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首页> 外文期刊>Depression and anxiety >The effect of avoidant personality disorder on the persistence of generalized social anxiety disorder in the general population: Results from a longitudinal, nationally representative mental health survey
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The effect of avoidant personality disorder on the persistence of generalized social anxiety disorder in the general population: Results from a longitudinal, nationally representative mental health survey

机译:回避型人格障碍对普通人群中普遍性社交焦虑症持续性的影响:纵向,全国代表性的心理健康调查的结果

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摘要

Background: The primary objective of this study was to prospectively examine the role of Avoidant Personality Disorder (AvPD) as a determinant in the outcome of Generalized Social Anxiety Disorder (GSAD) using Wave 2 of the National Epidemiologic Survey of Alcohol and Related Conditions 3 years later. Method: This study analyzed data from Waves 1 and 2 of the NESARC (n=34,653). GSAD was operationalized based on the DSM-IV definitions of this SAD subtype. Results: Logistic regression analyses indicated that AvPD significantly predicted the persistence of GSAD, even after adjusting for a number of important sociodemographic variables and other psychiatric comorbidity. AvPD did not significantly predict outcome in non-generalized SAD. Conclusions: AvPD can influence the course of GSAD in adulthood. Specific personality dimensions may underlie and explain the similarities between AvPD and GSAD. Self-criticism could be a shared feature of both AvPD and GSAD and could represent an important psychological marker of poor prognosis in comorbid GSAD and AvPD.
机译:背景:这项研究的主要目的是使用《全国酒精及相关疾病流行病学调查》第2期,前瞻性地检查回避型人格障碍(AvPD)作为决定因素在广义社会焦虑症(GSAD)结果中的作用。后来。方法:本研究分析了NESARC的第1和第2波(n = 34,653)的数据。 GSAD已根据该SAD亚型的DSM-IV定义进行了操作。结果:Logistic回归分析表明,即使在对许多重要的社会人口统计学变量和其他精神病合并症进行调整后,AvPD仍可显着预测GSAD的持续性。在非通用SAD中,AvPD不能显着预测结局。结论:AvPD可影响成年期GSAD的进程。特定的人格维度可能是AvPD和GSAD之间相似之处的基础并解释了这一点。自我批评可能是AvPD和GSAD的共同特征,并且可能是合并GSAD和AvPD不良预后的重要心理标志。

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