摘要:
目的:
深入
了解高校学生群体中人格障碍问题的分布和特点。方法:采用人格障碍诊断问卷
(
PDQ-4+
)
对
3552
名高校学生
(
包括大学生和研究生
)
进行人格障碍筛查,并用人格障碍临床定式检测
(
SCID-
II)
对该群体中的边缘型人格障碍进行诊断。结果:
1)
本科生
PDQ-4+
各分量表得分显著高于研究生
(
分裂性除外
)
;
2
)
男生在偏执型、分裂型、自恋型、反社会型、强迫型、被动攻击型上得分显著高于女生,在依赖型、回避型和边缘型三项上显著低于女生;
3)
强迫型和边缘型在
95
的百分位上明显高于原量表划界分;
4)
按原划分标准,强迫型阳性率最高,回避型、表演型、自恋型、边缘型等依次之,分裂性阳性率最低;
5)
高校学生样本中边缘型人格障碍
(
BPD
)
的患病率大约为
1.74%
。结论:
PDQ-4+
高校样本在一些项目上存在性别和文理科的差异;
PDQ-4+
原划分标准不适合高校学生样本,建议在实际工作中采用新的划界分。
Abstract:
Objective:
To achieve an in-depth knowledge of personality disorders prevalence features in the university students groups. Methods: Personality Diagnostic Questionnaire-4 + (PDQ-4+) was administered to a sample consisting of 3552 university students (including postgraduate and undergraduate) to investigate personality disorder (PD) subjects, and BPD subjects were diagnosed by Structured Clinical Interview for DSM-
IV
personality disorders (SCID-II). Results: 1) The undergraduates showed significantly higher than graduate students in the subscales for different types of PD (excluding schizoid) of PDQ-4+; 2) The males showed significantly higher than females in subtypes of paranoid, schizotypal, antisocial, narcissistic, compulsive-obsessive and passive-aggressive, and lower in subtypes of avoidant, borderline and dependent; 3) The results of Percentile showed that the scores of compulsive-obsessive and borderline were significantly higher at the point of 95% than cut-off scores of PDQ-4+; 4) According to the original classification, the positive rate of compulsive-obsessive was the highest, avoidant, histrionic, narcissistic, borderline followed, and schizotypal was the lowest; 5) The prevalence of BPD was 1.74% in the university students groups. Conclusion: There were differences in gender and art & science on some terms of PDQ-4+; the original classification of PDQ-4+ is not suitable for university students, it needs to be adapted when applied.