Soloff P H, George A, Nathan R S, Schulz P M
J Clin Psychiatry. 1987 Apr;48(4):155-7.
The comorbidity of depression and borderline disorder was studied in 39 symptomatic borderline inpatients defined by the Diagnostic Interview for Borderlines using three independent methods for assessing depression and three definitions of depression. Evaluations were conducted by the Schedule for Affective Disorders and Schizophrenia interviews for Research Diagnostic Criteria (RDC) depressive disorders, by clinical ratings for atypical depressive disorder, and by self-rated questionnaires for hysteroid dysphoria. Diagnoses of an RDC depression were made in 25 (64.1%), atypical depressive disorder in 16 (41%), and hysteroid dysphoria in 25 (64.1%) of the borderline patients. Two depressive diagnoses were present in 64.1% of patients, while 17.9% of patients met criteria for all three depressive disorders. No one method accurately characterized depression in borderline patients.
采用三种独立的抑郁评估方法和三种抑郁定义，对39名有症状的边缘性人格障碍住院患者进行了抑郁与边缘性人格障碍共病的研究。这些患者通过边缘性人格障碍诊断访谈确定。评估通过情感障碍和精神分裂症研究诊断标准（RDC）抑郁障碍访谈日程、非典型抑郁障碍临床评定以及类癔症烦躁不安自评问卷进行。边缘性人格障碍患者中，25例（64.1%）被诊断为RDC抑郁，16例（41%）为非典型抑郁障碍，25例（64.1%）为类癔症烦躁不安。64.1%的患者有两种抑郁诊断，17.9%的患者符合所有三种抑郁障碍的标准。没有一种方法能准确地描述边缘性人格障碍患者的抑郁情况。
