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首页> 外文期刊>The journal of clinical psychiatry >The prevalence of personality disorders in hypochondriasis.
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The prevalence of personality disorders in hypochondriasis.

机译：次粒松人格障碍的患病率。

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BACKGROUND: Although Axis I hypochondriasis is closely related to certain personality characteristics, the nature and extent of personality dysfunction in these patients still needs clarification. This study assessed the prevalence of personality disorders observed in hypochondriacal patients, described the types and comorbidity of personality disorders, and compared the psychological distress of patients with and without the most common comorbid personality disorder. METHOD: One hundred fifteen patients meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria for hypochondriasis completed self-administered assessments, including the Personality Diagnostic Questionnaire-4+ (PDQ-4+), the Hopkins Symptom Checklist-90-Revised (SCL-90-R), the Whiteley Index, and the Somatic Symptom Inventory. These data were taken from a study conducted between September 1997 and November 2001. RESULTS: Eighty-eight patients (76.5%) had 1 or more personality disorders, whereas 27 patients (23.5%) had no personality disorders. Fifty-one patients (44.3%) had more than 3 personality disorders. The most common personality disorder in the hypochondriacal patients was obsessive-compulsive personality disorder (OCPD; 55.7%), followed by avoidant personality disorder (40.9%). The comorbidity of OCPD and avoidant personality disorder was 53.1% (34 of 64 patients with OCPD). The total PDQ-4+ score of the 64 patients with OCPD was significantly higher than that of the 51 patients without OCPD. On the SCL-90-R, the 64 patients with OCPD showed significantly higher scores on all of 3 global indices and 7 of 10 primary symptom dimensions (paranoid ideation, depression, anxiety, phobic anxiety, obsessive-compulsive, interpersonal sensitivity, and psychoticism) on the SCL-90-R compared to the 51 patients without OCPD. CONCLUSIONS: The high prevalence of personality disorders, particularly OCPD, among patients with hypochondriasis suggests that consideration of personality features is important in assessment and therapeutic interventions for hypochondriasis.
机译：背景：虽然轴I次闭症与某些人格特征密切相关，但这些患者的人格功能障碍的性质和程度仍然需要澄清。本研究评估了次闭症患者观察到的人格障碍的患病率，描述了人格障碍的类型和合并症，并比较了患者的心理困扰和没有最常见的合并性人格障碍。方法：一百五十例患者诊断和精神障碍统计手册，第四版，次闭社标准完成自我管理的评估，包括人格诊断调查问卷-4 +（PDQ-4 +），霍普金斯症状检查清单-90修订（SCL-90-R），Whiteley指数和躯体症状库存。这些数据是从1997年9月和2001年11月之间进行的一项研究。结果：八十八名患者（76.5％）有1个或更多的人格障碍，而27名患者（23.5％）没有个性障碍。五十一名患者（44.3％）有超过3名人格障碍。次闭症患者中最常见的人格障碍是强迫性人格障碍（OCPD; 55.7％），其次是避税人格障碍（40.9％）。 OCPD和避税人格障碍的合并症为53.1％（64例OCPD患者中的34例）。 64例OCPD患者的总PDQ-4 +得分明显高于51例没有OCPD的患者。在SCL-90-R中，64例OCPD患者在3个全球指数中显示出明显更高的分数和10个主要症状尺寸（偏执象，抑郁，焦虑，恐惧症，强迫性，人际敏感性和精神症状）在SCL-90-R上与51例没有OCPD的患者相比。结论：闭孔症患者的人格障碍，特别是OCPD的高患病率表明，人格特征的思考对于次闭症的评估和治疗干预措施是重要的。

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