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首页> 外文期刊>The British journal of psychiatry : >Personality pathology recorded by severity: national survey
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Personality pathology recorded by severity: national survey

机译：按严重程度记录的人格病理：国家调查

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Background Current classifications of personality disorders do not classify severity despite clinical practice favouring such descriptions. Aims To assess whether an existing measure of severity of personality disorder predicted clinical pathology and societal dysfunction in a community sample. Method UK national epidemiological study in which personality status was measured using the screening version of the Structured Clinical Interview for DSMa€“IV Personality Disorders (SCIDa€“II) and reclassified to five levels using a modified severity index. Associations between levels of severity of personality pathology and social, demographic and clinical variables were measured. Results Of 8391 individuals interviewed and their personality status assessed, only a minority ( n = 1933, 23%) had no personality pathology. The results supported the hypothesis. More severe personality pathology was associated incrementally with younger age, childhood institutional care, expulsion from school, contacts with the criminal justice system, economic inactivity, more Axis I pathology and greater service contact (primary care and secondary care, all P 0.001). Significant handicap was noted among people with even low levels of personality pathology. No differences contradicted the main hypothesis. Conclusions A simple reconstruction of the existing classification of personality disorder is a good predictor of social dysfunction and supports the development of severity measures as a critical requirement in both DSMa€“V and ICDa€“11 classifications.
机译：背景技术尽管临床实践偏爱此类描述，但目前对人格障碍的分类并未对严重程度进行分类。目的评估社区样本中人格障碍严重程度的现有衡量标准是否可预测临床病理和社会功能障碍。方法英国国家流行病学研究，其中使用筛查的DSMa，IV型人格障碍临床结构访谈（SCIDaII）对人格状态进行测量，并使用经过修改的严重程度指数将其重新划分为五个等级。测量了人格病理的严重程度与社会，人口统计学和临床​​变量之间的关联。结果在8391名受访者中，他们的人格状态得到了评估，只有少数（n = 1933，23％）没有人格病变。结果支持该假设。更严重的人格病理与年龄增长，儿童机构照料，学校开除，与刑事司法系统的接触，缺乏经济活动，更多的第一轴病理和更广泛的服务接触（初级护理和二级护理，均P <0.001）相关。甚至在人格病理水平较低的人群中也发现了严重的障碍。没有差异与主要假设相矛盾。结论对现有人格障碍分类的简单重建可以很好地预测社会功能障碍，并支持发展严重程度指标，这是DSMa“ V和ICDa” 11分类中的一项关键要求。

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