初级保健数据库中边缘性人格障碍的登记患病率。
Registered prevalence of borderline personality disorder in primary care databases.
作者信息
Aragonès Enric, Salvador-Carulla Luis, López-Muntaner Judit, Ferrer Marc, Piñol Josep Lluís
机构信息
Research Unit, Tarragona-Reus Primary Care Area, Catalan Health Institute, Tarragona, Spain.
出版信息
Gac Sanit. 2013 Mar-Apr;27(2):171-4. doi: 10.1016/j.gaceta.2011.12.006. Epub 2012 Mar 7.
OBJECTIVE
Borderline personality disorder (BPD) is a common personality disorder, with a population prevalence of 1.4-5.9%, although the epidemiology of this disorder in primary care is insufficiently known. Our objective was to determine the registered prevalence of BPD in primary care databases and to study the demographic and clinical characteristics of these patients.
METHODS
We performed a cross-sectional study of the computerized databases of primary care clinical records. The target population consisted of all adults (≥ 16 years old) registered in the Catalan Health Institute (n = 4,764,729).
RESULTS
The prevalence of recorded BPD was 0.017%, and was higher in patients with other mental disorders, particularly substance-abuse disorders (0.161%). These patients had twice as many appointments with the general practitioner as the general population (8.1 vs. 4.4).
CONCLUSION
The number of diagnoses of BPD recorded in primary care is extremely low, which contrasts with the available population-based data.
目的
边缘性人格障碍（BPD）是一种常见的人格障碍，人群患病率为1.4 - 5.9%，尽管该障碍在初级保健中的流行病学情况尚不清楚。我们的目的是确定初级保健数据库中BPD的登记患病率，并研究这些患者的人口统计学和临床特征。
方法
我们对初级保健临床记录的计算机化数据库进行了横断面研究。目标人群包括加泰罗尼亚卫生研究所登记的所有成年人（≥16岁）（n = 4,764,729）。
结果
记录的BPD患病率为0.017%，在患有其他精神障碍的患者中更高，尤其是物质滥用障碍患者（0.161%）。这些患者与全科医生的预约次数是普通人群的两倍（8.1次对4.4次）。
结论
初级保健中记录的BPD诊断数量极低，这与现有的基于人群的数据形成对比。
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