Departments of Psychiatry and Internal Medicine, Wright State University School of Medicine, Dayton, OH and Psychiatry Education, Kettering Medical Center, OH, Kettering, USA.
Int J Psychiatry Clin Pract. 2005;9(1):41-4. doi: 10.1080/13651500510018293.
Objective The purpose of this study was to examine among psychiatric inpatients (N=110) the relationship, if any, between the number of Axis I diagnoses and the number of self-harm behaviors (SHBs). We also wished to explore the role of borderline personality disorder (BPD) in mediating this possible relationship. Method We examined discharge diagnoses in relationship to scores on the Self-Harm Inventory (SHI) for all participants as well as by BPD status. Results For the entire sample, there was a significant correlation between the number of Axis I disorders and the number of SHBs [Spearman's rho(110)=0.21, p=0.03]. When examining this relationship in terms of BPD status, there were no significant between-group differences in the number of Axis I diagnoses. While patients diagnosed with BPD endorsed significantly more SHBs (M=9.53, SD=3.89) than nonBPD patients (M=5.32, SD=3.89), there was only a significant correlation between the number of Axis I disorders and SHB for the nonBPD, but not the BPD subsample. Conclusions Among psychiatric inpatients, there is a relationship between the number of Axis I diagnoses and the number of SHBs.
目的 本研究旨在探讨精神科住院患者（N=110）中，轴 I 诊断数量与自伤行为（SHB）数量之间是否存在关系。我们还希望探讨边缘型人格障碍（BPD）在调解这种可能的关系中所起的作用。 方法 我们检查了所有参与者的出院诊断与自我伤害量表（SHI）得分之间的关系，以及 BPD 状态的关系。 结果 对于整个样本，轴 I 障碍数量与 SHB 数量之间存在显著相关性[Spearman's rho(110)=0.21，p=0.03]。当根据 BPD 状态检查这种关系时，轴 I 诊断数量在组间没有显著差异。虽然被诊断为 BPD 的患者的 SHB 明显多于非 BPD 患者（M=9.53，SD=3.89）（M=5.32，SD=3.89），但只有非 BPD 亚组的轴 I 障碍数量与 SHB 之间存在显著相关性，而 BPD 亚组则没有。 结论 在精神科住院患者中，轴 I 诊断数量与 SHB 数量之间存在关系。
