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《精神疾病诊断与统计手册第四版》(DSM-IV)中的人格障碍存在性别差异吗?

Are there gender differences in DSM-IV personality disorders?

作者信息

Grilo Carlos M

机构信息

Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06520, USA.

出版信息

Compr Psychiatry. 2002 Nov-Dec;43(6):427-30. doi: 10.1053/comp.2002.35907.

Abstract

This study examined gender differences in DSM-IV personality disorders (PD) in outpatients. Structured diagnostic interviews were reliably administered to a consecutive series of 145 outpatients with a primary axis I diagnosis of binge eating disorder (BED). To further reduce variability due to heterogeneity of axis I, a subgroup of 75 patients with co-occurring major depressive disorder (MDD) was retested for gender differences. Overall, the proportion of males (34.4%) and females (27.4%) diagnosed with any PD did not significantly differ. Specific PD diagnoses were not differentially distributed by gender in the overall study group of patients with BED or in the subgroup of patients with BED and MDD, except for antisocial PD in males.

摘要

本研究调查了门诊患者中《精神疾病诊断与统计手册》第四版(DSM-IV)人格障碍(PD)的性别差异。对连续的145例门诊患者进行了结构化诊断访谈,这些患者的首要轴I诊断为暴食症(BED)。为进一步减少因轴I异质性导致的变异性,对75例共患重度抑郁症(MDD)的患者亚组重新进行了性别差异测试。总体而言,被诊断患有任何人格障碍的男性(34.4%)和女性(27.4%)比例无显著差异。在患有暴食症的患者总体研究组或患有暴食症和重度抑郁症的患者亚组中,特定的人格障碍诊断在性别上并无差异分布,但男性的反社会人格障碍除外。

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