Schneier F R, Spitzer R L, Gibbon M, Fyer A J, Liebowitz M R
New York State Psychiatric Institute, NY 10032.
Compr Psychiatry. 1991 Nov-Dec;32(6):496-502. doi: 10.1016/0010-440x(91)90028-b.
The diagnoses of social phobia (SP) and avoidant personality disorder (APD) have evolved from different historical sources, but their criteria appear to converge in DSM-III-R. Fifty anxiety disorder clinic patients with DSM-III-R SP were evaluated for presence of DSM-III-R APD. APD was present in 89% of those with the generalized subtype of SP (GSP) and 21% of those with the discrete subtype of SP (DSP). The findings are discussed in conjunction with other recent reports showing substantial overlap between GSP and APD.
社交恐惧症（SP）和回避型人格障碍（APD）的诊断源自不同的历史背景，但在《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）中它们的标准似乎趋于一致。对50名符合DSM-III-R社交恐惧症诊断标准的焦虑症门诊患者进行了DSM-III-R回避型人格障碍的评估。在广泛性社交恐惧症（GSP）亚型患者中，89%存在回避型人格障碍；在离散型社交恐惧症（DSP）亚型患者中，21%存在回避型人格障碍。结合其他近期报告讨论了这些发现，这些报告显示广泛性社交恐惧症和回避型人格障碍之间存在大量重叠。
