Reich J H, Vasile R G
Department of Psychiatry, Brown University Medical School, Providence, Rhode Island.
J Nerv Ment Dis. 1993 Aug;181(8):475-84. doi: 10.1097/00005053-199308000-00002.
The authors review recent studies that assess the impact of personality pathology on the treatment outcomes of axis I disorders. Studies reported include both structured treatment trials and surveys of the outcome of naturalistic treatment. Personality diagnosis in each of the studies reviewed was established by a structured diagnostic instrument. In some of the studies examined, personality traits, not categorical personality diagnoses, are reported in relation to treatment outcome. The authors describe 17 studies published within the past 3 years, and discuss them in relation to a previous review that covered 21 earlier studies. Consistent with previous investigations, recent studies continue to describe an adverse impact of personality pathology on the treatment outcome of a wide range of axis I disorders. The authors examine new studies that describe the effect of specific aspects of personality dysfunction on outcome measures of axis I disorders. New developments in this area include the predictive importance of both personality traits and disorders as well as possible specificity of traits in predicting outcome in some circumstances.
作者回顾了近期评估人格病理学对轴I障碍治疗结果影响的研究。所报告的研究包括结构化治疗试验和自然主义治疗结果的调查。在每项被回顾的研究中，人格诊断是通过结构化诊断工具确定的。在一些被审查的研究中，报告的是人格特质而非分类人格诊断与治疗结果的关系。作者描述了过去3年发表的17项研究，并结合之前涵盖21项早期研究的综述对它们进行了讨论。与之前的调查一致，近期研究继续描述人格病理学对广泛的轴I障碍治疗结果的不利影响。作者研究了描述人格功能障碍的特定方面对轴I障碍结果测量影响的新研究。该领域的新进展包括人格特质和障碍在预测方面的重要性，以及在某些情况下特质在预测结果方面可能具有的特异性。
