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目的:评估海洛因依赖者中人格障碍的发生率,探讨海洛因依赖者的人格障碍共病情况。方法:采用美国精神障碍诊断与统计手册第4版人格障碍临床定式访谈量表(SCID-II)对120例海洛因依赖者和120名健康对照者进行人格障碍的评估。结果:海洛因依赖患者中人格障碍的共病率是79.2%,且73.3%的患者同时符合两种或以上的人格障碍。患者中最常见的人格障碍是边缘型、反社会型、偏执型、强迫型,男性海洛因依赖者中反社会型人格障碍的发生率显著高于女性(χ~2=11.98,P<0.01)。结论:海洛因依赖者中人格障碍的共病现象非常普遍。
Objective: To evaluate the incidence of personality disorder in heroin dependent patients and to explore the comorbidity of personality disorder in heroin dependent patients. Methods: The personality disorder was evaluated in 120 heroin dependent patients and 120 healthy controls using SCID-II, the fourth edition of the Disability Diagnostic and Statistical Manual of the American Psychiatric Association. Results: The comorbidity rate of personality disorder in patients with heroin dependence was 79.2%, and 73.3% of patients met two or more personality disorders at the same time. The most common personality disorder in patients was marginal, antisocial, paranoid and obsessive-compulsive. The incidence of antisocial personality disorder in male heroin addicts was significantly higher than that in women (χ ~ 2 = 11.98, P <0.01). Conclusions: The comorbidity of personality disorders among heroin addicts is very common.