Oldham J M, Skodol A E
New York State Office of Mental Health, New York.
Hosp Community Psychiatry. 1991 May;42(5):481-7. doi: 10.1176/ps.42.5.481.
Using a clinical data base for New York state hospitals, the authors examined the prevalence of DSM-III axis II personality disorders in state hospital patients and explored the patterns of comorbidity between axis I and axis II disorders. They found that 11 percent of the patients received a diagnosis of personality disorder and that these patients were more likely than other patients to have a primary diagnosis of schizoaffective disorder, major affective disorder, dysthymia, and substance use disorder other than alcoholism. Comparison of state hospital data with data from nonstate facilities showed different patterns of coexisting primary diagnoses and personality disorders and a much higher frequency of borderline personality disorder in nonstate patients. Based on the low percentage of state hospital patients diagnosed as having personality disorders, the authors conclude that axis II disorders are underreported in state facilities.
作者利用纽约州医院的临床数据库，研究了州立医院患者中《精神疾病诊断与统计手册》第三版（DSM-III）轴II人格障碍的患病率，并探讨了轴I与轴II障碍之间的共病模式。他们发现，11%的患者被诊断患有人格障碍，而且这些患者比其他患者更有可能被初步诊断为分裂情感性障碍、重度情感障碍、心境恶劣障碍以及除酒精中毒以外的物质使用障碍。将州立医院的数据与非州立机构的数据进行比较后发现，两者并存的初步诊断和人格障碍模式有所不同，且非州立医院的患者中边缘型人格障碍的发生率要高得多。基于被诊断患有人格障碍的州立医院患者比例较低，作者得出结论，轴II障碍在州立医疗机构中报告不足。
