人格障碍的分类,评估,患病率和影响
Peter Tyrer1, Geoffrey M Reed2, Mike J Crawford1
1Centre for Mental Health, Imperial College, London, UK.
Lancet (London, England)
|February 24, 2015
概括
人格障碍在医疗机构中很普遍,经常导致关系问题. 早期诊断至关重要,因为这些疾病可能会对治疗产生负面影响,并增加死亡风险.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 人格障碍是医疗从业者在所有环境中经常遇到的.
- 个性障碍患者经常将人际关系问题错误地归因于外部因素.
- 目前的人格障碍的分类因重叠和未经验证的类别而复杂化.
研究的目的:
- 突出人格障碍在临床实践中的流行和影响.
- 倡导一种更为多维的方法来分类人格病理.
- 强调需要更好地检测和管理人格障碍.
主要方法:
- 关于人格障碍分类和临床表现的现有文献的审查.
- 对人格障碍对治疗结果和患者死亡率的影响分析.
- 讨论当前分类诊断系统的局限性.
主要成果:
- 人格障碍的特点是人际关系功能上的困难.
- 单一维分类可能更好地代表人格功能障碍,而不是离散类别.
- 许多人格障碍仍未被诊断出来,导致治疗方法不足最佳或有害.
- 与其他精神疾病的并发症是常见的,并使预后恶化.
- 人格障碍与增加的死亡率和自杀率有关.
结论:
- 人格障碍需要在临床实践中更频繁地识别.
- 建议使用维度方法对人格障碍进行分类.
- 提高诊断准确度可以导致更有效的治疗和更好的患者结果.
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