Iketani T, Kiriike N, Stein M B, Nagao K, Nagata T, Minamikawa N, Shidao A, Fukuhara H
Department of Neuropsychiatry, Osaka City University Medical School, Japan.
Acta Psychiatr Scand. 2002 Sep;106(3):171-8. doi: 10.1034/j.1600-0447.2002.02361.x.
In earlier reports, we found that perfectionism might be involved in the development and/or maintenance of agoraphobia in panic disorder. The present report extends this work by examining the relationship between perfectionism and comorbidity with personality disorders in panic disorder patients with agoraphobia (PDA) and those without agoraphobia (PD).
We examined comorbidity of personality disorders by Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II) and assessed perfectionism using multidimensional perfectionism scale in 56 PDA and 42 PD patients.
The PDA group met criteria for at least one personality disorder significantly more often than the PD group. With stepwise regression analyses, avoidant and obsessive-compulsive personality disorders emerged as significant indicators of perfectionism in patients with panic disorder.
These findings suggest that perfectionism in panic disorder patients may be more common in those with comorbid personality disorders, and may be an important target for preventive and therapeutic efforts.
在早期报告中，我们发现完美主义可能与惊恐障碍中广场恐惧症的发生和/或维持有关。本报告通过研究完美主义与伴有广场恐惧症的惊恐障碍患者（PDA）和不伴有广场恐惧症的惊恐障碍患者（PD）中人格障碍共病之间的关系，对这一研究进行了拓展。
我们通过《精神疾病诊断与统计手册第三版修订本》人格障碍结构化临床访谈（SCID-II）来检查人格障碍的共病情况，并使用多维完美主义量表对56名PDA患者和42名PD患者的完美主义进行评估。
PDA组符合至少一种人格障碍标准的情况明显比PD组更常见。通过逐步回归分析，回避型和强迫型人格障碍成为惊恐障碍患者完美主义的显著指标。
这些发现表明，惊恐障碍患者中的完美主义在伴有共病性人格障碍的患者中可能更为常见，并且可能是预防和治疗工作的一个重要靶点。
