Laverdière Olivier, Ogrodniczuk John S, Kealy David
Department of Psychology, Université de Sherbrooke, Sherbrooke, QC.
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
J Nerv Ment Dis. 2019 Oct;207(10):820-825. doi: 10.1097/NMD.0000000000001044.
With a controversial history, passive-aggressive personality disorder (PAPD) was eventually removed from the latest edition of the Diagnostic and Statistical Manual for Mental Disorders. Despite its demise from diagnostic nomenclature, clinicians continue to regard it as a clinically relevant construct, and some researchers argue for its resurrection. Toward this end, it is important to empirically demonstrate the relevance of the passive-aggressive personality construct, including demonstrating its association with impaired functioning. Consistent with contemporary emphasis on interpersonal functioning in personality pathology, the current study aims to explore interpersonal problems that are associated with PAPD in a large clinical sample. Before beginning treatment, 240 patients completed assessments of personality psychopathology and interpersonal functioning. Results showed that higher levels of PAPD were significantly associated with greater level of interpersonal distress, especially regarding interpersonal problems of a vindictive nature. The findings are consistent with clinical descriptions of the core conflictual relational issues of patients with PAPD and lend some support to further considering PAPD as a valid diagnostic construct.
被动攻击型人格障碍（PAPD）有着颇具争议的历史，最终从最新版的《精神疾病诊断与统计手册》中被移除。尽管它从诊断术语中消失了，但临床医生仍将其视为一个具有临床相关性的概念，一些研究人员主张恢复对它的诊断。为此，通过实证证明被动攻击型人格概念的相关性很重要，包括证明它与功能受损的关联。与当代对人格病理学中人际功能的重视相一致，本研究旨在探讨在一个大型临床样本中与被动攻击型人格障碍相关的人际问题。在开始治疗前，240名患者完成了人格精神病理学和人际功能的评估。结果显示，较高水平的被动攻击型人格障碍与更高程度的人际困扰显著相关，尤其是在报复性人际问题方面。这些发现与被动攻击型人格障碍患者核心冲突性人际关系问题的临床描述一致，并为进一步将被动攻击型人格障碍视为一个有效的诊断概念提供了一些支持。
