Department of Experimental Medicine, Department of Psychiatry, University of L'Aquila, Italy.
CNS Spectr. 2000 Sep;5(9):23-6. doi: 10.1017/s1092852900021623.
The aim of this study was to examine the pattern of comorbidity among obsessive-compulsive personality disorder (OCPD) and other personality disorders (PDs) in a sample of 400 psychiatric inpatients. PDs were assessed using the Semistructured Clinical Interview for DSM-III-R Personality Disorders (SCID-II). Odds ratios (ORs) were calculated to determine significant comorbidity among OCPD and other axis II disorders. The most elevated odds ratios were found for the cooccurrence of OCPD with cluster A PDs (the "odd" PDs, or paranoid and schizoid PDs). These results are consistent with those of previous studies showing a higher cooccurrence of OCPD with cluster A than with cluster C ("anxious") PDs. In light of these observations, issues associated with the nosologic status of OCPD within the Diagnostic and Statistical Manual of Mental Disorders clustering system remain unsettled.
本研究旨在考察 400 名住院精神病人样本中强迫型人格障碍（OCPD）与其他人格障碍（PD）的共病模式。采用DSM-III-R 人格障碍定式临床访谈半定式检查表（SCID-II）对 PD 进行评估。计算优势比（ORs）以确定 OCPD 与其他轴 II 障碍之间的显著共病。发现 OCPD 与 A 群 PD（“古怪”PD，即偏执和分裂型 PD）共病的优势比最高。这些结果与先前研究一致，表明 OCPD 与 A 群比与 C 群（“焦虑”）PD 共病的频率更高。鉴于这些观察结果，在《精神障碍诊断与统计手册》聚类系统中，OCPD 的分类学地位与相关问题仍未得到解决。
