Hogg B, Jackson H J, Rudd R P, Edwards J
Department of Psychology, University of Melbourne, Parkville, Victoria, Australia.
J Nerv Ment Dis. 1990 Mar;178(3):194-9. doi: 10.1097/00005053-199003000-00007.
The present study aimed to determine the prevalence of personality disorders (PDs) and personality disorder traits in 40 recent-onset schizophrenic patients, to establish the degree of concordance between the Structured Interview for DSM-III Personality Disorders (SIDP) and the Million Multiaxial Clinical Inventory (MCMI-I), and to examine the interrater reliabilities for the diagnosis of SIDP disorders and traits. During their recovery phase, patients underwent the SIDP and completed the MCMI-I, a self-report inventory. Results showed that 57% of all patients had PDs according to the SIDP. The most common PDs were antisocial, borderline, and schizotypal, whereas the most common according to the MCMI-I were dependent, narcissistic, and avoidant. Both instruments indicated that multiple PD diagnoses were common. Paranoid and schizotypal traits were found to be ubiquitous across instruments. The level of agreements between the two instruments was poor on diagnostic assignment but better when trait scores were considered.
本研究旨在确定40例近期发病的精神分裂症患者中人格障碍（PDs）和人格障碍特质的患病率，确定《精神障碍诊断与统计手册》第三版人格障碍结构化访谈（SIDP）与米隆多轴临床量表（MCMI-I）之间的一致性程度，并检验SIDP障碍和特质诊断的评分者间信度。在康复阶段，患者接受了SIDP访谈并完成了MCMI-I（一种自陈量表）。结果显示，根据SIDP，所有患者中有57%患有PDs。最常见的PDs是反社会型、边缘型和分裂型，而根据MCMI-I最常见的是依赖型、自恋型和回避型。两种工具均表明多重PD诊断很常见。偏执和分裂型特质在两种工具中均普遍存在。两种工具在诊断分配上的一致性水平较差，但在考虑特质分数时一致性较好。
