Reuber M, Pukrop R, Bauer J, Derfuss R, Elger C E
Academic Unit of Neurology, Division of Genomic Medicine, University of Sheffield, Sheffield, UK.
J Neurol Neurosurg Psychiatry. 2004 May;75(5):743-8. doi: 10.1136/jnnp.2003.013821.
To determine whether patients with psychogenic non-epileptic seizures (PNES) have evidence of maladaptive personality, and whether they have a single or several different typical pathological personality profiles.
Patients were recruited from the department of epileptology, Bonn, Germany. In all, 85 patients with PNES and 63 with epilepsy completed a postal questionnaire including the dimensional assessment of personality pathology - basic questionnaire (DAPP-BQ). The DAPP-BQ was also completed by 100 healthy volunteers. The groups were compared and the PNES group was subjected to cluster analysis.
Patients with PNES had a greater degree of personality abnormality than clinical and non-clinical controls. There were several clusters of personality pathology. The profile of the largest cluster (n = 43) resembled that found in borderline personality disorder, that of the second largest (n = 37) was characterised by an overly controlled personality, that of the third (n = 4) was similar to the profile in avoidant personality disorder. Outcome differed between clusters.
Maladaptive personality is common in patients with PNES. PNES are associated with several distinct profiles of pathological personality. This is relevant because outcome differed between profiles.
确定精神性非癫痫性发作（PNES）患者是否存在适应不良人格的证据，以及他们是否具有单一或几种不同的典型病理性人格特征。
从德国波恩癫痫科招募患者。共有85例PNES患者和63例癫痫患者完成了一份邮寄问卷，其中包括人格病理学维度评估-基础问卷（DAPP-BQ）。100名健康志愿者也完成了DAPP-BQ。对各组进行比较，并对PNES组进行聚类分析。
PNES患者的人格异常程度高于临床和非临床对照组。存在几类人格病理学特征。最大一组（n = 43）的特征类似于边缘型人格障碍；第二大组（n = 37）的特征是过度控制型人格；第三组（n = 4）类似于回避型人格障碍。不同组的结果有所不同。
适应不良人格在PNES患者中很常见。PNES与几种不同的病理性人格特征相关。这一点很重要，因为不同特征的结果有所不同。
