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Asociaciones del trastorno disocial anterior con los trastornos de la personalidad en pacientes psiquiátricos “no psicóticos” hospitalizados

Published online by Cambridge University Press:  12 May 2020

J.H. Dowson
Affiliation:
Departamento de Psiquiatría de la Universidad de Cambridge, Box 189, Hospital Addenbrooke, Cambridge CB2 2QQ, Reino Unido
P. Sussams
Affiliation:
Departamento de Psiquiatría de la Universidad de Cambridge, Box 189, Hospital Addenbrooke, Cambridge CB2 2QQ, Reino Unido
A.T. Grounds
Affiliation:
Departamento de Psiquiatría de la Universidad de Cambridge, Box 189, Hospital Addenbrooke, Cambridge CB2 2QQ, Reino Unido
J.C. Taylor
Affiliation:
Hospital Kneesworth House, Bassingbourn, Reino Unido
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Resumen

El propósito era investigar la asociación de los antecedentes de rasgos de trastorno disocial (TD) del DSM-HI-R con rasgos de los trastornos de la personalidad (TP) del DSM-III-R y la psicopatía en la práctica psiquiátrica hospitalaria. Se evaluó a 56 pacientes psiquiátricos hospitalizados sin antecedentes de "psicosis" especificadas por la entrevista estructurada SCID para los TP del DSM-III-R y la "Lista de Psicopatía Revisada" (PCL-R). En una muestra en la que el 59% de los pacientes tenían trastorno li'mite de la personalidad, las asociaciones significativas entre antecedentes de criterios deTD y los rasgos adultos de trastorno antisocial de la personalidad (TAP) eran relativamente específicas comparado con otros TP, pero eran más débiles en las mujeres. Sin embargo, las correlaciones significativas entre el número de criterios positivos de TD y las puntuaciones en la PCL-R fueron similares en ambos géneros. Es probable que las asociaciones relativamente específicas entre el TD y los rasgos adultos del TAP sean pertinentes para los pacientes psiquiátricos que muestran diversas presentaciones de TP, si éstas incluyen algunos rasgos adultos de TAP. Los hallazgos alcanzan a la comprensión del desarrollo y la clasificación de los TP.

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Artículo original

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