Department of Psychiatry, Harran University Faculty of Medicine, Sanliurfa, Turkey.
Int J Psychiatry Clin Pract. 2006;10(1):33-7. doi: 10.1080/13651500500305481.
Objective. The purpose of this study was to present the frequencies of personality disorders in a sample of bipolar I patients and to investigate whether the presence of comorbid personality disorders affect the course of bipolar illness.
Seventy euthymic bipolar I patients were assessed using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID II). Bipolar patients with comorbid personality disorder were compared with those of without personality disorder comorbidity on demographic and clinical variables.
Forty bipolar I patients (57%) had at least one comorbid personality disorder. The most common personality disorder cluster was cluster C (36%), followed by cluster B (17%) and cluster A (17%) personality disorders. The most prevalent personality disorder in the whole group was obsessive-compulsive personality disorder (21%). Patients with comorbid personality disorders had an earlier age of onset than those of without comorbidity.
Although the rates of comorbid personality disorders are high in bipolar I patients, the presence of comorbidity has no relevant impact on the course of bipolar I patients except for earlier age of onset of bipolar I disorder.
本研究旨在报告单相双相情感障碍 I 型患者中人格障碍的发生频率，并探讨共患人格障碍是否会影响双相情感障碍的病程。
采用 DSM-IV 轴 II 人格障碍定式临床访谈（SCID II）对 70 例病情稳定的单相双相情感障碍 I 型患者进行评估。将共患人格障碍的双相情感障碍患者与无人格障碍共病的患者在人口统计学和临床变量方面进行比较。
40 例（57%）单相双相情感障碍 I 型患者存在至少一种共患人格障碍。最常见的人格障碍群为 C 群（36%），其次为 B 群（17%）和 A 群（17%）人格障碍。在整个组中，最常见的人格障碍是强迫症人格障碍（21%）。共患人格障碍的患者比无共病的患者发病年龄更早。
尽管单相双相情感障碍 I 型患者中存在共患人格障碍的比率较高，但共病对双相情感障碍 I 型患者的病程没有显著影响，除了发病年龄更早。
