对边缘性人格障碍和精神分裂症患者的基于心理治疗的不同影响:探索性比较
Jonas G Weijers1, Fleur van Kaam1, Jean-Paul Selten1,2
1GGZ Rivierduinen, Institute for Mental Health Care, Leiden, Netherlands.
Frontiers in psychiatry
|September 11, 2023
概括
基于心态化的治疗 (MBT) 显著改善了边缘性人格障碍 (BPD) 患者的心态化能力,而不是精神分裂症 (SCZ) 患者. MBT帮助SCZ患者保持认知思维能力,建议定制治疗目标.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康 心理健康
背景情况:
- 精神分裂症 (SCZ) 和边缘性人格障碍 (BPD) 患者表现出心理缺陷.
- 基于心态化的治疗 (MBT) 对SCZ与BPD患者心态化的能力的影响需要进一步调查.
研究的目的:
- 为了比较MBT对SCZ和BPD患者心智能力的影响.
- 评估SCZ和BPD的MBT的不同结果.
主要方法:
- 用社会认知和对象关系系统分析了主题感知测试 (TAT) 叙述.
- 26名SCZ患者和28名BPD患者接受了18个月的MBT,在治疗前和后进行了评估.
- 为了进行比较,包括28名不接受MBT的SCZ患者的对照组.
主要成果:
- 与接受MBT的SCZ患者相比,BPD患者在表示复杂性,社会因果关系理解和情感投资方面表现出显著的改善.
- 与SCZ对照组相比,接受MBT的SCZ患者表现出更好的社会因果关系理解,但其他心理方面没有变化.
- 在群体之间的关系的影响调中没有发现显著的差异.
结论:
- 对于BPD患者来说,MBT在多个维度的精神化方面取得了更大的改善,而不是SCZ患者.
- 在SCZ患者中,MBT可能有助于保持认知思维功能,防止进一步下降.
- 根据SCZ和BPD的特定特征,MBT的治疗策略应该是个性化的.
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