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广场恐怖症伴惊恐障碍患者病情稳定缓解期的《精神疾病诊断与统计手册》第二版人格特征

DSM-II personality characteristics of panic disorder with agoraphobia patients in stable remission.

作者信息

Mavissakalian M, Hamann M S

机构信息

Department of Psychiatry, Ohio State University, College of Medicine, Columbus 43210.

出版信息

Compr Psychiatry. 1992 Sep-Oct;33(5):305-9. doi: 10.1016/0010-440x(92)90037-q.

Abstract

The Personality Diagnostic Questionnaire (PDQ), a self-rating scale designed to assess DSM-III axis II personality disorders (PD), was administered to 12 panic disorder with agoraphobia patients during a 6-month stable and virtually symptom-free remission period with the aim of assessing the personality characteristics of these patients in the best possible approximation of the not-ill condition in clinical reality. The personality profile of the sample remained unchanged during remission and was predominated by avoidant PD traits. In a finer grain analysis, the stable and commonly endorsed individual PDQ items were compared with previously reported panic disorder and normal control subjects, which showed that the present sample was more like the panic patients in their tendency to see themselves as rather unassertive, indecisive, self-critical, and emotional individuals who are easily frustrated and feel rejected when criticized by others. These results suggest that avoidant behavioral and attitudinal patterns may be enduring personality characteristics of panic disorder with agoraphobia patients.

摘要

人格诊断问卷(PDQ)是一种自评量表,旨在评估《精神疾病诊断与统计手册》第三版(DSM-III)轴II人格障碍(PD)。在为期6个月的稳定且几乎无症状的缓解期,对12名伴有广场恐惧症的惊恐障碍患者进行了该问卷测试,目的是在临床实际中尽可能接近非患病状态的情况下评估这些患者的人格特征。样本的人格特征在缓解期保持不变,且以回避型人格障碍特征为主。在更细致的分析中,将稳定且普遍认可的个体PDQ项目与先前报道的惊恐障碍患者和正常对照受试者进行比较,结果显示,当前样本在将自己视为相当不坚定、优柔寡断、自我批评且情绪化的个体方面更类似于惊恐障碍患者,这些个体容易受挫,在受到他人批评时会感到被拒绝。这些结果表明,回避型行为和态度模式可能是伴有广场恐惧症的惊恐障碍患者持久的人格特征。

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