Archives of family medicine · 1998
Personality disorders among difficult patients.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Schafer S, Nowlis D P
Аннотация
OBJECTIVE: To determine the association between "difficult" patient status and personality disorder.
DESIGN: A survey using the Diagnostic Interview for Personality Disorders.
PARTICIPANTS: Twenty-one patients nominated by 9 family medicine providers who subjectively experienced their care as difficult and 22 control subjects systematically selected from the same practices.
MAIN OUTCOME MEASURE: The presence of personality disorder measured by the Diagnostic Interview for Personality Disorders.
RESULTS: Personality disorders were more prevalent among the difficult patients: 7 of 21 difficult patients and 1 of 22 control subjects had at least 1 personality disorder (P = .02). Five of 7 difficult patients had dependent personality disorder. None of the providers realized that the difficult patients had personality disorders.
CONCLUSIONS: Unrecognized personality disorder can make difficult provider-patient relationships more likely. Dependent personality disorder may be especially difficult. Improved physician awareness of personality disorders may lead to more effective understanding and treatment of some difficult patients.
DESIGN: A survey using the Diagnostic Interview for Personality Disorders.
PARTICIPANTS: Twenty-one patients nominated by 9 family medicine providers who subjectively experienced their care as difficult and 22 control subjects systematically selected from the same practices.
MAIN OUTCOME MEASURE: The presence of personality disorder measured by the Diagnostic Interview for Personality Disorders.
RESULTS: Personality disorders were more prevalent among the difficult patients: 7 of 21 difficult patients and 1 of 22 control subjects had at least 1 personality disorder (P = .02). Five of 7 difficult patients had dependent personality disorder. None of the providers realized that the difficult patients had personality disorders.
CONCLUSIONS: Unrecognized personality disorder can make difficult provider-patient relationships more likely. Dependent personality disorder may be especially difficult. Improved physician awareness of personality disorders may lead to more effective understanding and treatment of some difficult patients.