DIFFERENCES BETWEEN AXES DEPEND ON WHERE YOU SET THE BAR: ASSOCIATIONS AMONG SYMPTOMS, INTERPERSONAL RELATIONSHIP AND ALEXITHYMIA WITH NUMBER OF PERSONALITY DISORDER CRITERIA

被引:21
作者
Dimaggio, Giancarlo [1 ,2 ]
Carcione, Antonino [1 ,3 ]
Nicolo, Giuseppe [1 ,3 ]
Lysaker, Paul H. [4 ,5 ]
d'Angerio, Stefania [1 ,3 ]
Conti, Maria Laura [1 ,3 ]
Fiore, Donatella [1 ,3 ]
Pedone, Roberto [1 ]
Procacci, Michele [1 ,3 ]
Popolo, Raffaele [1 ,6 ]
Semerari, Antonio [1 ]
机构
[1] Third Ctr Cognit Psychotherapy, Rome, Italy
[2] Univ Roma La Sapienza, Clin Psychol Specializat Program, Rome, Italy
[3] Scuola Psicoterapia Cognit, Rome, Italy
[4] Roudebush VA Med Ctr, Indianapolis, IN USA
[5] Indiana Univ Sch Med, Indianapolis, IN USA
[6] Univ Naples 2, Dept Psychol, Naples, Italy
关键词
EATING-DISORDERS; PREVALENCE; SEVERITY;
D O I
10.1521/pedi_2012_26_043
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Personality disorders are better understood as entities that vary according to severity along specific domains rather than a phenomenon separate from and unrelated to Axis I disorders. This study explores whether patients who were rated as having greater numbers of personality disorder traits reported greater levels of interpersonal problems, psychiatric symptoms, and alexithymia. The sample was composed of 506 consecutive patients assessed in a private outpatient center who were administered the SCID-II Symptom-Checklist (SCL-90-R), Inventory of Interpersonal Problems (IIP-47), and Toronto Alexithymia-Scale (TAS-.20). Based upon the number of personality disorder traits identified in the SCID, participants were classified into five groups: 0-4, 5-9, 10-14, 15-19, and 20 or more personality disorder traits met. Comparisons between groups revealed that symptom severity and levels of interpersonal problems increased between groups as the number of personality disorder traits increased. After covarying for symptom severity, there were no significant between-groups differences for levels of alexithymia. Findings are consistent with the claims that the simple Axis I-Axis II distinction is not an optimal strategy to understand personality pathology. It instead may be more fruitful to consider group differences in terms of numbers of personality disorder traits met.
引用
收藏
页码:371 / 382
页数:12
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