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人格障碍(《精神疾病诊断与统计手册》第二版修订版)与单相重度抑郁症的家族关系。

The familial relation of personality disorders (DSM-II-R) to unipolar major depression.

作者信息

Maier W, Lichtermann D, Minges J, Heun R

机构信息

Department of Psychiatry, University of Mainz, FRG.

出版信息

J Affect Disord. 1992 Nov;26(3):151-6. doi: 10.1016/0165-0327(92)90010-4.

DOI:10.1016/0165-0327(92)90010-4
PMID:1460164
Abstract

Four hundred and fifty directly interviewed relatives of probands with non-psychotic unipolar major depression and 320 directly interviewed relatives of controls were compared by the prevalences of personality disorders (P.D.) as defined by DSM-III-R, in relation to presence or absence of the relatives' affective disorder. Overall, there was only a trend for an increased risk for P.D. in relatives of depressed patients. However, P.D. and unipolar major depression co-occurred more frequently in relatives than expected by chance. It is suggested that this association is mainly due to non-familial factors. Compared with other P.D., the relationship of borderline P.D. to major depression was not substantially stronger.

摘要

对450名直接接受访谈的非精神病性单相重度抑郁症先证者的亲属和320名直接接受访谈的对照者的亲属,按照《精神疾病诊断与统计手册》第三版修订本(DSM-III-R)所定义的人格障碍(P.D.)患病率,根据亲属情感障碍的有无进行了比较。总体而言,抑郁症患者亲属患人格障碍的风险仅呈上升趋势。然而,人格障碍与单相重度抑郁症在亲属中同时出现的频率高于偶然预期。有人认为这种关联主要是由于非家族因素。与其他人格障碍相比,边缘型人格障碍与重度抑郁症的关系并没有明显更强。

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