海洛因依赖者的人格障碍及性别差异分析

Personality disorders and gender difference in heroin dependence

目的了解海洛因依赖者的人格障碍及其性别差异。方法用DSM-Ⅲ-R人格障碍用定式临床检查手册,调查了93名自愿戒毒的海洛因依赖者DSM-Ⅲ-R轴Ⅱ人格障碍的诊断情况并对其进行不同性别间比较。结果轴Ⅱ人格障碍发生率达到89．2％。边缘型人格障碍(62．4％)和强迫型人格障碍(59．1％)最常见,其次是偏执型人格障碍(52．7％)。除反社会型人格障碍外,其它类型人格障碍不同性别间未发现显著性差异。结论海洛因依赖者存在各种类型的人格障碍。反社会型人格障碍更多见于男性患者。为了加强治疗效果预防复吸应针对不同性别个体采取个性化的治疗方法。

Objective： To evaluate the personality disorders and differences between males and females among heroin dependence patients. Methods： The structured clinical interview for DSM -Ⅲ - R - patient version （ SCID - P） was used to assess the diagnosis of personality disorders by DSM -Ⅲ - R axis Ⅱ and the comparance between males and females among 93 heroin dependent patients. Results： The prevalence of personality disorder in axis Ⅱ was 89.2%. Boardline personality disorder （ 62. 4% ）, compulsive personality disorder（59.1% ） were the most common diagnosis, paranoid personality disorder（52.7% ） was more common diagnosis. Except antisocial personality disorder, the difference between males and females in other personality disorders was not significance. Concluslon：All kinds of personality disorders accompanied heroin dependent patients. Antisocial personality disorder was more found in male patients. To strengthen the treatment effect and prevent them from addiction again, different gender should be given different treatment.