人格障害の分類,評価,流行,および影響
Peter Tyrer1, Geoffrey M Reed2, Mike J Crawford1
1Centre for Mental Health, Imperial College, London, UK.
Lancet (London, England)
|February 24, 2015
まとめ
パーソナリティ障害は,医療環境で一般的であり,しばしば人間関係の問題を引き起こします. これらの状態は治療に悪影響を及ぼし,死亡リスクを増やす可能性があるため,早期発見が不可欠です.
科学分野:
- 精神科医は精神病を患っている.
- 臨床心理学の臨床心理学について
背景:
- パーソナリティ障害は,医療従事者があらゆる環境で頻繁に遭遇します.
- パーソナリティ障害を持つ人は,人際関係の問題を外的要因に誤って結びつけることが多い.
- 現在の人格障害の分類は,重複し,検証されていないカテゴリーによって複雑になっています.
研究 の 目的:
- 臨床実務における人格障害の流行と影響を強調する.
- パーソナリティ・パトロジーを分類するためのより次元的なアプローチを提唱する.
- パーソナリティ障害のよりよい発見と管理の必要性を強調する.
主な方法:
- 人格障害の分類と臨床表現に関する既存の文献のレビュー.
- パーソナリティ障害が治療結果と患者の死亡率に及ぼす影響の分析.
- 現在のカテゴリ診断システムの限界についての議論.
主要な成果:
- パーソナリティ障害は,人際的機能の障害によって特徴付けられます.
- 単一次元分類は,離散的なカテゴリよりも,パーソナリティの機能不全をよりよく表すかもしれません.
- 多くのパーソナリティ障害は診断されず,不適切な治療法や有害な治療法が必要になります.
- 他の精神疾患との併発は一般的であり,予後を悪化させる.
- パーソナリティ障害は,死亡率と自殺率の増加と関連しています.
結論:
- パーソナリティ障害は,臨床実務においてより頻繁な識別を必要とします.
- パーソナリティ障害の分類に次元のアプローチが推奨されます.
- 診断の正確性の向上により,より効果的な治療と,よりよい患者の治療結果が得られます.
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