Zanarini M C, Gunderson J G, Frankenburg F R
Psychosocial Research Program, McLean Hospital, Belmont, MA 02173.
Am J Psychiatry. 1990 Jan;147(1):57-63. doi: 10.1176/ajp.147.1.57.
Of 50 patients with borderline personality disorder, 100% reported disturbed but nonpsychotic thought, 40% (N = 20) reported quasi-psychotic thought, and none reported true psychotic thought during the past 2 years; only 14% (N = 7) reported ever experiencing true psychotic thought. Disturbed and quasi-psychotic thought was significantly more common among these patients than among patients with other axis II disorders or schizophrenia and normal control subjects; however, true psychotic thought was significantly more common among schizophrenic patients. While disturbed thought was also common among axis II disorder and schizophrenic patients, quasi-psychotic thought was reported by only one of these subjects, suggesting that quasi-psychotic thought may be a marker for borderline personality disorder.
在50名边缘型人格障碍患者中,100%报告有思维紊乱但无精神病性症状,40%(N = 20)报告有准精神病性思维,在过去2年中无人报告有真正的精神病性思维;只有14%(N = 7)报告曾经历过真正的精神病性思维。与其他轴II障碍患者、精神分裂症患者及正常对照者相比,这些患者中思维紊乱和准精神病性思维更为常见;然而,真正的精神病性思维在精神分裂症患者中更为常见。虽然思维紊乱在轴II障碍患者和精神分裂症患者中也很常见,但这些患者中只有一人报告有准精神病性思维,这表明准精神病性思维可能是边缘型人格障碍的一个标志。