Dreessen L, Arntz A
Department of Medical Psychology, Maastricht University, The Netherlands.
Behav Res Ther. 1998 May;36(5):483-504. doi: 10.1016/s0005-7967(98)00026-6.
Thirty-five studies were traced addressing the impact of comorbid personality disorders on treatment outcome of anxiety disorders. The conclusions of this review are based on the best-evidence procedure. We used two selection criteria that studies had to meet to be included in the present review. The study design had to be prospective and a (semi)structured interview had to be used for the assessment of personality disorders. From the fifteen selected studies it cannot be concluded that, in general, personality disorders affect treatment outcome for anxiety disorders negatively. We can only suspect that some personality disorders may have an adverse impact upon treatment outcome in anxiety disorders, and they should be investigated further. For the time being, in clinical practice one has to be cautious in relating personality disorders to less well treatment outcome in axis I anxiety disorders.
共检索到35项研究，探讨了共病性人格障碍对焦虑症治疗效果的影响。本综述的结论基于最佳证据程序。我们采用了两项纳入标准，符合标准的研究才能纳入本综述。研究设计必须是前瞻性的，且必须使用（半）结构化访谈来评估人格障碍。从15项入选研究中无法得出人格障碍总体上会对焦虑症治疗效果产生负面影响的结论。我们只能推测某些人格障碍可能会对焦虑症的治疗效果产生不利影响，对此应进一步开展研究。目前，在临床实践中，将人格障碍与轴I焦虑症较差的治疗效果联系起来时必须谨慎。
