心理门诊人格障碍共病调查

A Survey on the Comorbidity of Personality Disorders in Patients Counseling in a Mental Hospital

目的:采用人格障碍访谈问卷SCID-II(第2版)在我中心进行人格障碍的共病调查。方法:对125例精神障碍患者进行量表评定及相关的统计分析。结果:(1)71例(56.8%)符合至少一种人格障碍的诊断,常见的为强迫型、回避型、抑郁型、偏执型,人均患有1.62种人格障碍;(2)人格障碍在焦虑障碍、心境障碍和精神分裂症谱系障碍中的共病率在44%-56%之间,均以C组人格障碍最常见。结论:人格障碍的共病现象相当普遍,SCID-II(第2版)基本适用于中国人人格障碍的共病调查。

Objective： To explore the comorbidity of personality disorders in psychiatric patients with SCID - II （ version 2. 0 ） . Methods： One hundred and twenty-five mental disorder patients were investigated with the SCID - II. Results： 1 ） Seventy-one patients （56. 8% ） had at least one personality disorder （PD） with the average of 1.62 PD. Obsessive-compulsive, avoidant, depressive and paranoid PDs were most common. 2） The comorbidity of personality disorders was 44% - 56% among the anxiety disorder, mood disorder and schizophrenic spectrum disorder; the most common types were all from cluster C. Conclusions： The comorbidity of personality disorders is common in mental disorder patients. Generally, SCID - II 2.0 is applicable to the survey of the comorbidity of personality disorders in China.