将心理社会风险与青春期边界人格障碍的新证据相结合:临床医生的最新情况
Nihit Gupta1, Mayank Gupta2, Jayakrishna S Madabushi3
1Psychiatry, University of West Virginia, Glen Dale, USA.
Cureus
|July 14, 2023
概括
青少年的边界性人格障碍 (BPD) 与虐待和忽视等心理社会风险有关. 早期查和定制治疗,包括家庭治疗,对于更好的长期结果至关重要.
科学领域:
- 精神病学和发育心理学.
- 儿童和青少年心理健康
背景情况:
- 边界性人格障碍 (BPD) 发病频繁发生在青春期,其复杂的病因涉及遗传,神经生物学,心理和社会因素.
- 新兴研究强调了心理社会风险因素在儿童晚期和青春期BPD发育现象学中的重要作用.
研究的目的:
- 审查最近关于心理社会风险因素在青少年边缘性人格障碍 (BPD) 发展中的作用的文献.
- 探索不利的家庭环境,虐待,忽视和同行受害对BPD发展的影响.
主要方法:
- 对最近的文献进行系统审查,重点关注与青少年BPD相关的心理社会风险因素.
- 分析了检查家庭环境,各种形式的虐待,忽视,社会经济地位,欺凌和约会暴力的研究.
主要成果:
- 不利的家庭环境,包括虐待,忽视和心理病理的代际传播,都与BPD病因有很大关系.
- 早期出现的BPD症状与其他疾病有所区别,并且经常与其他疾病同时发生,需要特定的诊断方法.
- 心理社会因素,如欺凌和约会暴力,在青少年中对BPD的发展有很大的贡献.
结论:
- 在青少年中早期识别和干预BPD至关重要,利用诸如情绪调节困难量表 (DERS) 和详细的发展史等工具.
- 基于证据的治疗方法,可能根据成本和可访问性进行修改,以及家庭疗法和创伤信息护理,对于改善结果至关重要.
- 包括学校课程和立法行动在内的多部门合作对于解决同伴受害和支持早期BPD管理至关重要.
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