DSM-IV personality disorders in the WHO World Mental Health Surveys

被引：191

作者：

Huang, Yueqin ^{[2
]}

Kotov, Roman ^{[3
]}

de Girolamo, Giovanni ^{[4
]}

Preti, Antonio ^{[5
]}

Angermeyer, Matthias ^{[6
]}

Benjet, Corina ^{[7
]}

Demyttenaere, Koen ^{[8
]}

de Graaf, Ron ^{[9
]}

Gureje, Oye ^{[10
]}

Karam, Aimee Nasser ^{[11
,12
]}

Lee, Sing ^{[13
]}

Lepine, Jean Pierre ^{[14
]}

Matschinger, Herbert ^{[15
]}

Posada-Villa, Jose ^{[16
]}

Suliman, Sharain ^{[17
]}

Vilagut, Gemma ^{[18
]}

Kessler, Ronald C. ^{[1
]}

机构：

[1] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

[2] Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China

[3] SUNY Stony Brook, Stony Brook, NY 11794 USA

[4] IRCCS Ctr S Giovanni di Dio Fatebenefratelli, Brescia, Italy

[5] Univ Cagliari, Dept Psychol, I-09124 Cagliari, Italy

[6] Ctr Publ Mental Hlth, Gosing Am Wagram, Austria

[7] Natl Inst Psychiat, Mexico City, DF, Mexico

[8] Univ Hosp Gasthuisberg, B-3000 Louvain, Belgium

[9] Netherlands Inst Mental Hlth & Addict, Utrecht, Netherlands

[10] Univ Coll Ibadan Hosp, Dept Psychiat, Ibadan, Nigeria

[11] Balamand Univ, Sch Med, Dept Psychiat & Clin Psychol,Fac Med, St George Hosp,Univ Med Ctr,Dept Psychiat & Clin, Beirut, Lebanon

[12] IDRAAC, Beirut, Lebanon

[13] Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China

[14] Univ Paris Diderot, Hop Lariboisiere Fernand Widal, AP HP, INSERM U705,CNRS UMR 7157, Paris, France

[15] Univ Leipzig, Psychiat Clin, Leipzig, Germany

[16] Cundinamarca Univ, Colegio Mayor, Bogota, Colombia

[17] Univ Stellenbosch, MRC, Anxiety Disorders Res Unit, Dept Psychiat, ZA-7600 Stellenbosch, South Africa

[18] CIBERESP, IMIM, Hlth Serv Res Unit, Barcelona, Spain

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2009年 / 195卷 / 01期

关键词：

NATIONAL EPIDEMIOLOGIC SURVEY; AXIS-I; LATENT STRUCTURE; PREVALENCE; ORGANIZATION; ALCOHOL; SAMPLE; PSYCHOPATHOLOGY; ADOLESCENCE; COMORBIDITY;

D O I：

10.1192/bjp.bp.108.058552

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background Little is known about the cross-national population prevalence or correlates of personality disorders. Aims To estimate prevalence and correlates of DSM-IV personality disorder clusters in the World Health organization World Mental Health (WMH) Surveys. Method International Personality Disorder Examination (IPDE) screening questions in 13 countries (n = 21 162) were calibrated to masked IPDE clinical diagnoses. Prevalence and correlates were estimated using multiple imputation. Results Prevalence estimates are 6.1% (s.e. = 0.3) for any personality disorder and 3.6% (s.e.= 0.3), 1.5% (s.e.= 0.1) and 2.7% (s.e. = 0.2) for Clusters A, B and C respectively. Personality disorders are significantly elevated among males, the previously married (Cluster C), unemployed (Cluster C), the young (Clusters A and B) and the poorly educated. Personality disorders are highly comorbid with Axis I disorders. Impairments associated with personality disorders are only partially explained by comorbidity. Conclusions Personality disorders are relatively common disorders that often co-occur with Axis I disorders and are associated with significant role impairments beyond those due to comorbidity.

引用

页码：46 / 53

页数：8

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