上海精神科门诊患者中边缘型人格障碍的频率。
Frequency of borderline personality disorder among psychiatric outpatients in Shanghai.
机构信息
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, China.
出版信息
J Pers Disord. 2012 Jun;26(3):393-401. doi: 10.1521/pedi.2012.26.3.393.
Abstract
The objective of this study was to investigate the frequency, clinical characteristics, and comorbidity of borderline personality disorder (BPD) among psychiatric outpatients in two clinics at Shanghai Mental Health Center. A cross-sectional investigation was conducted. From 3,075 outpatients screened using the Personality Diagnostic Questionnaire-IV+, 2,284 patients positive for a personality disorder were assessed using the Structured Clinical Interview for DSM-IV Personality Disorders. The frequency of BPD among the psychiatric outpatients was 5.8%, with a frequency of 3.5% among males and 7.5% among females (p < .01). BPD was found to have extensive comorbidity with Axis I and II disorders. This study proves that BPD does occur in China. The detected frequency among outpatients is lower than that reported in North America.
摘要
本研究旨在调查上海精神卫生中心两家门诊精神科患者中边缘型人格障碍（BPD）的发生率、临床特征和共病情况。采用横断面调查方法。对使用人格诊断问卷第四版（PDQ-4+）筛选出的 3075 名门诊患者进行调查，其中 2284 名符合人格障碍诊断标准的患者使用DSM-IV 人格障碍定式临床访谈进行评估。精神科门诊患者中 BPD 的发生率为 5.8%，男性为 3.5%，女性为 7.5%（p<.01）。BPD 与轴 I 和轴 II 障碍有广泛的共病。本研究证明 BPD 确实存在于中国。门诊患者中的检出率低于北美的报告。
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本文引用的文献
1
Construct validity and prevalence rate of borderline personality disorder among Chinese adolescents.中文青少年边缘型人格障碍的结构效度和患病率。
J Pers Disord. 2009 Oct;23(5):494-513. doi: 10.1521/pedi.2009.23.5.494.
2
Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions.《精神疾病诊断与统计手册》第四版边缘型人格障碍的患病率、相关因素、残疾情况及共病情况：来自第二轮酒精及相关疾病全国流行病学调查的结果
J Clin Psychiatry. 2008 Apr;69(4):533-45. doi: 10.4088/jcp.v69n0404.
3
Should borderline personality disorder be included in the fourth edition of the Chinese classification of mental disorders?边缘型人格障碍是否应纳入《中国精神障碍分类与诊断标准（第4版）》？
Chin Med J (Engl). 2007 Jan 5;120(1):77-82. doi: 10.3901/jme.2007.04.077.
4
DSM-IV personality disorders in the National Comorbidity Survey Replication.《国家共病调查复制版》中的DSM-IV人格障碍
Biol Psychiatry. 2007 Sep 15;62(6):553-64. doi: 10.1016/j.biopsych.2006.09.019. Epub 2007 Jan 9.
5
Trauma and dissociation in China.中国的创伤与分离。
Am J Psychiatry. 2006 Aug;163(8):1388-91. doi: 10.1176/ajp.2006.163.8.1388.
6
Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder.分裂型、边缘型、回避型或强迫型人格障碍患者的功能损害。
Am J Psychiatry. 2002 Feb;159(2):276-83. doi: 10.1176/appi.ajp.159.2.276.
7
Practice guideline for the treatment of patients with borderline personality disorder. American Psychiatric Association.边缘型人格障碍患者治疗实践指南。美国精神病学协会。
Am J Psychiatry. 2001 Oct;158(10 Suppl):1-52.
8
Treatment utilization by patients with personality disorders.人格障碍患者的治疗利用情况。
Am J Psychiatry. 2001 Feb;158(2):295-302. doi: 10.1176/appi.ajp.158.2.295.
9
The Collaborative Longitudinal Personality Disorders Study: baseline Axis I/II and II/II diagnostic co-occurrence.协作性纵向人格障碍研究：轴I/轴II及轴II/轴II诊断共现情况基线
Acta Psychiatr Scand. 2000 Oct;102(4):256-64. doi: 10.1034/j.1600-0447.2000.102004256.x.
10
The cross-cultural generalizability of Axis-II constructs: an evaluation of two personality disorder assessment instruments in the People's Republic of China.轴II结构的跨文化普遍性：对中华人民共和国两种人格障碍评估工具的评价。
J Pers Disord. 2000 Fall;14(3):249-63. doi: 10.1521/pedi.2000.14.3.249.
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