回避型人格障碍与社交恐惧症：差异显著足以被视为不同的疾病吗？
Avoidant personality disorder and social phobia: distinct enough to be separate disorders?
作者信息
Ralevski E, Sanislow C A, Grilo C M, Skodol A E, Gunderson J G, Tracie Shea M, Yen S, Bender D S, Zanarini M C, McGlashan T H
机构信息
Yale University School of Medicine, New Haven, CT 06519, USA.
出版信息
Acta Psychiatr Scand. 2005 Sep;112(3):208-14. doi: 10.1111/j.1600-0447.2005.00580.x.
OBJECTIVE
Existing evidence from anxiety disorder research indicates that social phobics (SP) with avoidant personality disorder (AVPD) experience more anxiety and show more impairment than patients with SP alone. The purpose of this study was to examine whether in patients diagnosed with AVPD, the co-occurrence of SP adds to its severity. We hypothesized that the addition of SP will not add to the severity of AVPD alone.
METHOD
Two groups of patients (AVPD=224; AVPD/SP=101) were compared at baseline and 2 years later on multiple demographic and clinical variables.
RESULTS
Patients with AVPD and an additional diagnosis of SP differed little from patients with AVPD alone.
CONCLUSION
These findings suggest that AVPD and SP may be alternative conceptualizations of the same disorder.
目的
焦虑症研究的现有证据表明，患有回避型人格障碍（AVPD）的社交恐惧症患者（SP）比单纯患有SP的患者经历更多焦虑且表现出更多功能损害。本研究的目的是检验在被诊断为AVPD的患者中，SP的共病是否会加重其严重程度。我们假设SP的存在不会加重单纯AVPD的严重程度。
方法
对两组患者（AVPD组=224例；AVPD/SP组=101例）在基线时以及2年后的多项人口统计学和临床变量进行比较。
结果
患有AVPD且额外诊断为SP的患者与单纯患有AVPD的患者差异不大。
结论
这些发现表明，AVPD和SP可能是同一障碍的不同概念化形式。
Zotero 插件