精神科门诊边缘型人格障碍的共病情况调查

A survey of the comorbidity of borderline personality disorder among psychiatric outpatients at Shanghai Mental Health Center

目的调查边缘型人格障碍(Borderline Personality Disorder,BPD)与轴Ⅰ、轴Ⅱ疾病的共病情况。方法2006年5月至2006年11月随机抽取符合入组标准的3402名就诊者进行调查。先由研究对象自行填写一般情况问卷及人格诊断问卷(PDQ-4+)进行筛查,再由精神科医生按照美国精神障碍诊断与统计手册第四版(DSM-Ⅳ)人格障碍定式临床检查(SCID-Ⅱ)对PDQ-4+筛查阳性者进行临床诊断。结果1、诊断为BPD者178人(5.8%);2、BPD常与多种人格障碍共病,抑郁型人格障碍共病率最高(35.4%);3、轴Ⅰ疾病中,BPD与心境障碍者共病率最高(46.1%)。结论边缘型人格障碍与轴Ⅰ、轴Ⅱ疾病存在广泛共病。

Objective： To survey on the comorbidity of borderline personality disorder （BPD） with other Axis I and Ⅱdisorderso Methods： A cross - sectional investigation on the comorbidity of borderline personality disorder was conducted from May 2006 to Nov 2006 at Shanghai Mental Health Center in China. 3402 qualified subjects were randomly sampled. The Personality Diagnostic Questionnaire -4^＋（ PDQ-4^＋） was used to screen the subjects. The subjects identified with positive （ PDQ-4^＋≥28 ） were assessed by psychiatrists who used a structured clinical interview （ SCID - Ⅱ ） based on the Fourth Edition of Diagnostic and Statistical Manual of Mental Disorder （DSM- IV ）. Results： 1. 178 patients were diagnosed borderline personality disorder. 2. BPD often cooccurred with other personality disorders, among which the most common was depressive personality, the rate was 35.4%. 3. Among the Axis I disorders, mood disorder is the most universal disorder cooccuring with BPD, and the rate was 46. 1%. Conclusion：There was extensive comorbidity of BPD with other Axis I disorders, as well as Axis Ⅱ disorders.