Dunn Nancy Jo, Yanasak Elisia, Schillaci Jeanne, Simotas Sofia, Rehm Lynn P, Souchek Julianne, Menke Terri, Ashton Carol, Hamilton Joseph D
Houston Veterans Affairs Medical Center, Houston, Texas 77030, USA.
J Trauma Stress. 2004 Feb;17(1):75-82. doi: 10.1023/B:JOTS.0000014680.54051.50.
Little is known about the frequency of the full-range of personality disorders in outpatients with concurrent posttraumatic stress disorder (PTSD) and depression, a common and oftentimes treatment-resistant combination in clinical practice. In a group therapy outcome study, Axis I and II diagnoses were assessed with the Structured Clinical Interview for DSM-IV and the Clinician-Administered PTSD Scale to select 115 male combat veterans with PTSD and depressive disorder. Within this sample, 52 (45.2%) had one or more personality disorders--most commonly paranoid (17.4%), obsessive-compulsive (16.5%), avoidant (12.2%), and borderline (8.7%)--and 19 (16.5%) had two or more. Documenting a substantial frequency of personality disorders is a first step in devising appropriate interventions for this treatment-resistant combination of disorders.
对于同时患有创伤后应激障碍（PTSD）和抑郁症的门诊患者中人格障碍的全谱频率，我们所知甚少，而这在临床实践中是一种常见且往往难以治疗的组合。在一项团体治疗结果研究中，使用《精神疾病诊断与统计手册》第四版（DSM-IV）的结构化临床访谈和临床医生管理的PTSD量表对轴I和轴II诊断进行评估，以选择115名患有PTSD和抑郁症的男性退伍军人。在这个样本中，52人（45.2%）有一种或多种人格障碍，最常见的是偏执型（17.4%）、强迫型（16.5%）、回避型（12.2%）和边缘型（8.7%），19人（16.5%）有两种或更多种人格障碍。记录人格障碍的高频率是为这种难治性障碍组合设计适当干预措施的第一步。
