Frankenburg Frances R, Zanarini Mary C
Boston University School of Medicine, Edith Nourse Rogers Memorial VAMC, Bedford, MA 01730, USA.
Curr Opin Psychiatry. 2006 Jul;19(4):428-31. doi: 10.1097/01.yco.0000228766.33356.44.
Personality disorders are not usually thought of as being associated with medical comorbidity. Research shows that medical comorbidity in personality disorders is clinically important.
In general those with personality disorders do not feel as fit as others do. Also, those with personality disorders in addition to other psychiatric disorders, such as depression and antisocial personality disorder, are likely to have more health problems than those without personality disorders. People with active borderline personality disorder have been shown to have more medical problems than those with remitted borderline personality disorder. Personality disorders can complicate the course of chronic medical illnesses. Finally, the use of psychotropic medications is not unusual in personality disorders and in itself can be associated with medical illnesses.
Clinicians caring for people with personality disorders need to be aware of possible medical comorbidity. More research is needed.
人格障碍通常不被认为与躯体共病有关。研究表明，人格障碍中的躯体共病在临床上具有重要意义。
总体而言，人格障碍患者感觉不如其他人健康。此外，除了其他精神障碍（如抑郁症和反社会人格障碍）外还患有人格障碍的患者，可能比没有人格障碍的患者有更多的健康问题。已证明，处于活动期的边缘型人格障碍患者比缓解期的边缘型人格障碍患者有更多的躯体问题。人格障碍会使慢性躯体疾病的病程复杂化。最后，在人格障碍患者中使用精神药物并不罕见，其本身可能与躯体疾病有关。
照顾人格障碍患者的临床医生需要意识到可能存在的躯体共病。还需要更多的研究。
