Clark Lee Anna
Department of Psychology, University of Iowa, IA 52242-1407, USA.
J Pers Disord. 2005 Oct;19(5):524-32; discussion 594-6. doi: 10.1521/pedi.2005.19.5.524.
Three major longitudinal studies of personality disorder jointly provide new insights into the nature of stability and change in this important domain of psychopathology. This commentary highlights some of the many convergent results, which indicate robust findings that can be considered "established," and also differences in the studies' purposes and methods that permit each study to make unique contributions. One of the most important findings across the studies is that DSM- diagnosed personality disorder is not as stable as the characteristic traits that underlie personality pathology, leading to the insight that DSM personality disorders are hybrids of more acute, "Axis I-like" symptoms that resolve more quickly and longer lasting affective, cognitive, and behavioral personality dysfunctions. Implications for future research are considered.
三项关于人格障碍的主要纵向研究共同为这一重要精神病理学领域的稳定性和变化本质提供了新的见解。本评论强调了许多趋同的结果,这些结果表明了一些可被视为“既定”的有力发现,同时也指出了研究目的和方法上的差异,正是这些差异使得每项研究都能做出独特的贡献。这些研究中最重要的发现之一是,经《精神疾病诊断与统计手册》(DSM)诊断的人格障碍并不像人格病理学基础的特征性特质那样稳定,这使人们认识到DSM人格障碍是更急性的、“类似轴I”症状(这些症状缓解得更快)与更持久的情感、认知和行为人格功能障碍的混合体。文中还考虑了对未来研究的启示。