Hutsebaut J, Willemsen E M C, Van H L
Tijdschr Psychiatr. 2018;60(5):306-314.
Compared to cluster B personality disorders, the assessment and treatment of people with obsessive-compulsive, dependent, and avoidant personality disorders (cluster C) is given little attention in the field of research and clinical practice.
Presenting the current state of affairs in regard to cluster C personality disorders.
A systematic literature search was conducted using the main data bases.
Cluster C personality disorders are present in approximately 3-9% of the general population. In about half of the cases of mood, anxiety, and eating disorders, there is co-morbid cluster C pathology. This has a major influence on the progression of symptoms, treatment effectiveness and potential relapse. There are barely any well conducted randomized studies on the treatment of cluster-C in existence. Open cohort studies, however, show strong, lasting treatment effects.
Given the frequent occurrence of cluster C personality disorders, the burden of disease, associated societal costs and the prognostic implications in case of a co-morbid cluster C personality disorder, early detection and treatment of these disorders is warranted.
与B类人格障碍相比，强迫型、依赖型和回避型人格障碍（C类）患者的评估与治疗在研究和临床实践领域很少受到关注。
介绍C类人格障碍的当前状况。
使用主要数据库进行系统的文献检索。
C类人格障碍在普通人群中的患病率约为3%-9%。在大约一半的情绪、焦虑和饮食失调病例中，存在共病的C类病理情况。这对症状进展、治疗效果和潜在复发有重大影响。几乎没有关于C类人格障碍治疗的高质量随机研究。然而，开放性队列研究显示出强大且持久的治疗效果。
鉴于C类人格障碍的频繁发生、疾病负担、相关社会成本以及共病C类人格障碍时的预后影响，对这些障碍进行早期检测和治疗是必要的。
