人格障碍精神病患者的身体多病症:在ICD-11框架中的洞察力
Ivona Šimunović Filipčić1, Nenad Jakšić2, Sarah Levaj2
1Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb, Zagreb, Croatia; Faculty of Dental Medicine and Health Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
General hospital psychiatry
|May 5, 2024
概括
与普通人群相比,患有人格障碍 (PDs) 的人患慢性身体多病症 (CPM) 的比率明显更高. 关键的PD特征,包括严重程度和负面情感性,预测CPM,强调需要综合护理.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 公共卫生 公共卫生
- 内部医学 内部医学
背景情况:
- 越来越多的证据表明,人格障碍 (PDs) 与较差的身体健康结果之间存在相关性.
- 了解PD患者慢性身体疾病 (CPI) 和慢性身体多病症 (CPM) 的患病率对于综合医疗保健至关重要.
- ICD-11框架为PD及其相关健康状况的分类提供了新的视角.
研究的目的:
- 为了比较CPI和CPM在PD患者和普通人群 (GEP) 之间的患病率.
- 在ICD-11分类系统中调查CPM和特定PD特征之间的关系.
- 在考虑社会人口统计学,临床和生活方式因素的情况下,确定PD患者中CPM的预测因素.
主要方法:
- 一项涉及126名PD患者和126名来自GEP的匹配对照的横截面研究.
- 在PD患者中,ICD-11对PD严重程度,不适应性人格领域,主观空虚和反射功能的评估.
- 用标准化自我报告问卷来评估CPI.
主要成果:
- 患有PD的患者表现出CPI的平均数量较高 (2.05比1.02) 和CPM的频率明显高 (49.2%比26.2%),而不是对照组 (p < .001).
- 在ICD-11中,PD严重程度 (OR=1.143),负情感 (OR=4.845) 和反射功能不佳 (OR=1.694) 是CPM的独立预测因素.
- 消极情感表现出与CPM最强的关联;吸烟没有显著调解这种关系.
结论:
- 患有PD的个体面临着更高的慢性身体多病症负担.
- 特定的PD特征,特别是负面情感和严重程度,与CPM有关,独立于其他因素.
- 这些发现强调了对综合医疗保健模型的关键需求,这些医疗保健模型解决了PD患者的精神和身体健康问题.
相关概念视频
Personality Disorders: Paranoid and Schizoid
39
Personality disorders represent enduring cognition, affect, and behavior patterns that significantly deviate from societal norms. These maladaptive traits often lead to difficulties in various domains, including interpersonal relationships, occupational settings, and overall psychological well-being. Paranoid personality disorder and schizoid personality disorder are two distinct conditions marked by odd or eccentric behavior.
Paranoid Personality Disorder
Paranoid personality disorder is...
Paranoid Personality Disorder
Paranoid personality disorder is...
39
Dissociative Identity Disorder
87
Dissociative Identity Disorder (DID), previously termed multiple personality disorder, is a complex psychological condition characterized by the presence of two or more distinct identities or personality states. Each identity exhibits unique patterns of behavior, voice, and mannerisms and may possess separate memories and emotional responses. The alternating control between identities can result in memory gaps and challenges in recalling daily activities, often exacerbating the individual's...
87
Personality Disorders: Schizotypal and Histrionic
75
Schizotypal personality disorder and histrionic personality disorder are two distinct psychological conditions classified under personality disorders, each characterized by unique behavioral patterns and social difficulties. Both disorders significantly affect interpersonal relationships and emotional well-being, leading to social isolation and frustration.
Schizotypal Personality Disorder: Eccentric Behavior and Social Withdrawal
Schizotypal personality disorder is marked by odd or eccentric...
Schizotypal Personality Disorder: Eccentric Behavior and Social Withdrawal
Schizotypal personality disorder is marked by odd or eccentric...
75
Borderline Personality Disorder
40
Borderline Personality Disorder is a complex and multifaceted mental health condition characterized by pervasive instability in interpersonal relationships, self-image, emotions, and impulse control. This instability manifests in extreme emotional reactions, fear of abandonment, and self-destructive behaviors. The disorder significantly impacts daily functioning, often leading to distress in both personal and professional domains.
Genetic and Environmental Contributions
Borderline Personality...
Genetic and Environmental Contributions
Borderline Personality...
40
Personality Disorders: Dependent and Obsessive-Compulsive
40
Dependent personality disorder and obsessive-compulsive personality disorder are two separate psychological conditions that influence behavior, relationships, and overall life functioning. Though both involve maladaptive behaviors, their core characteristics and motivations differ significantly.
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
40
Diagnostic and Statistical Manual of Mental Disorders (DSM)
55
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
55


