Koenigsberg H W
Am J Psychiatry. 1982 Oct;139(10):1292-7. doi: 10.1176/ajp.139.10.1292.
The author compared 14 hospitalized borderline patients with 24 nonhospitalized patients given the same diagnosis. Twenty-nine clinical features of borderline patients were examined using the semistructured Diagnostic Interview for Borderlines. Although a few specific differences emerged in such areas as drug abuse, self-mutilation, and psychotherapy experience, both hospitalized and nonhospitalized patients manifested characteristic borderline traits of disturbed impulse-action patterns, psychotic experiences, poor regulation of affect, and disturbed interpersonal relationships. These findings are consistent with those of other studies and suggest that hospitalized and nonhospitalized borderline patients represent the same diagnostic entity.
作者将14名住院的边缘型人格障碍患者与24名诊断相同的非住院患者进行了比较。使用半结构化的边缘型人格障碍诊断访谈对边缘型人格障碍患者的29项临床特征进行了检查。尽管在药物滥用、自残和心理治疗经历等方面出现了一些具体差异,但住院患者和非住院患者都表现出冲动行为模式紊乱、精神病体验、情感调节不良和人际关系紊乱等边缘型人格障碍的特征。这些发现与其他研究结果一致,表明住院和非住院的边缘型人格障碍患者代表同一诊断实体。