回避型人格障碍是以社交逃避、缺乏自信和对负面评价高度敏感为主要特点的人格障碍。回避型人格障碍患者的社会功能受损严重,对人的影响较大,但相关研究较少。本文从表现和诊断标准、共病和鉴别、病因和治疗等方面回顾总结前人研究结果...回避型人格障碍是以社交逃避、缺乏自信和对负面评价高度敏感为主要特点的人格障碍。回避型人格障碍患者的社会功能受损严重,对人的影响较大,但相关研究较少。本文从表现和诊断标准、共病和鉴别、病因和治疗等方面回顾总结前人研究结果,旨在提高公众对这一障碍的认识和理解。未来的研究需要深入探索AVPD的成因和更加有效的治疗方法,为AVPD患者的治疗和康复提供理论依据和实践指导。Avoidant Personality Disorder (AVPD) is characterized primarily by social avoidance, lack of self-confidence, and high sensitivity to negative evaluation. Patients with AVPD experience severe impairment in social functioning, which has a significant impact on their lives, but related research is relatively scarce. This paper reviews and summarizes previous research findings on the manifestations and diagnostic criteria, comorbidities and differential diagnosis, etiology, and treatment of AVPD, aiming to enhance public awareness and understanding of this disorder. Future research needs to delve into the ultimate causes of AVPD and more effective treatment methods, providing theoretical foundations and practical guidance for the treatment and rehabilitation of AVPD patients.展开更多
目的探讨慢性鼻炎对大一新生抑郁症状的影响以及回避型人格的中介效应。方法2018年4—10月,采取整群抽样的方式,应用贝克抑郁量表、DSM-Ⅳ回避型人格诊断调查问卷对8079名大一新生进行问卷调查。采用SPSS 25.0软件进行描述性统计和Spear...目的探讨慢性鼻炎对大一新生抑郁症状的影响以及回避型人格的中介效应。方法2018年4—10月,采取整群抽样的方式,应用贝克抑郁量表、DSM-Ⅳ回避型人格诊断调查问卷对8079名大一新生进行问卷调查。采用SPSS 25.0软件进行描述性统计和Spearman相关分析,应用PROCESS Version 3.3并采用Bootstrap法进行中介效应检验。结果(1)大一新生慢性鼻炎、回避型人格、抑郁症状检出率分别为22.90%(1850/8079)、19.22%(1553/8079)、6.28%(507/8079),回避型人格、抑郁症状评分分别为1.00(0,3.00)分、1.00(0,4.00)分。(2)慢性鼻炎、回避型人格、抑郁症状之间均呈显著正相关(r_(慢性鼻炎-回避型人格)=0.094,r_(慢性鼻炎-抑郁症状)=0.095,r_(回避型人格-抑郁症状)=0.416,均P<0.001)。(3)慢性鼻炎显著正向预测抑郁症状(β=1.113,P<0.001)。(4)回避型人格在慢性鼻炎与抑郁症状之间起中介作用(β=1.094,P<0.001),且中介效应占总效应的44.92%(0.500/1.113)。结论慢性鼻炎可以直接影响大一新生抑郁症状,也可以通过回避型人格的中介间接作用于抑郁症状。展开更多
文摘回避型人格障碍是以社交逃避、缺乏自信和对负面评价高度敏感为主要特点的人格障碍。回避型人格障碍患者的社会功能受损严重,对人的影响较大,但相关研究较少。本文从表现和诊断标准、共病和鉴别、病因和治疗等方面回顾总结前人研究结果,旨在提高公众对这一障碍的认识和理解。未来的研究需要深入探索AVPD的成因和更加有效的治疗方法,为AVPD患者的治疗和康复提供理论依据和实践指导。Avoidant Personality Disorder (AVPD) is characterized primarily by social avoidance, lack of self-confidence, and high sensitivity to negative evaluation. Patients with AVPD experience severe impairment in social functioning, which has a significant impact on their lives, but related research is relatively scarce. This paper reviews and summarizes previous research findings on the manifestations and diagnostic criteria, comorbidities and differential diagnosis, etiology, and treatment of AVPD, aiming to enhance public awareness and understanding of this disorder. Future research needs to delve into the ultimate causes of AVPD and more effective treatment methods, providing theoretical foundations and practical guidance for the treatment and rehabilitation of AVPD patients.
文摘目的探讨慢性鼻炎对大一新生抑郁症状的影响以及回避型人格的中介效应。方法2018年4—10月,采取整群抽样的方式,应用贝克抑郁量表、DSM-Ⅳ回避型人格诊断调查问卷对8079名大一新生进行问卷调查。采用SPSS 25.0软件进行描述性统计和Spearman相关分析,应用PROCESS Version 3.3并采用Bootstrap法进行中介效应检验。结果(1)大一新生慢性鼻炎、回避型人格、抑郁症状检出率分别为22.90%(1850/8079)、19.22%(1553/8079)、6.28%(507/8079),回避型人格、抑郁症状评分分别为1.00(0,3.00)分、1.00(0,4.00)分。(2)慢性鼻炎、回避型人格、抑郁症状之间均呈显著正相关(r_(慢性鼻炎-回避型人格)=0.094,r_(慢性鼻炎-抑郁症状)=0.095,r_(回避型人格-抑郁症状)=0.416,均P<0.001)。(3)慢性鼻炎显著正向预测抑郁症状(β=1.113,P<0.001)。(4)回避型人格在慢性鼻炎与抑郁症状之间起中介作用(β=1.094,P<0.001),且中介效应占总效应的44.92%(0.500/1.113)。结论慢性鼻炎可以直接影响大一新生抑郁症状,也可以通过回避型人格的中介间接作用于抑郁症状。
基金全军“十二五”医药卫生科研项目( AWS13J003)；军队心理卫生应用性科研课题计划(12XLZ204)；全军医学科学技术“十二五”计划项目( CWS11J278)@@@@sProject of the ＂Twelfth Five-year Plan＂ for Medical Science of PLA( AWS13J003)；Project of Mental Health Research of PLA(12XLZ204)；Project of Science and Technology Research in Med-icine of PLA
