Guelfi Julien-Daniel
Université Paris V-René Descartes, clinique des maladies mentales et de l'encéphale, hôpital Sainte-Anne, 75674 Paris Cedex 14.
Rev Prat. 2008 Feb 29;58(4):373-6.
The association between depressive disorders and personality disorders is frequent. They need to be acknowledged in general practice for a better treatment (therapeutic alliance, compliance). Twenty to 50% of psychiatric inpatients and 50 to 85% of outpatients with a major depressive episode also have an associated personality disorder, most frequently borderline, avoidant, dependent or obsessive. These associations, as well as the so-called depressive personality disorder, have many implications for other persistant mood disorders such as dysthymic disorders. This article discusses the therapeutic options for an optimal treatment of these disorders.
抑郁症与人格障碍之间的关联很常见。在全科医疗中需要认识到它们，以便进行更好的治疗（治疗联盟、依从性）。20%至50%的精神科住院患者以及50%至85%的重度抑郁发作门诊患者也伴有某种人格障碍，最常见的是边缘型、回避型、依赖型或强迫型。这些关联以及所谓的抑郁性人格障碍，对其他持续性心境障碍如恶劣心境障碍有诸多影响。本文讨论了对这些障碍进行最佳治疗的治疗选择。
