Zimmerman M, Coryell W H
Department of Psychiatry, University of Iowa, Iowa City.
J Nerv Ment Dis. 1990 Nov;178(11):686-92. doi: 10.1097/00005053-199011000-00003.
Dimensional scores were computed for the 11 DSM-III personality disorders (PDs) in 797 relatives of psychiatric patients and never ill control subjects interviewed with the Structured Interview for DSM-III Personality Disorders. The distribution of scores for all 11 PD dimensions was skewed to the right. A principal components analysis with varimax rotation produced three factors that closely corresponded to DSM-III's suggested clustering of the PDs into eccentric, dramatic, and anxious types. Men scored significantly higher on the paranoid, schizoid, compulsive, antisocial, and narcissistic dimensions, whereas women had significantly higher histrionic, dependent, and avoidant scores. Age was negatively correlated with most of the PD dimensions, and the correlations were strongest with the four PDs in cluster 2 (histrionic, antisocial, narcissistic, and borderline). Each of the eight axis I disorders examined was associated with increased axis II pathology.
采用《精神疾病诊断与统计手册》第三版人格障碍结构化访谈,对797名精神病患者亲属及从未患病的对照受试者进行访谈,计算出11种《精神疾病诊断与统计手册》第三版人格障碍(PDs)的维度得分。所有11个PD维度的得分分布均向右偏态。采用方差最大化旋转的主成分分析产生了三个因素,这三个因素与《精神疾病诊断与统计手册》第三版中建议的将PDs分为古怪型、戏剧型和焦虑型的分类密切对应。男性在偏执、分裂样、强迫、反社会和自恋维度上的得分显著更高,而女性在表演型、依赖型和回避型维度上的得分显著更高。年龄与大多数PD维度呈负相关,且与第2组中的四种PD(表演型、反社会型、自恋型和边缘型)的相关性最强。所检查的八种轴I障碍中的每一种都与轴II病理增加有关。