Bottlender Miriam, Bottlender Ronald, Scharfenberg Carola D, Soyka Michael
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität München, Germany.
Psychother Psychosom Med Psychol. 2003 Sep-Oct;53(9-10):384-9. doi: 10.1055/s-2003-42173.
Personality disorders (PS) frequently exist as comorbid disorder in alcoholism. However, the impact of comorbid personality disorder on the treatment and course of alcoholism still remains unclear. On that background, the present study on the efficacy of an intensive out-patient therapy for alcohol-dependents investigated the influence of comorbid personality disorder on the relapse and dropout rate during the treatment phase in 102 patients. Personality disorders were assessed with the SCID-II (DSM-IV). On a descriptive level results indicate that comorbidity with negativistic personality disorder and Cluster B PS may adversely affect the course of treatment. Statistical analyses, however, revealed that the observed differences in the type or number of personality disorders between patients with or without relapse resp. between patients with or without dropout failed to reach statistical significance. Thus, we conclude that the relevance of comorbid personality disorder on the course of alcoholism may be overestimated. The present results indicate that patients with comorbid personality disorder can be successfully integrated into a high-structured outpatient therapy.
人格障碍（PS）在酒精中毒患者中常作为共病存在。然而，共病的人格障碍对酒精中毒治疗及病程的影响仍不明确。在此背景下，本项针对酒精依赖者强化门诊治疗疗效的研究，调查了102例患者中共病的人格障碍对治疗阶段复发率和脱落率的影响。人格障碍采用SCID-II（DSM-IV）进行评估。在描述性层面，结果表明，与消极型人格障碍和B类人格障碍共病可能对治疗进程产生不利影响。然而，统计分析显示，复发或未复发患者之间以及脱落或未脱落患者之间在人格障碍类型或数量上观察到的差异未达到统计学显著性。因此，我们得出结论，共病的人格障碍对酒精中毒病程的相关性可能被高估了。目前的结果表明，共病人格障碍的患者可以成功纳入高度结构化的门诊治疗。
