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临床诊断为边缘型人格障碍的儿童中的创伤后应激障碍

Posttraumatic stress disorder among children clinically diagnosed as borderline personality disorder.

作者信息

Famularo R, Kinscherff R, Fenton T

机构信息

Boston Juvenile Court, Massachusetts Department of Mental Health, Boston 02108.

出版信息

J Nerv Ment Dis. 1991 Jul;179(7):428-31. doi: 10.1097/00005053-199107000-00007.

Abstract

Using the Diagnostic Interview for Children and Adolescents, Revised Version (DICA-C-R), the authors evaluated 19 children ages 7 to 14 who had recently been clinically diagnosed as borderline personality disorder by DSM-III-R criteria. The results reveal that 78.9% of these children reported significant traumatic experiences, with 36.8% fitting DICA-C-R criteria for posttraumatic stress disorder. These findings raise the possibility that a diagnosis of borderline personality in childhood can often represent posttraumatic stress disorder.

摘要

作者使用修订版儿童及青少年诊断访谈量表(DICA-C-R)对19名年龄在7至14岁之间、近期根据《精神疾病诊断与统计手册》第三版修订本(DSM-III-R)标准被临床诊断为边缘型人格障碍的儿童进行了评估。结果显示,这些儿童中有78.9%报告了重大创伤经历,其中36.8%符合DICA-C-R中创伤后应激障碍的标准。这些发现增加了一种可能性,即儿童期边缘型人格的诊断往往可能代表创伤后应激障碍。

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