治疗人格障碍的治疗方法
Anthony W Bateman1, John Gunderson2, Roger Mulder3
1Barnet, Enfield, and Haringey Mental Health NHS Trust, London, UK; University College London, London, UK; Anna Freud Centre, London, UK.
Lancet (London, England)
|February 24, 2015
概括
对人格障碍缺乏有效的治疗方法. 对边界性人格障碍的研究表明,心理干预是主要的,但试验有局限性. 未来的研究应该探索潜在的机制和组合疗法.
科学领域:
- 精神病学和临床心理学
背景情况:
- 有效治疗人格障碍的证据有限.
- 边界性人格障碍得到了最多的研究,但临床试验受到小样本规模,短时间的随访,多样化的结果测量和对共存的精神病理学缺乏控制的影响.
研究的目的:
- 审查目前关于人格障碍治疗的证据.
- 突出现有研究的局限性,特别是在边界性人格障碍方面.
- 建议未来的研究方向,以获得更有效的干预措施.
主要方法:
- 审查现有的临床试验和关于人格障碍的研究.
- 分析研究设计的局限性,结果测量和精神病理控制.
- 识别潜在的心理和生物过程中的新兴研究领域.
主要成果:
- 心理或心理社会干预被推作为边缘性人格障碍的主要治疗方法.
- 药物治疗只建议作为边缘性人格障碍的辅助治疗.
- 对人格障碍的潜在机制的研究正在增加.
结论:
- 没有足够的证据基础来有效治疗人格障碍.
- 未来的研究应该专注于了解人格障碍的潜在机制.
- 研究心理治疗和药物治疗的联合作用和机制对于开发更有效的治疗方法至关重要.
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