp.180.6.536
PMID:12042233
Abstract

BACKGROUND

Knowledge of the prevalence and correlates of personality disorders in the community is important for identifying treatment needs and for provision of psychiatric services.

AIMS

To estimate the prevalence of personality disorders in a community sample and to identify demographic subgroups with especially high prevalence.

METHOD

Clinical psychologists used the International Personality Disorder Examination to assess DSM-IV and ICD-10 personality disorders in a sample of 742 subjects, ages 34-94 years, residing in Baltimore, Maryland. Logistic regression was used to evaluate the association between demographic characteristics and DSM-IV personality disorder clusters.

RESULTS

The estimated overall prevalence of DSM-IV personality disorders was 9%. Cluster A disorders were most prevalent in men who had never married. Cluster B disorders were most prevalent in young men without a high school degree, and cluster C disorders in high school graduates who had never married.

CONCLUSIONS

Approximately 9% of this community sample has a DSM-IV personality disorder. Personality disorders are over-represented in certain demographic subgroups of the community.

摘要

背景

了解社区中人格障碍的患病率及其相关因素对于确定治疗需求和提供精神科服务非常重要。

目的

估计社区样本中人格障碍的患病率,并确定患病率特别高的人口亚组。

方法

临床心理学家使用《国际人格障碍检查表》对居住在马里兰州巴尔的摩的742名年龄在34至94岁之间的受试者样本进行DSM-IV和ICD-10人格障碍评估。采用逻辑回归评估人口统计学特征与DSM-IV人格障碍集群之间的关联。

结果

DSM-IV人格障碍的总体估计患病率为9%。A类障碍在从未结婚的男性中最为普遍。B类障碍在没有高中学历的年轻男性中最为普遍,C类障碍在从未结婚的高中毕业生中最为普遍。

结论

该社区样本中约9%的人患有DSM-IV人格障碍。人格障碍在社区的某些人口亚组中占比过高。

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