El Kissi Yousri, Ayachi Mouna, Ben Nasr Selma, Mansour Amel, Ben Hadj Ali Bechir
Service de Psychiatrie, CHU Farhat Hached Sousse, Tunisie.
Tunis Med. 2009 Oct;87(10):685-9.
Personality disorders are common among patients seeking psychiatric care and often coexist with axis I disorders. Cluster B types are reported as being the most common in those patients. They are often correlated with specific demographic features, higher rates of axis I comorbidity and impaired outcome.
This study aimed to describe general and clinical features of personality disorders types in a Tunisian outpatient psychiatric unit and to determine characteristics of cluster B personality types, compared to those of cluster A and C.
This study was held in Sousse psychiatric outpatient unit, from January 2000 to December 2004. 148 cases were retrospectively recruited and assessed according to axis I and axis II DSM-IV criteria.
Personality disorders prevalence was 6%. 85.1% of patients had at least one current axis I disorder, which mainly consisted of depressive disorder (42.3%). Cluster B types were the most frequent (54.7%). Comorbid addictive and somatoform disorders were more frequent in cluster B. Anxiety disorders were more frequent in cluster C and psychotic disorders were more frequent in cluster A.
Our results show prevalence and clinical profile of personality disorders in a Tunisian clinical population. Cluster B types were the most frequent and seem to have specific comorbid disorders. This support the idea that patients with cluster B personality types need adapted psychiatric care.
人格障碍在寻求精神科治疗的患者中很常见，且常与轴I障碍共存。据报道，B类人格障碍在这些患者中最为常见。它们通常与特定的人口统计学特征、较高的轴I共病率和不良预后相关。
本研究旨在描述突尼斯一家精神科门诊中人格障碍类型的一般和临床特征，并确定B类人格类型与A类和C类人格类型相比的特征。
本研究于2000年1月至2004年12月在苏塞精神科门诊进行。根据轴I和轴II的DSM-IV标准，对148例病例进行回顾性招募和评估。
人格障碍患病率为6%。85.1%的患者目前至少患有一种轴I障碍，主要为抑郁症（42.3%）。B类人格障碍最为常见（54.7%）。B类人格障碍患者中，共病成瘾性和躯体形式障碍更为常见。C类人格障碍患者中，焦虑症更为常见；A类人格障碍患者中，精神障碍更为常见。
我们的研究结果显示了突尼斯临床人群中人格障碍的患病率和临床特征。B类人格障碍最为常见，且似乎有特定的共病障碍。这支持了B类人格类型患者需要针对性精神科护理的观点。
