海洛因依赖者人格障碍现状及与童年创伤经历的关系

The status of personality disorder and the relationship with childhood trauma in heroin addicts

目的探讨海洛因依赖人群人格障碍现状及其与童年期创伤经历的关系。方法采用人格障碍问卷-4＋和童年期创伤性经历问卷简版对108例海洛因依赖患者进行调查。结果海洛因依赖与12种人格障碍的共病率在47．2％～10．2％之间，其中阳性检出率较高的为边缘型（47．2％）和反社会型（38．0％），最低者为抑郁型（10．2％）；人格障碍各分量表得分均值最高者为边缘型（4．63±2．16），最低者为表演型（2．65±1．49），均明显高于全国常模，差异均有统计学意义（t ＝13．54、2．57，均 P ＜0．05）。边缘型、反社会型人格障碍与童年期创伤经历的5各因子之间均有显著正相关关系（r ＝0．265、0．390、0．207、0．303、0．276；0．225、0．219、0．228、0．236、0．287，均 P ＜0．05），此外，抑郁型人格障碍与躯体虐待、情感忽视以及躯体忽视呈显著正相关（r ＝0．226、0．227、0．196，均 P ＜0．05）。结论海洛因依赖者与人格障碍存在一定的共病率，边缘型和反社会型人格障碍阳性率较高，童年期创伤经历与人格障碍特别是边缘型、反社会型及抑郁型人格障碍具有一定的相关性。

Objective To investigate the status of personality disorder and the relationship with childhood trauma in heroin addicts.Methods 108 heroin dependent patients were investigated by Personality Disorder Ques-tionnaire -4 ＋（PDQ -4 ＋）and Childhood Trauma Questionnaire -Short From （CTQ -SF）.Results The comor-bidity rate of heroin dependence and personality disorder was between 47.2% and 10.2%,which had a higher posi-tive rate of for borderline （47.2%）and antisocial （38.0%）personality disorder and the lowest for depression （10.2%）.The borderline personality disorder score was highest[（4.63 ±2.16）points]and the lowest was histrionic personality disorder [（2.65 ±1.49）points]in 12 subscales,which were significantly higher than those in the national norm,and the differences were statistically significant （t =13.54,2.57,all P 〈0.05）.It had significantly positive correlation between borderline and antisocial personality disorder and the each five factors of childhood trauma experi-ence （r =0.265,0.390,0.207,0.303,0.276;0.225,0.219,0.228,0.236,0.287,all P 〈0.05 ）.In addition, depressive personality disorder and physical abuse,emotional neglect and body ignored showed significantly positive correlation （r =0.226,0.227,0.196,all P 〈0.05）.Conclusion There was the comorbidity rate of personality disorders and heroin dependence,and the higher positive rate was borderline and antisocial personality disorders.It was a certain correlation of childhood traumatic experience and personality disorders,especially borderline,antisocial and depressive personality disorder.