Links P S, Steiner M, Mitton J
Department of Psychiatry, McMaster University, Hamilton, Ont., Canada.
Psychopathology. 1989;22(4):188-93. doi: 10.1159/000284595.
Comparing a sample of 88 inpatients with borderline personality disorder (BPD) to inpatients with borderline traits, this paper addresses four hypotheses regarding the association between BPD and psychotic symptoms: (1) narrowly defined psychotic symptoms are rare in BPD; (2) broadly defined psychotic symptoms are often reported in BPD; (3) narrowly defined psychotic symptoms are due to concomitant disorders, and (4) psychotic symptoms may be factitious. Consecutive admissions to acute inpatient services were screened for borderline features and patients were examined using the Diagnostic Interview for Borderlines and the Schedule for Affective Disorders and Schizophrenia. The results generally supported the proposed explanations for the association between BPD and psychotic symptoms. Factitious psychotic symptoms were found in only 13% of the BPD sample.
通过将88名边缘型人格障碍（BPD）住院患者样本与具有边缘型特质的住院患者进行比较，本文探讨了关于BPD与精神病性症状之间关联的四个假设：（1）狭义定义的精神病性症状在BPD中很少见；（2）广义定义的精神病性症状在BPD中经常被报告；（3）狭义定义的精神病性症状是由并发疾病引起的，以及（4）精神病性症状可能是虚构的。对急性住院服务的连续入院患者进行边缘型特征筛查，并使用《边缘型人格诊断访谈》和《情感障碍与精神分裂症量表》对患者进行检查。结果总体上支持了对BPD与精神病性症状之间关联的提出的解释。在BPD样本中仅发现13%的虚构性精神病性症状。
