Pitts W M, Gustin Q L, Mitchell C, Snyder S
J Nerv Ment Dis. 1985 Oct;173(10):628-31. doi: 10.1097/00005053-198510000-00009.
This study attempted to distinguish the borderline personality disorder (BPD) from other personality disorders (OPD) on the basis of the Lachar and Wrobel critical item list. Seventy-five male psychiatric inpatients with diagnoses fitting DSM-III criteria for BPD and OPD and ranging in age from 24 to 47 years completed the MMPI. Lachar's critical item set, composed of 111 items taken from the MMPI, was then selected from each of the 75 subjects' response items. BPD and OPD patients significantly differed on only the Lachar Substance Abuse subscale. Implications of this study are discussed with regard to the concept that personality structure involves a continuum of psychopathology. The Lachar critical item list provided support for drug abuse as part of the diagnostic criteria for BPD and displayed promise for identifying areas of psychopathology on which treatment may be focused.
本研究试图根据拉查尔和弗罗贝尔的关键项目清单，将边缘性人格障碍（BPD）与其他人格障碍（OPD）区分开来。75名符合DSM-III标准的BPD和OPD诊断的男性精神科住院患者，年龄在24至47岁之间，完成了明尼苏达多相人格测验（MMPI）。然后从75名受试者的每个反应项目中选出由111个取自MMPI的项目组成的拉查尔关键项目集。BPD和OPD患者仅在拉查尔药物滥用分量表上有显著差异。本研究的意义围绕人格结构涉及精神病理学连续体这一概念进行了讨论。拉查尔关键项目清单为药物滥用作为BPD诊断标准的一部分提供了支持，并显示出在确定可能作为治疗重点的精神病理学领域方面的前景。
