Widiger T A, Weissman M M
University of Kentucky, Lexington 40506.
Hosp Community Psychiatry. 1991 Oct;42(10):1015-21. doi: 10.1176/ps.42.10.1015.
The limited epidemiological data available on borderline personality disorder suggest that the prevalence of the disorder is between .2 and 1.8 percent in the general community, 15 percent among psychiatric inpatients, and 50 percent among psychiatric inpatients with a diagnosis of personality disorder. No data on the incidence--the rate of new cases--of the disorder have been reported, and inferences about incidence based on prevalence rates are complicated by differences in the formal designation of personality disorders before and after DSM-III was issued. Current findings suggest that about 76 percent of borderline patients are female. Epidemiological study of borderline personality disorder has been hindered by the lack of a brief semistructured interview that can be used with large population samples and that does not require substantial clinical expertise. The authors discuss alternative research methods, including use of lay interviewers, recoding of existing data, telephone interviews, and self-report inventories.
关于边缘型人格障碍的现有流行病学数据有限，这些数据表明，该障碍在普通人群中的患病率为0.2%至1.8%，在精神科住院患者中为15%，在被诊断为患有精神障碍的精神科住院患者中为50%。尚未有关于该障碍发病率（新病例发生率）的数据报告，并且由于在《精神疾病诊断与统计手册》第三版（DSM-III）发布前后人格障碍的正式命名存在差异，基于患病率推断发病率变得复杂。目前的研究结果表明，约76%的边缘型人格障碍患者为女性。由于缺乏一种可用于大量人群样本且不需要大量临床专业知识的简短半结构化访谈，边缘型人格障碍的流行病学研究受到了阻碍。作者们讨论了替代研究方法，包括使用非专业访谈者、对现有数据进行重新编码、电话访谈以及自我报告量表。
