一项关于以办公室为基础的美沙酮维持治疗患者中 DSM-IV 人格障碍患病率的心理测量学研究。

A psychometric study of the prevalence of DSM-IV personality disorders among office-based methadone maintenance patients.

作者信息

Teplin David, O'Connell Tara, Daiter Jeff, Varenbut Michael

机构信息

Ontario Addiction Treatment Centres, Ontario, Canada.

出版信息

Am J Drug Alcohol Abuse. 2004 Aug;30(3):515-24. doi: 10.1081/ada-200032270.

DOI:10.1081/ada-200032270

PMID:15540490

Abstract

Using the DSM-IV criteria for personality disorders, prevalence rates for these disorders were evaluated among methadone maintenance patients, with a psychometric test--the Millon Clinical Multiaxial Inventory (MCMI-III). We found that 77% of patients met the study criteria for at least one personality disorder. Of those who had a personality disorder, 20% had two personality disorders, 14% had three personality disorders, and 6% had four personality disorders. Rates of specific personality disorders are reported. Consistencies and divergence from existing research literature are noted. It is suggested that future research compare psychometrically based self-report questionnaires to a structured clinical interview format, within the same clinical population.

摘要

使用《精神疾病诊断与统计手册》第四版（DSM-IV）中人格障碍的诊断标准，通过一项心理测量测试——米隆临床多轴问卷（MCMI-III），对美沙酮维持治疗患者中这些障碍的患病率进行了评估。我们发现，77%的患者符合至少一种人格障碍的研究标准。在患有某种人格障碍的患者中，20%患有两种人格障碍，14%患有三种人格障碍，6%患有四种人格障碍。报告了特定人格障碍的患病率。指出了与现有研究文献的一致性和差异。建议未来的研究在同一临床人群中，将基于心理测量的自我报告问卷与结构化临床访谈形式进行比较。