抑郁症中人格障碍的发生及影响：老年群体与青年群体是否相同？

Occurrence and effects of personality disorders in depression: are they the same in the old and young?

作者信息

Agbayewa M O

机构信息

Department of Psychiatry, University of British Columbia, Vancouver.

出版信息

Can J Psychiatry. 1996 May;41(4):223-6. doi: 10.1177/070674379604100406.

DOI:10.1177/070674379604100406

PMID:8726787

Abstract

OBJECTIVES

To determine the frequency and effects of personality disorders on episodes of depression in elderly and young inpatients. Personality disorders are common and may affect the prognosis of Axis I disorders.

METHODS

Clinical records of 89 elderly inpatients and a matched comparison group of 119 young inpatients were reviewed to confirm the diagnosis of a major depressive episode according to the DSM-III-R criteria. The frequency of personality disorder diagnoses in the 2 groups was determined. Within each group, severity, functioning, and treatment were compared between those with and without personality disorders.

RESULTS

Personality disorders were diagnosed more frequently in the young (40.3%) than in the elderly (27%). Both rates were similar to previous reports. Cluster C disorders were the most common personality disorders found in the elderly, compared to cluster B disorders in the young. Personality disorder in the young was associated with longer episodes of depression (P = 0.035) and poorer family relations (P < 0.001); whereas in the elderly, personality disorder was associated with more severe episodes (P = 0.014).

CONCLUSIONS

These findings suggest that the frequency and effects of personality disorders on the depressed patient may differ according to age.

摘要

目的

确定人格障碍在老年和青年住院患者抑郁发作中的发生率及影响。人格障碍很常见，可能会影响轴I障碍的预后。

方法

回顾了89名老年住院患者和119名与之匹配的青年住院患者的临床记录，以根据《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）标准确诊重度抑郁发作。确定两组中人格障碍诊断的发生率。在每组中，比较有无人格障碍者在严重程度、功能和治疗方面的差异。

结果

青年患者中人格障碍的诊断率（40.3%）高于老年患者（27%）。这两个比率与之前的报告相似。在老年患者中，C类障碍是最常见的人格障碍，而在青年患者中，B类障碍最为常见。青年患者的人格障碍与更长的抑郁发作期（P = 0.035）及更差的家庭关系（P < 0.001）相关；而在老年患者中，人格障碍与更严重的发作（P = 0.014）相关。