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Distribución relacionada con el género de los trastornos de la personalidad en una muestra de pacientes con trastorno de angustia

Published online by Cambridge University Press:  12 May 2020

G. Barzega
Affiliation:
Departamento de Neurociencia, Psiquiatría, Section Via Cherasco 11 10126, Turín, Italia
G. Maina
Affiliation:
Departamento de Neurociencia, Psiquiatría, Section Via Cherasco 11 10126, Turín, Italia
S. Venturello
Affiliation:
Departamento de Neurociencia, Psiquiatría, Section Via Cherasco 11 10126, Turín, Italia
F. Bogetto
Affiliation:
Departamento de Neurociencia, Psiquiatría, Section Via Cherasco 11 10126, Turín, Italia
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Resumen

Objetivo

Examinamos las diferencias de género en la frecuencia de los diagnóstics de trastorno de la personalidad del DSM-IV en una muestra de pacientes con diagnóstico de trastorno de angustia (TA).

Método

Se seleccionó a 184 pacientes ambulatorios con un diagnóstico principal de TA (DSM-IV). Se evaluó a todos los pacientes con una entrevista semiestructurada para recoger datos demográficos y clínicos y generar diagnósticos del Eje I y el Eje II según los criterios del DSM-IV.

Resultados

Los varones tertian significativamente más posibilidades que las mujeres de cumplir los diagnósticos para trastorno esquizoide y límite de la personalidad. Comparado con los varones, las mujeres predominaban en los diagnósticos histriónico y del grupo C, particularmente los de trastorno de la personalidad por dependencia. Se encontró una interacción significativa entre el sexo femenino y la agorafobia en la distribución del trastorno de la personalidad (TP).

Conclusiones

Los pacientes varones con TA parecen caracterizarse por trastornos de la personalidad más graves, mientras que las pacientes con TA, particularmente con agorafobia comórbida, tienen tasas más altas de comorbilidad con trastornos de la personalidad pertenecientes al “grupo ansioso-miedoso”.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2001

