Bulik C M, Sullivan P F, Joyce P R, Carter F A
Department of Psychology, University of Canterbury, Christchurch, New Zealand.
J Nerv Ment Dis. 1995 Sep;183(9):593-8. doi: 10.1097/00005053-199509000-00006.
In a sample of 76 women participating in a clinical treatment trial for bulimia nervosa, we examined the clinical differences between subjects with and without concurrent personality disorders and the ability of "self-directedness" (a character scale of Cloninger's Temperament and Character Inventory) to predict the presence of personality disorder. Sixty-three percent of the sample had at least one personality disorder diagnosis. Fifty-one percent of personality disorders were in cluster C, 41% were in cluster B, and 33% were in cluster A. The presence of personality disorder was associated with greater depressive symptoms, worse global functioning, laxative use, greater body dissatisfaction, higher harm avoidance, and lower self-directedness. As hypothesized, low self-directedness scores were associated with a markedly increased probability of a personality disorder.
在一个由76名参与神经性贪食症临床治疗试验的女性组成的样本中，我们研究了伴有和不伴有共病性人格障碍的受试者之间的临床差异，以及“自我导向性”（克隆宁格气质与性格量表中的一个性格量表）预测人格障碍存在的能力。样本中63%的人至少有一项人格障碍诊断。51%的人格障碍属于C类，41%属于B类，33%属于A类。人格障碍的存在与更严重的抑郁症状、更差的整体功能、使用泻药、更高的身体不满、更高的回避伤害以及更低的自我导向性相关。正如所假设的，低自我导向性得分与人格障碍的显著更高概率相关。
