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人格障碍样本中的社会经济地位与心理健康:邻里因素的重要性。

Socioeconomic-status and mental health in a personality disorder sample: the importance of neighborhood factors.

出版信息

J Pers Disord. 2013 Dec;27(6):820-31. doi: 10.1521/pedi_2012_26_061. Epub 2012 Sep 17.

DOI:10.1521/pedi_2012_26_061
PMID:22984860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4628287/
Abstract

This cross-sectional study examined the associations between neighborhood-level socioeconomic-status (NSES), and psychosocial functioning and personality pathology among 335 adults drawn from the Collaborative Longitudinal Personality Disorders Study. Participants belonged to four personality disorder (PD) diagnostic groups: Avoidant, Borderline, Schizotypal, and Obsessive Compulsive. Global functioning, social adjustment, and PD symptoms were assessed following a minimum two-year period of residential stability. Residence in higherrisk neighborhoods was associated with more PD symptoms and lower levels of functioning and social adjustment. These relationships were consistent after controlling for individual-level socioeconomic-status and ethnicity; however, the positive association between neighborhood-level socio-economic risk and PD symptoms was evident only at higher levels of individual-level socio-economic risk. Our findings identify NSES as a candidate for explaining some of the variability in symptoms and functioning among PD individuals.

摘要

本横断面研究调查了邻里社会经济地位(NSES)与 335 名来自合作纵向人格障碍研究的成年人的心理社会功能和人格病理之间的关联。参与者属于四种人格障碍(PD)诊断组:回避型、边缘型、分裂型和强迫型。在居住稳定至少两年后,评估了总体功能、社会适应和 PD 症状。居住在高风险社区与更多的 PD 症状和较低的功能和社会适应水平相关。在控制个体社会经济地位和种族后,这些关系仍然存在;然而,个体社会经济风险水平较高时,社区社会经济风险与 PD 症状之间的正相关关系才明显。我们的研究结果表明,社会经济地位是解释 PD 个体症状和功能变异性的候选因素之一。

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