Department of Psychiatry, Shatin Hospital, 33 A Kung Kok Street, Shatin, Hong Kong.
J Pers Disord. 2010 Dec;24(6):800-11. doi: 10.1521/pedi.2010.24.6.800.
This study examined the point prevalence of Borderline Personality Disorder (BPD) and its clinical correlates in patients with recent deliberate self-harm (DSH) in Hong Kong. A representative consecutive sample (n = 160) of patients with DSH referred to Prince of Wales Hospital from April 1, 2007 to March 31, 2008 was recruited. Their BPD status was determined according to the BPD subscale of the Chinese version of Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). The point prevalence of BPD was calculated. Subjects with and without BPD were compared in terms of demographic and clinical characteristics. Thirty out of 160 (18.8%) DSH patients were found to suffer from BPD. DSH patients with BPD were more likely to be female (p = .020), more often reported history of childhood physical (p = 0.043) and sexual abuse (p < 0.001), history of past DSH (p = 0.010), being younger at first DSH (p = 0.039), and more likely to suffer from current alcohol and substance use disorder (p = 0.043) and eating disorder (p = 0.040) than those without BPD. Being female, having history of childhood sexual abuse and current alcohol and substance use disorder were found to be independent predictors of BPD status by binary logistic regression.
本研究旨在探讨香港近期故意自我伤害（DSH）患者的边缘型人格障碍（BPD）的时点患病率及其临床相关性。2007 年 4 月 1 日至 2008 年 3 月 31 日期间，我们连续招募了 160 例转诊至威尔斯亲王医院的 DSH 患者作为研究对象。采用中文版 DSM-IV 轴 II 人格障碍结构化临床访谈（SCID-II）的 BPD 亚量表来确定患者的 BPD 状况。计算 BPD 的时点患病率。并比较 BPD 阳性和阴性患者在人口统计学和临床特征方面的差异。结果发现，160 例 DSH 患者中有 30 例（18.8%）患有 BPD。与 BPD 阴性患者相比，BPD 阳性患者更有可能是女性（p =.020），更常报告有童年期躯体（p = 0.043）和性虐待（p < 0.001）史、过去有 DSH 史（p = 0.010）、首次 DSH 发生的年龄更小（p = 0.039），且更易出现当前酒精和物质使用障碍（p = 0.043）和饮食障碍（p = 0.040）。二元逻辑回归分析显示，女性、童年期性虐待史和当前酒精和物质使用障碍是 BPD 状态的独立预测因素。
