Spitzer R L, Williams J B, Kass F, Davies M
New York State Psychiatric Institute, NY 10032.
Am J Psychiatry. 1989 Dec;146(12):1561-7. doi: 10.1176/ajp.146.12.1561.
A national field trial of the criteria for self-defeating personality disorder was conducted in 1986. Among psychiatrists with a special interest in personality disorders there was a lack of consensus as to the need for the category in DSM-III-R. Although the diagnosis was more commonly made for female patients, the disorder was by no means rare in male patients. The diagnostic criteria for the disorder had high sensitivity and specificity. However, a series of analyses indicated that the category had limited descriptive validity and considerable overlap with borderline and dependent personality disorders.
1986年对自我挫败型人格障碍的诊断标准进行了一项全国性现场试验。在对人格障碍有特殊兴趣的精神科医生中，对于《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）中该类别是否必要缺乏共识。尽管该诊断在女性患者中更常见，但在男性患者中也绝非罕见。该障碍的诊断标准具有较高的敏感性和特异性。然而，一系列分析表明，该类别描述效度有限，且与边缘型人格障碍和依赖型人格障碍有相当大的重叠。
