Gude Tore, Hoffart Asle, Hedley Liv, Rø Øyvind
Research Institute, Modum Bad, Vikersund, Norway and the Department of Behavioral Sciences in Medicine, University of Oslo, Norway.
J Pers Disord. 2004 Dec;18(6):604-10. doi: 10.1521/pedi.18.6.604.54793.
The criteria for dependent personality disorder (DPD) in DSM-IV appear to fall into two categories: dependent and attachment behaviors. The relevance of this division was evaluated in a sample of 182 patients admitted to a national Norwegian psychiatric hospital. Principal Components Analysis of all items belonging to the most frequent personality diagnoses revealed six components. The items for DPD formed two components, labeled attachment/abandonment and dependency/incompetence. Two criteria for borderline personality disorder also loaded on the attachment/abandonment component, while six criteria for avoidant personality disorder loaded on the dependency/incompetence component. Early Maladaptive Schemas of abandonment and failure correlated significantly higher with the attachment/abandonment component than with the dependency/incompetence component.
《精神疾病诊断与统计手册》第四版中依赖型人格障碍(DPD)的标准似乎可分为两类:依赖行为和依恋行为。在挪威一家国立精神病医院收治的182名患者样本中,对这种分类的相关性进行了评估。对属于最常见人格诊断的所有项目进行主成分分析,得出六个成分。DPD的项目形成了两个成分,分别标记为依恋/抛弃和依赖/无能力。边缘型人格障碍的两个标准也加载在依恋/抛弃成分上,而回避型人格障碍的六个标准加载在依赖/无能力成分上。早期适应不良的抛弃和失败模式与依恋/抛弃成分的相关性显著高于与依赖/无能力成分的相关性。