边界性人格障碍 (BPD) 与泛性焦虑障碍 (GAD) 之间的并发症:系统性审查和元分析
Aimun Qadeer Shah1, Divya Prasad2, Luisa Caropreso3
1School of Interdisciplinary Science, Life Sciences Program, McMaster University, Hamilton, ON, Canada.
Journal of psychiatric research
|July 1, 2023
概括
泛性焦虑症 (GAD) 在患有边缘性人格障碍 (BPD) 的成年人中很常见. 这种并发症与更严重的BPD症状和较差的临床结果有关.
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
- 心理健康研究 心理健康研究
背景情况:
- 边界性人格障碍 (BPD) 是一种复杂的精神疾病,其特征是情绪不稳定和人际关系困难.
- 在BPD和其他心理健康状况,特别是焦虑症之间存在很高的并发症率.
- 一般焦虑障碍 (GAD) 和BPD之间的特定关系仍然没有得到充分的研究.
研究的目的:
- 系统地审查和分析现有的关于BPD成年人GAD患病率的文献.
- 调查与GAD和BPD的并发症相关的临床结果.
- 综合当前关于成年人群中GAD-BPD并发症的研究.
主要方法:
- 在PsycINFO,PubMed和Embase数据库中进行了系统的文献搜索.
- 包括24项研究,其中21项专注于患病率,4项专注于临床结果.
- 对包含的9项研究进行了元分析.
主要成果:
- 在患有BPD的个人中,目前的GAD患病率在住院患者中为16.4%,在门诊患者/社区样本中为30.6%.
- 在患有BPD的个人中,终身GAD患病率在住院患者中为11.3%,在门诊/社区样本中为13.7%.
- 并发症与BPD严重程度,冲动性,愤怒和绝望感的增加有关.
结论:
- 同病性GAD和BPD在成年人中非常普遍,尽管置信区间需要谨慎的解释.
- GAD和BPD的同时发生与加剧的BPD症状严重程度有关.
- 进一步的研究是有必要的,以充分理解这种共同疾病的含义.
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