Thomsen P H, Mikkelsen H U
Children's Psychiatric Hospital, Risskov, Denmark.
Acta Psychiatr Scand. 1993 Jun;87(6):456-62. doi: 10.1111/j.1600-0447.1993.tb03404.x.
Forty-seven people with admissions in childhood for obsessive-compulsive disorder (OCD) and 49 child psychiatric controls were followed up in young adulthood and assessed for DSM-III-R personality disorders with the Structured Clinical Interview for DSM-III-R Personality Disorders. The number of personality disorders in OCD patients did not differ significantly from the number in controls. The most common personality disorder was avoidant personality disorder (significantly more frequent than in controls), whereas obsessive-compulsive personality disorder (OCPD) was not found more often in the OCD group. Subjects with OCD in adulthood seemed to have OCPD more often than childhood OCD patients with no OCD at follow-up. In the whole group, histrionic personality disorders were more common in women than in men and OCPD more common in men than in women, whereas borderline personality disorder was most common among women in the OCD group. The presence of a personality disorder in adulthood could not be correlated with such childhood factors as social background, symptoms or age of onset of OCD.
对47名童年期因强迫症（OCD）入院的患者和49名儿童精神科对照者进行了青年期随访，并使用《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）人格障碍结构化临床访谈对他们进行了DSM-III-R人格障碍评估。强迫症患者的人格障碍数量与对照组没有显著差异。最常见的人格障碍是回避型人格障碍（比对照组明显更常见），而强迫型人格障碍（OCPD）在强迫症组中并未更常见。成年期患有强迫症的受试者似乎比随访时无强迫症的童年期强迫症患者更常出现强迫型人格障碍。在整个组中，表演型人格障碍在女性中比在男性中更常见，强迫型人格障碍在男性中比在女性中更常见，而边缘型人格障碍在强迫症组的女性中最为常见。成年期人格障碍的存在与童年期因素如社会背景、症状或强迫症的发病年龄无关。
