Research Group at the Department for Personality Psychiatry, Oslo University Hospital, Norway.
J Pers Disord. 2012 Apr;26(2):141-61. doi: 10.1521/pedi.2012.26.2.141.
The aim of this study was to examine the long-term course of global functioning in patients with personality disorders (PD) and investigate predictors of variation. The Global Assessment of Functioning (GAF) was repeated over five years in 352 patients with PDs of varying severity, all treated in psychotherapeutic day hospitals. Growth models were used for statistical analysis. Large variations in the long-term course of global functioning were evident in this clinical sample. At five-year follow-up, 46% reached a GAF-score above 60 with a mean GAF-score of 71. Their linear change-rate over the five years was estimated to be 4.4 GAF points per year. The average five-year GAF-score for the remaining subgroup (54%) was 50 and their linear yearly change-rate was 0.8 GAF points. Greater relief of symptom distress and interpersonal problems was typical of patients with functional improvement. The number of avoidant PD criteria was associated with slower functional change.
本研究旨在考察人格障碍（PD）患者的总体功能长期变化情况，并探讨其变化的预测因素。对 352 名不同严重程度的 PD 患者在心理治疗日间医院接受治疗的 5 年内重复进行了总体功能评估（GAF）。使用增长模型进行了统计分析。在该临床样本中，总体功能的长期变化存在较大差异。在 5 年随访时，46%的患者 GAF 评分超过 60，平均 GAF 得分为 71。他们在 5 年内的线性变化率估计为每年 4.4 个 GAF 分。其余亚组（54%）的平均 5 年 GAF 得分为 50，他们的线性年变化率为 0.8 GAF 分。症状困扰和人际关系问题缓解程度较大是功能改善患者的典型特征。回避型 PD 标准数量与功能变化较慢有关。
