Howard Rick, Huband Nick, Duggan Conor
University of Nottingham, Nottingham, UK.
Ann Clin Psychiatry. 2012 May;24(2):127-34.
This study tested the hypothesis that adult antisocial syndrome co-concurrent with borderline personality disorder (AAS + BPD) would be associated with greater conduct disorder (CD) severity than AAS alone.
Sixty-nine personality disordered individuals exhibited a sufficient number of adult antisocial traits to meet DSM-IV criterion A for antisocial personality disorder (AsPD). These were subdivided into those who did (AAS + BPD) or did not (AAS alone) meet DSM-IV criteria for a BPD diagnosis. We then compared the 2 groups on CD symptoms and historical, clinical, and self-report measures.
The mean number of CD criteria met and the total number of individual CD symptoms were significantly greater in the AAS + BPD group compared with the AAS alone group. The former also were more likely to be female, to have self-harmed, to show greater personality disorder comorbidity, and to self-report greater anger.
The functional link between CD and adult antisocial symptoms appears to be mediated, or at least moderated, by co-occurring borderline pathology.
本研究检验了以下假设，即成人反社会综合征与边缘型人格障碍共病（AAS + BPD）相比单独的AAS会与更严重的品行障碍（CD）相关。
69名患有个性障碍的个体表现出足够多的成人反社会特征，符合DSM-IV中反社会型人格障碍（AsPD）的A标准。这些个体被分为符合（AAS + BPD）或不符合（仅AAS）DSM-IV中BPD诊断标准的两组。然后我们在CD症状以及病史、临床和自我报告测量方面对两组进行比较。
与仅AAS组相比，AAS + BPD组满足的CD标准的平均数量以及个体CD症状的总数显著更多。前者也更可能为女性、有过自我伤害行为、表现出更高的人格障碍共病率，并且自我报告有更强烈的愤怒情绪。
CD与成人反社会症状之间的功能联系似乎由共病的边缘型病理所介导，或至少受到其调节。
