Larsson J O, Hellzén M
Department of Child and Adolescent Psychiatry, Astrid Lindgren Children's Hospital, The Karolinska Hospital, Stockholm, Sweden.
Eat Weight Disord. 2004 Sep;9(3):200-5. doi: 10.1007/BF03325067.
The aim of this study was to describe patterns of personality disorders (PDs) in women with chronic eating disorders (EDs). An index group of nineteen women who have had EDs for an average of 8.5 years was compared with a control group of same-aged women from the general population. At the time of the study the index group received treatment at a tertiary treatment center in Stockholm. The PDs were assessed using the DSM-IV part of the DSM-IV and ICD-10 Personality Questionnaire (DIP-Q). In the index group, eighteen of nineteen fulfilled the criteria for one or more PD. The number of PD diagnoses for each women ranged from zero (n = 1) to eight (n = 2) with a median of three. Among the controls, only one woman fulfilled the criteria for one or more PD. The most prevalent disorders in the index group were Borderline, Avoidant, and Obsessive-Compulsive. The index group had significantly higher DIP-Q dimensional scores than the controls in the Paranoid, Schizoid, Schizotypal, Borderline, Histrionic, Avoidant, and Dependent scales. Although the assessment of PD symptoms was limited to self-reports, the high prevalence of PD diagnoses and PD symptoms most probably reflects the severe psychiatric impairments in patients suffering from chronic ED.
本研究的目的是描述患有慢性饮食失调（ED）的女性的人格障碍（PD）模式。将一组平均患有饮食失调8.5年的19名女性作为索引组，与来自普通人群的同龄女性对照组进行比较。在研究时，索引组在斯德哥尔摩的一家三级治疗中心接受治疗。使用《精神疾病诊断与统计手册》第四版（DSM-IV）和《国际疾病分类第10版》人格问卷（DIP-Q）中的DSM-IV部分对人格障碍进行评估。在索引组中，19名女性中有18名符合一种或多种人格障碍的标准。每名女性的人格障碍诊断数量从零（n = 1）到八（n = 2）不等，中位数为三。在对照组中，只有一名女性符合一种或多种人格障碍的标准。索引组中最常见的障碍是边缘型、回避型和强迫型。索引组在偏执、分裂样、分裂型、边缘型、表演型、回避型和依赖型量表上的DIP-Q维度得分显著高于对照组。尽管人格障碍症状的评估仅限于自我报告，但人格障碍诊断和人格障碍症状的高患病率很可能反映了患有慢性饮食失调的患者严重的精神障碍。
