强迫障碍患者的共病人格障碍  

Comorbidity of obsessive-compulsive disorder with personality disorders

作　　者：曹文胜[1] 于宏华[1] 焦志安[2] 

机构地区：[1]北京回龙观医院,北京100096 [2]山东省立医院临床心理科,济南250021

出　　处：《中国心理卫生杂志》2011年第2期98-101,共4页Chinese Mental Health Journal

摘　　要：目的:探讨强迫障碍(obsessive-compulsive disorder,OCD)患者共病轴Ⅱ人格障碍的情况。方法:对44例符合美国精神障碍诊断统计手册4版(Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition,DSM-IV)中OCD临床诊断标准的门诊和住院部患者,应用人格障碍诊断问卷4版(Per-sonality Diagnostic Questionnaire,PDQ+4)进行筛查。对筛查阳性者再用个性障碍晤谈手册(Personality Disorder Interview,PDI-IV)做半定式查询确定其中的人格障碍患者。结果:36名患者PDQ+4筛查阳性,阳性率为82%。36名阳性患者中有32名OCD患者同时符合人格障碍的诊断标准,共病率为73%(32/44),其中57%(25/44)的被试符合两种或两种以上人格障碍的诊断标准。共病率最高的3种人格障碍为C组的强迫型(64%)、回避型(57%)和A组的偏执型(21%)。结论:强迫障碍有较高的人格障碍共病率,其中共病率最高的为C组的强迫型和回避型。Objective： To investigate the comorbidity of obsessive-compulsive disorder （OCD） with Axis II personality disorders （PD） . Methods： Forty-four patients who met the DSM-IV （Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition） criteria for OCD were screened with the Personality Diagnostic Questionnaire （ PDQ ＋4 ） . And the PD positive subjects were assessed and diagnosed with the Personality Disorder Interview （PDI-IV） . Results： Thirty-six of the 44 patients showed positive results in the PDQ ~4 screening, with the positive rate of 82%. Thirty-two of 44 （73%） OCD patients also met DSM-IV criteria for Axis H personality disorders. Twenty-five of 44 （57%） OCD patients were diagnosed with two or more kinds of Axis II disorders. The most common three personality disorders were obsessive ＆compulsive （64%）, avoidant （57%）, and paranoid （21%） . No subjects were diagnosed with antisocial and schizoid. Conclusion： Comorbidity of obsessive-compulsive disorder with personality disorders occurs pervasively. Patients with OCD are often diagnosed with Axis II personality disorders with the exception of antisocial and schizoid, especially with obsessive ＆ compulsive and avoidant of cluster-C.

关 键 词：强迫障碍 共病 人格障碍 横断面研究 

分 类 号：R749.79[医药卫生—神经病学与精神病学] R749.91[医药卫生—临床医学]