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银屑病中的人格障碍与精神症状

Personality disorders and psychiatric symptoms in psoriasis.

作者信息

Rubino I A, Sonnino A, Pezzarossa B, Ciani N, Bassi R

机构信息

Department of Psychiatry, Tor Vergata University, Rome, Italy.

出版信息

Psychol Rep. 1995 Oct;77(2):547-53. doi: 10.2466/pr0.1995.77.2.547.

DOI:10.2466/pr0.1995.77.2.547
PMID:8559879
Abstract

Two groups of psoriatic outpatients (ns = 192 and 119) were given, respectively, the Million Clinical Multiaxial Inventory-II and Foulds' Delusions-Symptoms-States Inventory. They were compared with dental (n = 192) and with general surgical (n = 190) patients. The psoriatic group presented clearly higher mean scores and frequencies on most of the personality disorder scales. On Foulds' inventory, psoriatic patients showed higher frequencies of neurotic and psychotic class allocations. A cluster analysis of personality scores provided evidence for 4 different personality clusters of patients with psoriasis: (a) Avoidant, Dependent, Schizoid, and Self-defeating (32.2%), (b) Compulsive, Narcissistic, and Aggressive (30.7%), (c) no personality disorder (18.2%), (d) Borderline, Paranoid, and Schizotypal, etc. (18.8%).

摘要

两组银屑病门诊患者(人数分别为192名和119名)分别接受了百万临床多轴问卷-II和福尔兹妄想-症状-状态问卷的测试。他们与牙科患者(n = 192)和普通外科患者(n = 190)进行了比较。银屑病组在大多数人格障碍量表上的平均得分和出现频率明显更高。在福尔兹问卷中,银屑病患者在神经症和精神病分类中的出现频率更高。对人格得分进行聚类分析后发现,银屑病患者存在4种不同的人格类型:(a)回避型、依赖型、分裂样和自我挫败型(32.2%),(b)强迫型、自恋型和攻击型(30.7%),(c)无人格障碍(18.2%),(d)边缘型、偏执型和分裂型等(18.8%)。

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