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强迫症患者的人格障碍及其与通过气质和性格问卷测量的人格维度的关系。

Personality disorders and relationship to personality dimensions measured by the Temperament and Character Inventory in patients with obsessive-compulsive disorder.

作者信息

Bejerot S, Schlette P, Ekselius L, Adolfsson R, von Knorring L

机构信息

Department of Neuroscience, University Hospital, Uppsala, Sweden.

出版信息

Acta Psychiatr Scand. 1998 Sep;98(3):243-9. doi: 10.1111/j.1600-0447.1998.tb10075.x.

Abstract

The occurrence of personality disorders was investigated in 36 patients with obsessive-compulsive disorder by means of the SCID Screen questionnaire. In addition, the personality dimensions were explored by means of the Temperament and Character Inventory (TCI). In total, 75% of the patients fulfilled the criteria for a personality disorder according to the SCID Screen questionnaire, mostly (55%) within cluster C. Several significant correlations were found between the separate personality disorders (PD) and subscales of the TCI, the most pronounced being between avoidant and obsessive-compulsive PD and novelty-seeking and self-directedness. Strong correlations were also found between self-directedness and paranoid and borderline PD. In multiple regressions where the presence of PD in clusters A, B and C, respectively, were used as dependent variables and where the separate subscales of the TCI were used as independent variables, the multiple R reached 0.68, 0.76 and 0.80 in clusters A, B and C, respectively. Thus 46-64% of the variance in the personality disorder clusters could be explained by the TCI subscales.

摘要

通过SCID筛查问卷对36例强迫症患者的人格障碍发生情况进行了调查。此外,通过气质和性格量表(TCI)对人格维度进行了探究。根据SCID筛查问卷,总共75%的患者符合人格障碍标准,其中大部分(55%)属于C簇。在不同的人格障碍(PD)与TCI分量表之间发现了若干显著相关性,最明显的是回避型和强迫型人格障碍与新奇寻求和自我导向之间的相关性。在自我导向与偏执型和边缘型人格障碍之间也发现了强相关性。在多元回归分析中,分别将A、B和C簇中人格障碍的存在作为因变量,将TCI的各个分量表作为自变量,A、B和C簇的复相关系数(multiple R)分别达到0.68、0.76和0.80。因此,人格障碍簇中46%-64%的变异可由TCI分量表解释。

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