Jovev Martina, Jackson Henry J
Department of Psychology, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria, Australia.
J Pers Disord. 2004 Oct;18(5):467-78. doi: 10.1521/pedi.18.5.467.51325.
The present study aimed to examine the specificity of schema domains in three personality disorder (PD) groups, namely borderline (BPD), obsessive-compulsive (OCPD), and avoidant PD (AvPD), and to correctly identify the three PD groups on the basis of these schemas. The sample consisted of 48 clinical participants diagnosed with PDs and assigned to 1 of 3 groups on the basis of their Axis II diagnoses (BPD: n = 13; OCPD: n = 13; AvPD: n = 22). High scores on Dependence/Incompetence, Defectiveness/ Shame and Abandonment were found for the BPD group. Such pattern appears to be most consistent with Young's theory of BPD. Consistent with the theory and empirical findings of Beck et al. (1990, 2001), OCPD was associated with elevations on the Unrelenting Standards schema domain, but not on Emotional Inhibition, which was found to be elevated for AvPD. In conclusion, the present study suggests that there are different patterns of schema domains across different PDs and that the Schema Questionnaire (SQ) is potentially useful in differentiating between these PDs.
本研究旨在检验三种人格障碍（PD）组，即边缘型人格障碍（BPD）、强迫型人格障碍（OCPD）和回避型人格障碍（AvPD）中模式领域的特异性，并基于这些模式正确识别这三种人格障碍组。样本包括48名被诊断为人格障碍的临床参与者，他们根据轴II诊断被分为3组之一（BPD：n = 13；OCPD：n = 13；AvPD：n = 22）。BPD组在依赖/无能力、缺陷/羞耻和抛弃方面得分较高。这种模式似乎与杨的边缘型人格障碍理论最为一致。与贝克等人（1990年、2001年）的理论和实证研究结果一致，强迫型人格障碍与“严苛标准”模式领域得分升高有关，但与“情绪抑制”无关，而“情绪抑制”在回避型人格障碍中得分升高。总之，本研究表明，不同人格障碍的模式领域存在不同模式，并且模式问卷（SQ）在区分这些人格障碍方面可能有用。
