GATA Haydarpaşa Training Hospital, Department of Psychiatry, Istanbul, Turkey.
Int J Soc Psychiatry. 2011 May;57(3):237-47. doi: 10.1177/0020764008099339. Epub 2009 Nov 11.
The aims of this study were to determine the characteristics of self-mutilation (SM) and examine the relationship between SM and psychopathy in male subjects with antisocial personality disorder (APD).
APD diagnosis was established by the Structured Clinical Interview for DSM-III-R Axis II Disorders. Subjects (N = 116) were assessed using the Psychopathy Checklist-Revised and a semi-structured self-mutilation questionnaire form.
In males with APD, the percentages of psychopathy and SM were 48.3% (N =56) and 96.6% (N = 112), respectively. There were positive correlations between severity of psychopathy and severity, number, and frequency of SM.
Considerably high rates of SM and psychopathy were found in Turkish males with APD. The features of SM were associated with comorbidity of psychopathy. These results showed the importance of exploring the self-injurious behavior and psychopathy when diagnosed with APD.
本研究旨在确定自伤（SM）的特征，并探讨反社会人格障碍（APD）男性患者中 SM 与精神病态之间的关系。
通过DSM-III-R 轴 II 障碍的结构性临床访谈来确立 APD 诊断。使用修订后的精神病态检查表和半结构化的自伤问卷表对受试者（N=116）进行评估。
在 APD 男性中，精神病态和自伤的百分比分别为 48.3%（N=56）和 96.6%（N=112）。精神病态严重程度与自伤严重程度、数量和频率呈正相关。
在土耳其 APD 男性中发现了相当高的自伤和精神病态发生率。自伤的特征与精神病态的合并症有关。这些结果表明，在诊断 APD 时，探索自伤行为和精神病态的重要性。
