University of Turin, Italy.
University of Brescia, Italy.
J Atten Disord. 2020 Apr;24(6):830-839. doi: 10.1177/1087054718780319. Epub 2018 Jun 17.
To assess prevalence of personality traits and disorders according to Millon's evolution-based model and to identify the most representative personality profiles among adult ADHD outpatients. Personality traits and disorders were evaluated using the Millon Clinical Multiaxial Inventory-III (MCMI-III) and an exploratory factor analysis (EFA) in a consecutive sample of adult ADHD outpatients ( = 70) diagnosed by the Adult ADHD Self-Report Scale-version 1.1 (ASRS-v1.1) and the Diagnostic Interview for ADHD in Adults (DIVA 2.0). More than half of our sample (57.1%) showed at least one personality disorder (PD). The most prevalent PDs were paranoid, schizotypal and negativistic (18.6% for all three PDs), depressive (17.1%), and sadistic (11.4%). No patient had a borderline PD. The EFA identified three personality profiles ("sadistic-antisocial-negativistic," "masochistic-depressive-dependent-avoidant," and "antihistrionic-schizoid"). High prevalence of PDs among adult ADHD patients was confirmed. The personality profiles seemed to reflect the persistence of ADHD and related childhood comorbidities in adulthood.
评估人格特质和障碍的患病率,根据米伦的基于进化的模型,并确定成年 ADHD 门诊患者中最具代表性的人格特征。使用米伦临床多轴量表-III(MCMI-III)和探索性因素分析(EFA)对成年 ADHD 门诊患者(n=70)进行评估,这些患者通过成人 ADHD 自我报告量表-1.1 版(ASRS-v1.1)和成人 ADHD 诊断访谈(DIVA 2.0)诊断。我们的样本中有一半以上(57.1%)至少有一种人格障碍(PD)。最常见的 PD 是偏执型、分裂样和消极型(三种 PD 均为 18.6%)、抑郁型(17.1%)和虐待型(11.4%)。没有患者有边缘型 PD。EFA 确定了三种人格特征(“虐待-反社会-消极”、“受虐-抑郁-依赖-回避”和“反社会-分裂”)。成人 ADHD 患者 PD 的高患病率得到了证实。这些人格特征似乎反映了 ADHD 及其相关的儿童共病在成年期的持续存在。