Athens University Medical School, 2nd Psychiatry Department, Athens, Greece.
Curr Opin Psychiatry. 2012 Sep;25(5):398-404. doi: 10.1097/YCO.0b013e3283558491.
Cluster B personality disorders are associated with behaviour and lifestyle that cause significant problems not only for the personality disordered individual but for society as well. Despite the fact that cluster B personality disorders have attracted a lot of research interest recently, their association with medical (physical health) problems is less studied, though it is anticipated that personality is clinically important and influences the outcome of somatic disease illnesses.
Cluster B personality disorders are associated with Axis I psychiatric disorders such as addiction that have serious and life-threatening physical comorbidity. Lifestyle and health behaviours associated with cluster B personality disorders lead to medical problems and enhance preexisting physical problems. Furthermore, personality traits associated with cluster B personality disorders disrupt both medical treatment and follow-up, influencing negatively life expectancy and quality of life.
It is imperative that clinicians of all medical specialties are aware of the influence personality disorders and certain personality traits such as impulsivity can have on the outcome of the illness. Further research on the interaction between personality disorders and medical illness is needed.
B 类人格障碍与行为和生活方式有关，这些行为和生活方式不仅会给人格障碍患者本身带来严重问题，也会给整个社会带来问题。尽管 B 类人格障碍最近引起了大量的研究兴趣，但它们与医疗（身体健康）问题的关联研究较少，尽管人们预计人格在临床上很重要，并会影响躯体疾病的结果。
B 类人格障碍与轴 I 精神障碍（如成瘾）有关，这些障碍具有严重的、危及生命的躯体共病。与 B 类人格障碍相关的生活方式和健康行为会导致医疗问题，并加重原有身体问题。此外，与 B 类人格障碍相关的人格特征会干扰医疗治疗和随访，对预期寿命和生活质量产生负面影响。
所有医学专业的临床医生都必须意识到人格障碍以及某些人格特征（如冲动）对疾病结果的影响。需要进一步研究人格障碍和躯体疾病之间的相互作用。
