Blagov Pavel S, Westen Drew
Department of Psychology, Emory University, Atlanta, Georgia 30322, USA.
J Nerv Ment Dis. 2008 Nov;196(11):785-97. doi: 10.1097/NMD.0b013e31818b502d.
After the introduction of histrionic personality disorder (HPD), nosologists struggled to reduce its overlap with borderline personality disorder and other PDs. We studied the coherence of HPD in adults and adolescents as part of 2 larger studies. Clinicians described a random patient with personality pathology using rigorous psychometrics, including the SWAP-II (a Q-sort that captures personality and its pathology in adults) in study 1 and the SWAP-II-A (the adolescent version) in study 2. Using DSM-IV-based measures, we identified patients who met HPD criteria with varying degrees of diagnostic confidence. Central tendencies in the SWAP-II and SWAP-II-A profiles revealed that both the most descriptive and most distinctive features of the patients included some features of HPD but also many features of borderline personality disorder. Q-factor analyses of the SWAP data yielded 3 types of patients in each of the 2 samples. The HPD diagnosis may not be sufficiently coherent or valid.
在引入表演型人格障碍（HPD）后，疾病分类学家努力减少它与边缘型人格障碍及其他人格障碍的重叠。作为两项更大规模研究的一部分，我们对成人和青少年中HPD的一致性进行了研究。在研究1中，临床医生使用包括SWAP-II（一种用于描述成人个性及其病理特征的Q分类法）在内的严格心理测量方法，描述了一名患有个性病理学的随机患者；在研究2中则使用了SWAP-II-A（青少年版）。基于《精神疾病诊断与统计手册第四版》（DSM-IV）的测量方法，我们确定了符合HPD标准且诊断置信度不同的患者。SWAP-II和SWAP-II-A概况中的集中趋势表明，患者最具描述性和最独特的特征既包括一些HPD的特征，也包括许多边缘型人格障碍的特征。对SWAP数据的Q因子分析在两个样本中各产生了3种类型的患者。HPD诊断可能不够连贯或有效。
