Cramer Victoria, Torgersen Svenn, Kringlen Einar
Department of Psychology, University of Oslo, N-0317 Oslo, Norway.
Compr Psychiatry. 2006 May-Jun;47(3):178-84. doi: 10.1016/j.comppsych.2005.06.002.
The purpose of the study was to investigate the relationship between specific personality disorders (PDs) and specific aspects of quality of life in the common population. The sample consisted of 2053 individuals between 18 and 65 years old. Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition (DSM-III-R), axis I was studied by means of a structured interview (Composite International Diagnostic Interview) and axis II by means of a Structured Interview for DSM-III-R Personality Disorders; sociodemographic variables were taken into account, and broad aspects of quality of life were included. Personality disorders appeared to be more important statistical predictors of quality of life than sociodemographic variables, somatic health, and axis I disorder. Those with avoidant, schizotypal, paranoid, schizoid, and borderline PDs had the strongest and broadest reduction in quality of life, whereas those with histrionic, obsessive-compulsive, passive-aggressive, and sadistic PDs did not show any reduction. A number of specific relationships occurred. Furthermore, the more PDs that existed and the more personality criteria fulfilled, the poorer the quality of life, pointing to the importance of comorbidity and continuity.
该研究的目的是调查普通人群中特定人格障碍（PDs）与生活质量特定方面之间的关系。样本由2053名年龄在18至65岁之间的个体组成。通过结构化访谈（综合国际诊断访谈）研究《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）的轴I，通过DSM-III-R人格障碍结构化访谈研究轴II；考虑了社会人口统计学变量，并纳入了生活质量的广泛方面。人格障碍似乎比社会人口统计学变量、躯体健康和轴I障碍更能成为生活质量的重要统计预测指标。患有回避型、分裂型、偏执型、分裂样和边缘型人格障碍的个体生活质量下降最为明显且范围最广，而患有表演型、强迫型、被动攻击型和虐待型人格障碍的个体则未表现出任何下降。出现了一些特定的关系。此外，存在的人格障碍越多，满足的人格标准越多，生活质量就越差，这表明共病和连续性的重要性。
