VISN 2 MIRECC, James J. Peters VA Medical Center, Bronx, New York.
Teachers College, Columbia University, New York, New York.
J Pers Disord. 2022 Jun;36(3):339-358. doi: 10.1521/pedi.2022.36.3.339.
Despite priorities around mental health, Veteran health care organizations have historically considered personality disorders to be preexisting conditions ineligible for disability benefits. However, growing evidence suggests potentially elevated prevalence of these disorders among military and Veteran samples and attests to implications of risk. The current study provides a meta-analytic review of literature on the prevalence of personality disorders in Veteran samples. Analysis of 27 unique samples, comprising 7,161 Veterans, suggests alarmingly high rates of Veteran personality disorders. Prevalence was highest for paranoid (23%) and borderline (21%) personality disorders and lowest for histrionic (0.8%) personality disorder. Rates were generally highest among Veterans experiencing substance use or elevated suicide risk and among studies establishing diagnoses through clinical interview (versus official medical record review). Results attest to the need for Veteran health care organizations to acknowledge personality disorders in this population, through both research and treatment, and to consider reclassifying personality disorders as potential "service-connected conditions."
尽管精神健康是优先事项，但退伍军人医疗保健组织历来认为人格障碍是不符合残疾福利资格的先前存在的疾病。然而，越来越多的证据表明，这些障碍在军人和退伍军人样本中普遍存在，并证明了存在风险。本研究对退伍军人样本中人格障碍的流行情况进行了荟萃分析综述。对 27 个独特样本（包括 7161 名退伍军人）的分析表明，退伍军人人格障碍的发生率高得惊人。偏执型（23%）和边缘型（21%）人格障碍的患病率最高，而表演型（0.8%）人格障碍的患病率最低。在经历药物使用或自杀风险升高的退伍军人中，以及通过临床访谈（而非官方医疗记录审查）确定诊断的研究中，患病率通常最高。研究结果证明，退伍军人医疗保健组织有必要通过研究和治疗来承认这一人群中的人格障碍，并考虑将人格障碍重新归类为潜在的“与服务相关的疾病”。
