Division of Epidemiology, School of Public Health, School of Social Work and Department of Public Policy, Saint Louis University, 3550 Lindell Boulevard, St. Louis, MO 63103, USA.
J Pers Disord. 2010 Dec;24(6):709-20. doi: 10.1521/pedi.2010.24.6.709.
This study examined the association between personality disorders and use of major social welfare services in a nationally representative sample of U.S. adults (N = 43,093). Social welfare services received and diagnoses of personality, substance use, mood, and anxiety disorders were assessed with the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV-version. Analyses quantified the association between personality disorders and forms of public assistance while controlling for numerous confounds. Logistic regression analyses revealed dependent personality disorder, paranoid personality disorder, antisocial personality disorder, and avoidant personality disorder were significantly associated with increased odds of receiving public assistance. In contrast, persons diagnosed with histrionic, schizoid, and obsessive-personality disorder were not significantly more likely to receive any public welfare service. Development of effective prevention and treatment of personality disorders would likely lead to reductions in overall social welfare burden.
本研究在美国成年人的全国代表性样本中（N=43093），考察了人格障碍与主要社会福利服务使用之间的关系。使用酒精使用障碍和相关障碍访谈表 - DSM-IV 版评估了所接受的社会福利服务和人格、物质使用、情绪和焦虑障碍的诊断。分析量化了人格障碍与各种公共援助形式之间的关联，同时控制了许多混杂因素。逻辑回归分析显示，依赖性人格障碍、偏执型人格障碍、反社会人格障碍和回避型人格障碍与接受公共援助的几率增加显著相关。相比之下，被诊断为癔症型、分裂型和强迫型人格障碍的人接受任何社会福利服务的可能性并不显著更高。有效预防和治疗人格障碍可能会降低整体社会福利负担。
