Snyder S, Pitts W M
Acta Psychiatr Scand. 1986 Mar;73(3):307-14. doi: 10.1111/j.1600-0447.1986.tb02689.x.
Somatization, hypochondriasis, and hysteria have often been considered as associated features of the borderline personality disorder. This study was designed to characterize these three syndromes in the borderline patient. Inpatients with DSM-III borderline personality disorder were compared with controls with dysthymic disorder. Scales and items from standardized rating instruments which measured the three syndromes were scored and compared between groups. Although the hysteria-obvious and hypochondriasis scales of the MMPI and the Hamilton Depression Scale item measuring hypochondriasis were elevated in the borderline group, there were no significant differences between groups. Scores of dysthymic patients significantly exceeded those of borderline patients on four of five MMPI codetypes measuring the three syndromes. Findings are discussed in light of previous psychodynamic, empirical, and research literature.
躯体化障碍、疑病症和癔症常被视为边缘型人格障碍的相关特征。本研究旨在刻画边缘型患者的这三种综合征。将符合《精神疾病诊断与统计手册》第三版（DSM-III）边缘型人格障碍的住院患者与患有恶劣心境障碍的对照组进行比较。对测量这三种综合征的标准化评定工具中的量表和条目进行评分，并在两组之间进行比较。尽管边缘型组中明尼苏达多相人格调查表（MMPI）的癔症显性量表和疑病量表以及汉密尔顿抑郁量表中测量疑病的条目得分较高，但两组之间无显著差异。在测量这三种综合征的五个MMPI编码类型中，恶劣心境障碍患者的得分在其中四个编码类型上显著超过边缘型患者。结合先前的心理动力学、实证和研究文献对研究结果进行了讨论。
