J Pers Disord. 2013 Dec;27(6):746-63. doi: 10.1521/pedi_2013_27_109. Epub 2013 Jun 20.
Avoidant personality disorder (APD) and social phobia (SP) are closely related, such that they are suggested to represent different severity levels of one social anxiety disorder. This cross-sectional study aimed to compare patients with APD to patients with SP, with particular focus on personality dysfunction. Ninety-one adult patients were examined by diagnostic interviews and self-report measures, including the Index of Self-Esteem and the Severity Indices of Personality Problems. Patients were categorized in three groups; SP without APD (n = 20), APD without SP (n = 15), and APD with SP (n = 56). Compared to patients with SP without APD, patients with APD reported more symptom disorders, psychosocial problems, criteria of personality disorders, and personality dysfunction regarding self-esteem, identity and relational problems. These results indicate that APD involves more severe and broader areas of personality dysfunction than SP, supporting the conceptualization of APD as a personality disorder as proposed for DSM-5.
回避型人格障碍 (APD) 和社交恐惧症 (SP) 密切相关，因此它们被认为代表了一种社交焦虑障碍的不同严重程度。本横断面研究旨在比较 APD 患者和 SP 患者，特别关注人格障碍。91 名成年患者通过诊断访谈和自我报告量表进行检查，包括自尊指数和人格问题严重程度指数。患者被分为三组：无 APD 的 SP（n = 20）、无 SP 的 APD（n = 15）和有 APD 的 SP（n = 56）。与无 APD 的 SP 患者相比，有 APD 的患者报告了更多的症状障碍、心理社会问题、人格障碍标准和自尊、身份和关系问题方面的人格障碍。这些结果表明，APD 比 SP 涉及更严重和更广泛的人格障碍领域，支持将 APD 概念化为 DSM-5 提出的人格障碍。
