Coid Jeremy, Moran Paul, Bebbington Paul, Brugha Traolach, Jenkins Rachel, Farrell Mike, Singleton Nicola, Ullrich Simone
Queen Mary University of London, Wolfson Institute for Preventive Medicine, London UK.
Crim Behav Ment Health. 2009;19(5):321-33. doi: 10.1002/cbm.747.
Our aim was to examine patterns of Axis II co-morbidity using data from the national survey of psychiatric morbidity among prisoners in England and Wales.
A one-in-five sub-sample of participants in a survey of psychiatric morbidity among prisoners in England and Wales was interviewed using the Schedule for Clinical Assessment in Neuropsychiatry and the Structured Clinical Interview for the fourth edition of the Diagnostic and Statistical Manual of Mental Health Disorders Axis II personality disorders (PD). Logistic regression analysis was conducted adjusting for confounders of associations with co-morbid psychopathology disorders, age and gender.
The most prevalent Axis II disorders in the sample were anti-social, paranoid and borderline PD. Following logistic regression, anti-social and borderline PD demonstrated high levels of co-morbidity with both Axis I and other Axis II disorders, narcissistic PD with other Axis II, and paranoid and avoidant PD with Axis I disorders.
Certain Axis II disorders may increase the risk for lifetime Axis I disorders. Although appropriate statistical procedures reduce the level of Axis II co-morbidity, some patterns may be artefacts of a diagnostic system encouraging multiple diagnostic categories.
我们的目标是利用来自英格兰和威尔士囚犯精神疾病全国调查的数据，研究轴II共病模式。
采用神经精神病临床评估量表和《精神疾病诊断与统计手册》第四版轴II人格障碍（PD）结构化临床访谈，对英格兰和威尔士囚犯精神疾病调查中五分之一的参与者子样本进行访谈。进行逻辑回归分析，对与共病精神病理学障碍、年龄和性别的关联混杂因素进行调整。
样本中最常见的轴II障碍是反社会、偏执和边缘型PD。经过逻辑回归分析，反社会和边缘型PD与轴I及其他轴II障碍均表现出高度共病，自恋型PD与其他轴II障碍共病，偏执型和回避型PD与轴I障碍共病。
某些轴II障碍可能会增加终生轴I障碍的风险。尽管适当的统计程序降低了轴II共病的水平，但某些模式可能是鼓励多种诊断类别的诊断系统的人为产物。
