Stålenheim E G, von Knorring L
Department of Psychiatry, University Hospital, Uppsala, Sweden.
Acta Psychiatr Scand. 1996 Oct;94(4):217-23. doi: 10.1111/j.1600-0447.1996.tb09852.x.
The relationship between psychopathy and mental disorders was investigated in 61 male subjects during a forensic psychiatric examination. The Psychopathy Checklist Revised (PCL-R) and the Structured Clinical Interview for DSM-III-R (SCID) were used for the assessments. Although psychotic subjects were excluded, the overall psychiatric morbidity in the study population was high. Comorbidity was common, irrespective of the degree of psychopathy. Psychopathy was strongly positively correlated with substance abuse/dependence but negatively correlated with depression. Almost all of the subjects with high PCL-R scores had DSM-III-R antisocial and/or borderline personality disorders. However, some subjects with antisocial personality disorders had medium or low PCL-R scores. When the subjects were reassessed with diagnoses of DSM-IV and ICD-10 personality disorders, the difference between psychopathy and antisocial personality disorder was reduced.
在一次法医精神病学检查中，对61名男性受试者的精神病态与精神障碍之间的关系进行了调查。使用修订版精神病态量表（PCL-R）和《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）结构化临床访谈（SCID）进行评估。尽管排除了患有精神病的受试者，但研究人群中的总体精神疾病发病率仍很高。共病情况很常见，与精神病态程度无关。精神病态与物质滥用/依赖呈强正相关，但与抑郁症呈负相关。几乎所有PCL-R得分高的受试者都患有DSM-III-R反社会和/或边缘型人格障碍。然而，一些患有反社会人格障碍的受试者PCL-R得分中等或较低。当根据《精神疾病诊断与统计手册》第四版（DSM-IV）和《国际疾病分类》第十版（ICD-10）人格障碍诊断对受试者进行重新评估时，精神病态与反社会人格障碍之间的差异有所减小。
