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强迫型人格障碍对心境障碍患者自杀风险的影响。

The impact of obsessive-compulsive personality disorder on the suicidal risk of patients with mood disorders.

作者信息

Raja Michele, Azzoni Antonella

机构信息

Servizio Psichiatrico di Diagnosi e Cura, Ospedale Santo Spirito in Sassia, Roma, Italia.

出版信息

Psychopathology. 2007;40(3):184-90. doi: 10.1159/000100366. Epub 2007 Mar 1.

DOI:10.1159/000100366
PMID:17337939
Abstract

BACKGROUND

The association of mood disorders with personality disorder is frequent and relevant in terms of clinical and therapeutic aspects. Personality disorders may modify the phenomenology of axis I psychiatric disorders, generating atypical clinical features, uncommon behavior or unusual patient attitudes.

SAMPLING AND METHODS

The paper describes the atypical symptoms of 7 patients affected by mood disorder associated with obsessive-compulsive personality disorder (OCPD) who made a near-lethal suicide attempt and were admitted to a psychiatric intensive care unit.

RESULTS AND CONCLUSIONS

The presence of OCPD associated with mood disorders may increase the risk of misdiagnosis, render some life events more stressful than usual for patients and increase the severity of the suicide attempt.

摘要

背景

情绪障碍与人格障碍的关联在临床和治疗方面很常见且具有相关性。人格障碍可能会改变轴I精神障碍的现象学,产生非典型的临床特征、不寻常的行为或患者的异常态度。

抽样与方法

本文描述了7例患有与强迫型人格障碍(OCPD)相关的情绪障碍、曾有近乎致命的自杀企图并被收治于精神科重症监护病房的患者的非典型症状。

结果与结论

与情绪障碍相关的OCPD的存在可能会增加误诊风险,使一些生活事件对患者而言比平常更具压力,并增加自杀企图的严重程度。

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