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References

Bibliografía

Alnaes, K, Torgersen, SDSM-III symptom disorders (Axis I) and personality disorders (Axis II) in an outpatient population. Acta Psychiatr Scand 1988; 78: 348–55.CrossRefGoogle Scholar
Alnaes, K, Torgersen, SDSM-III personality disorders among patients with major depression, anxiety disorders, and mixed conditions. J Nerv Ment Dis 1990; 178: 693–8.CrossRefGoogle ScholarPubMed
American, Psychiatric AssociationDiagnostic and statistical manual of mental disorders, 4th ed. Washington, DC: APA; 1994.Google Scholar
Ampollini, P, Marchesi, C, Signifredi, R, Maggini, CTemperament and personality features in panic disorder with or without comorbid mood disorders. Acta Psychiatr Scand 1997; 95: 420–3.CrossRefGoogle ScholarPubMed
Ampollini, P, Marchesi, C, Signifredi, R, Ghinaglia, E, Scardovi, F, Codeluppi, SAet al. Temperament and personality features in patients with major depression, panic disorder and mixed conditions. J Affect Disord 1999; 52: 203–7.CrossRefGoogle ScholarPubMed
Bekker, MHLAgoraphobia and gender: a review. Clin Psychol Rev 1996; 16: 129–46.CrossRefGoogle Scholar
Cox, BJ, Swinson, RP, Shulman, ID, Kuch, K, Reichman, JTGender effects and alcohol use in panic disorder with agoraphobia. Behav Res Ther 1993; 31: 413–6.CrossRefGoogle ScholarPubMed
Friedman, CJ, Shear, MK, Francés, AFDSM-III personality disorders in panic patients. J Pers Disord 1987; 1: 132–5.CrossRefGoogle Scholar
Golomb, M, Fava, M, Abraham, M, Rosenbaum, JFGender differences in personality disorders. Am J Psychiatry 1995; 152: 579–82.Google ScholarPubMed
Grilo, CM, Becker, DF, Walker, ML, Edell, WS, McGlashan, THGender differences in personality disorders in psy-chiatrically hospitalized young adults. J Nerv and Ment Dis 1996; 184: 754–7.CrossRefGoogle ScholarPubMed
Grilo, CM, Becker, DF, Fehon, DC, Walker, ML, Edell, WS, McGlashan, THGender differences in personality disorders in psychiatrically hospitalized adolescents. Am J Psychiatry 1996; 153: 1089–91.Google ScholarPubMed
Hoffart, A, Thome, K, Hedley, LM, Strand, JDSM-III-R Axis I and Axis II disorders in agoraphobic patients with and without panic disorder. Acta Psychiatr Scand 1994; 89: 186–91.CrossRefGoogle ScholarPubMed
Jackson, HJ, Whiteside, HL, Bates, GW, Bell, R, Rudd, RP, Edwards, JDiagnosing personality disorders in psychiatric inpatients. Acta Psychiatr Scand 1991; 83: 206–13.CrossRefGoogle ScholarPubMed
Kroll, J, Sines, L, Martín, K, Lari, S, Pyle, R, Zander, JBorderline personality disorder: construct validity of the concept. Arch Gen Psychiatry 1981; 38: 1021–6.CrossRefGoogle Scholar
Langs, G, Quehenberger, F, Fabisch, K, Klug, G, Fabisch, H, Zapotoczky, HGPrevalence, patterns and role of personality disorders in panic disorder patients with and without comorbid (lifetime) major depression. Acta Psychiatr Scand 1998; 98: 116–23.CrossRefGoogle ScholarPubMed
Langs, G, Quehenberger, F, Fabisch, K, Klug, G, Fabisch, H, Zapotoczky, HGThe development of agoraphobia in panic disorder: a predictable process? J Affect Disord 2000; 58: 4350.CrossRefGoogle ScholarPubMed
Latas, M, Starcevic, V, Trajkovic, G, Bogojevic, GPredictors of comorbid personality disorders in patients with panic disorder with agoraphobia. Compr Psychiatry 2000; 41: 2834.CrossRefGoogle ScholarPubMed
Mavissakalian, MR, Hamman, MS, Abou, Haidar S, de, Groot CMDSM-III personality disorders in generalized anxiety, panic/agoraphobia, and obsessive-compulsive disorders. Compr Psychiatry 1993; 34: 243–8.CrossRefGoogle ScholarPubMed
Me, GI, shan, THThe Chestnut Lodge Follow-Up Study, III: long-term outeome of borderline personalities. Arch Gen Psychiatry 1986; 43: 2030.Google Scholar
Merikangas, KR, Stevens, DE, Fenton, B, et, alCo-morbidity and familia1 aggregation of alcoholism and anxiety disorders. Psychod Med 1998; 28: 773–88.CrossRefGoogle ScholarPubMed
Oei, TPS, "Wanstall, K, Evans, LSex differences in panic disorder with agoraphobia. J Anxiety Disord 1990; 4: 317–24.CrossRefGoogle Scholar
Reich, JSex distribution of DSM-III personality disorders in psychiatric outpatients. Am J Psychiatry 1987; 144: 485–8.Google ScholarPubMed
Robins, LN, Helzer, JE, Weissman, MM, Orvaschel, H, Gruenberg, E, Burke, JD Jret al. Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry 1984; 41: 949–58.CrossRefGoogle ScholarPubMed
Sanderson, WC, Wetzler, S, Beck, AT, Betz, FPrevalence of personality disorders among patients with anxiety disorders. Psychatry Res 1993; 51: 167–74.CrossRefGoogle Scholar
Starcevic, V, Djordjevic, A, Latas, M, Bogojevic, GCharacteristics of agoraphobia in women and men with PD with agoraphobia. Depress Anxiety 1998; 8: 813.3.0.CO;2-9>CrossRefGoogle Scholar
Yonkers, KA, Klotnick, C, Allsworth, J, Warshaw, M, Shea, T, Keller, MBIs the course of panic disorder the same in women and men? Am J Psychiatry 1998; 155: 596602.CrossRefGoogle ScholarPubMed
Zimmerman, M, Coryell, WHDSM-III personality disorder dimensions. J Nerv Ment Dis 1990; 178: 686–92.CrossRefGoogle ScholarPubMed