Dorfman A, Shields G, DeLisi L E
Kings Park Psychiatric Center, New York, New York.
Am J Med Genet. 1993 May 1;48(1):60-2. doi: 10.1002/ajmg.1320480112.
This study examines the frequency of DSM-III-R personality disorders in parents of 58 patients who were admitted consecutively to a New York State psychiatric hospital with a first admission for a schizophrenia-like psychosis. For comparison, a control group of 65 families were randomly recruited who were in the same age group and denied any psychiatric history in their immediate families. Significantly more parents of the patients had a diagnosed personality disorder than controls. These were classified as schizoid, schizotypal, histrionic, and sadistic types by DSM-III-R criteria. While paranoid personality disorder was frequent, it was equally distributed among both groups of parents. These data suggest that the genetic boundaries to a "schizophrenia spectrum" disorder may extend further than previously thought and particularly the specific characteristics that are common to a wide variety of these disorders need to be examined in further analyses.
本研究调查了58名因首次被诊断为精神分裂症样精神病而连续入住纽约州一家精神病医院的患者的父母中,符合《精神疾病诊断与统计手册》第三版修订版(DSM-III-R)人格障碍的频率。作为对照,随机招募了65个家庭组成的对照组,这些家庭年龄相仿且直系亲属无精神病史。与对照组相比,患者的父母中被诊断患有人格障碍的比例显著更高。根据DSM-III-R标准,这些人格障碍类型被分类为分裂样、分裂型、表演型和施虐型。虽然偏执型人格障碍在两组父母中都很常见,但在两组中的分布是相同的。这些数据表明,“精神分裂症谱系”障碍的遗传界限可能比之前认为的更广,尤其是需要在进一步分析中研究这些广泛存在的障碍所共有的特定特征。