Psychological distress, depressive symptomatology, coping and DSM-III-R/ICD-10 personality disorders A study among primary mental health care patients

作者: Elisabeth H.M. Eurelings-Bontekoe , Marianne van der Slikke , Margot J. Verschuur

DOI: 10.1016/S0191-8869(97)80006-2

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摘要: Abstract The association between psychological distress, coping and personality disorders (PDs) was studied among a group of 230 primary mental health care patients by means Principal Component Analysis (PCA) stepwise multiple regression analyses. PCAs revealed that those who suffer from pathology tend to use passive be hostile interpersonal sensitive. Those show schizoid, schizotypal, dissocial avoidant traits not seek social support. dependent anxious avoid difficult situations express their (anger) feelings. analyses provided more fine-grained analysis: hostility sensitivity appeared the strongest independent predictor pathology. More particularly, high scoring on mainly dramatic (B) cluster disorders, whereas characteristic eccentric (A), fearful (C) clusters. In addition, PDs were characterised inability handle stress in an active way (mainly observed clusters), relations order receive support (A) coping, which all three It is concluded assessment symptomatology may provide worker with cues concerning possible presence pathology, could then subsequently investigated. This have important implications for treatment; cases referral secondary might appropriate.

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