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土耳其社区样本中的人格障碍:患病率、相关风险因素、气质和性格维度。

Personality disorders in a community sample in Turkey: prevalence, associated risk factors, temperament and character dimensions.

机构信息

1Department of Psychiatry, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey.

出版信息

Int J Soc Psychiatry. 2014 Mar;60(2):139-47. doi: 10.1177/0020764012471596. Epub 2013 Feb 7.

Abstract

BACKGROUND

Data from Turkey on prevalence of personality disorders (PD) in the normal population are sparse.

AIMS

The present study conducted in a community sample aimed to investigate personality disorders in terms of prevalence, associated risk factors and personality dimensions.

METHODS

A stratified sampling procedure allowed us to compose a sample consisting of 774 participants residing in Aydin, Turkey. The DSM-IV and ICD-10 Personality Questionnaire (DIP-Q) and the Temperament and Character Inventory (TCI) were used to assess PDs and personality dimensions, respectively.

RESULTS

Roughly 20% of the participants received a PD diagnosis. Among the individual PD categories, schizotypal and obsessive-compulsive PDs were the most prevalent diagnoses. Participants with PD were more likely to have lower [corrected] self-directedness and cooperativeness scores. These risk factors and personality dimensions were most strongly associated with the cluster B disorders.

CONCLUSION

New versions of the diagnostic systems should include schizotypal, obsessive-compulsive and cluster B PDs as separate diagnostic categories, and impaired self-directedness as well as cooperativeness as a general diagnostic criterion for the sake of backward and forward compatibility of the research in this field.

摘要

背景

土耳其有关普通人群中心身疾病患病率的数据较为匮乏。

目的

本研究在社区样本中开展,旨在调查人格障碍的患病率、相关风险因素和人格维度。

方法

采用分层抽样程序,我们组成了一个由 774 名居住在土耳其阿伊登的参与者组成的样本。使用 DSM-IV 和 ICD-10 人格问卷(DIP-Q)和气质与性格问卷(TCI)分别评估人格障碍和人格维度。

结果

大约 20%的参与者被诊断为人格障碍。在各个人格障碍类别中,精神分裂型和强迫型人格障碍是最常见的诊断。患有人格障碍的参与者更有可能自我导向和合作性得分较低。这些风险因素和人格维度与 B 群障碍的关联最强。

结论

新的诊断系统版本应将精神分裂型、强迫型和 B 群人格障碍分别列为单独的诊断类别,并将自我导向和合作性受损作为该领域研究的向后和向前兼容性的一般诊断标准。

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