Agbayewa M O
Department of Psychiatry, University of British Columbia, Vancouver.
Can J Psychiatry. 1996 May;41(4):223-6. doi: 10.1177/070674379604100406.
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.
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.
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).
These findings suggest that the frequency and effects of personality disorders on the depressed patient may differ according to age.
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。
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。
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。
这些发现表明，人格障碍在抑郁患者中的发生率及影响可能因年龄而异。
