人格障碍维度随时间相关吗？使用多变量增长模型进行的十年研究。
Are personality disorder dimensions related over time? An examination over the course of ten years using multivariate growth modeling.
作者信息
Hershenberg Rachel, Olino Thomas M, Dyson Margaret W, Davila Joanne, Klein Daniel N
机构信息
VISN 4 Mental Illness Research, Education and Clinical Center at Philadelphia VA Medical Center, Philadelphia PA, USA; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Psychology, Temple University, Philadelphia, PA, USA.
出版信息
Compr Psychiatry. 2015 Apr;58:11-7. doi: 10.1016/j.comppsych.2014.12.002. Epub 2014 Dec 24.
OBJECTIVE
Despite the well-documented literature on cross-sectional comorbidity, there is a paucity of data on the associations between personality disorders (PDs) over time. Using multivariate growth modeling, the present study examined the inter-relationships between pairs of PD disorder dimensions.
METHODS
We tested these associations in a sample of 142 depressed outpatients followed-up five times over the course of 10 years.
RESULTS
We found cross-sectional associations between the initial levels of severity of many pairs of PD dimensions. However, there was limited support for longitudinal associations between PD dimensions.
CONCLUSION
These findings suggest that the course of PD dimensions is fairly independent of each other, and that initial levels of PD dimensions have relatively little prognostic value for predicting the course of other PD dimensions.
目的
尽管有大量关于横断面共病的文献，但关于人格障碍（PDs）随时间的关联数据却很少。本研究采用多元增长模型，检验了人格障碍维度对之间的相互关系。
方法
我们在142名抑郁症门诊患者样本中测试了这些关联，该样本在10年期间进行了5次随访。
结果
我们发现许多人格障碍维度对的初始严重程度之间存在横断面关联。然而，人格障碍维度之间的纵向关联得到的支持有限。
结论
这些发现表明，人格障碍维度的病程彼此相当独立，而且人格障碍维度的初始水平对预测其他人格障碍维度的病程的预后价值相对较小。
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