人格障碍与轴I障碍病程随时间的关联。
Associations in the course of personality disorders and Axis I disorders over time.
作者信息
Shea M Tracie, Stout Robert L, Yen Shirley, Pagano Maria E, Skodol Andrew E, Morey Leslie C, Gunderson John G, McGlashan Thomas H, Grilo Carlos M, Sanislow Charles A, Bender Donna S, Zanarini Mary C
机构信息
Department of Psychiatry and Human Behavior, Brown University Medical School, Duncan Building, 700 Butler Drive, Providence, RI 20906, USA.
出版信息
J Abnorm Psychol. 2004 Nov;113(4):499-508. doi: 10.1037/0021-843X.113.4.499.
In this study, the authors examined time-varying associations between schizotypal (STPD), borderline (BPD), avoidant (AVPD), or obsessive-compulsive (OCPD) personality disorders and co-occurring Axis I disorders in 544 adult participants from the Collaborative Longitudinal Personality Disorders Study. The authors tested predictions of specific longitudinal associations derived from a model of crosscutting psychobiological dimensions (L. J. Siever & K. L. Davis, 1991) with participants with the relevant Axis I disorders. The authors assessed participants at baseline and at 6-, 12-, and 24-month follow-up evaluations. BPD showed significant longitudinal associations with major depressive disorder and posttraumatic stress disorder. AVPD was significantly associated with anxiety disorders (specifically social phobia and obsessive-compulsive disorder). Two of the four personality disorders under examination (STPD and OCPD) showed little or no association with Axis I disorders.
在本研究中，作者对来自合作纵向人格障碍研究的544名成年参与者，检验了分裂型（STPD）、边缘型（BPD）、回避型（AVPD）或强迫型（OCPD）人格障碍与共病的轴I障碍之间的时变关联。作者对患有相关轴I障碍的参与者，测试了源自交叉心理生物学维度模型（L. J. 西弗尔和K. L. 戴维斯，1991年）的特定纵向关联预测。作者在基线以及6个月、12个月和24个月的随访评估中对参与者进行了评估。BPD与重度抑郁症和创伤后应激障碍显示出显著的纵向关联。AVPD与焦虑症（特别是社交恐惧症和强迫症）显著相关。所研究的四种人格障碍中的两种（STPD和OCPD）与轴I障碍几乎没有关联或没有关联。
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