诊断边缘性人格障碍:经过实践经验的人的报告和建议
Vanessa Tedesco1, Nicholas John Stephen Day1, Sophie Lucas1
1Psychology, University of Wollongong, Wollongong, Australia.
Personality and mental health
|November 24, 2023
概括
患有边界性人格障碍 (BPD) 的人在诊断方面经历了显著的延迟,经常错过了关键的青少年支持. 一个共同设计的四步过程可以改善BPD的诊断和治疗计划.
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) 是一种复杂的心理健康状况,其特点是自我认知和人际关系的困难.
- 与BPD相关的耻辱感可能导致医疗保健专业人员的诊断犹,对患者的结果产生负面影响.
- 早期诊断和干预对于改善BPD的恢复轨迹至关重要.
研究的目的:
- 探索被诊断患有BPD的个人关于疾病发病,洞察力,诊断和治疗的经历.
- 在BPD诊断过程中识别障碍物和促进因素.
- 根据患者建议,共同设计BPD的改进诊断程序.
主要方法:
- 进行了定性采访,对15名患有BPD的参与者进行了实践采访.
- 数据分析采用了共同设计的框架,涉及一个研究人员与BPD的实践经验.
- 采访探讨了症状出现,诊断延迟,诊断的感知好处和挑战以及所需的诊断过程等主题.
主要成果:
- 观察到18.1年的显著"诊断差距",症状在青春期出现,但诊断延迟到成年.
- 参与者报告了诊断的好处,包括增加洞察力和减少孤立,但也面临着耻辱和治疗准入问题.
- 只有27%的人在诊断过程中感到高度支持,而85%的人认为青少年诊断会有好处.
结论:
- 迫切需要解决边界性人格障碍的诊断延迟和耻辱问题.
- 一个共同设计的,四步诊断程序 (解释,彻底评估,功能探索,治疗联系) 建议提高BPD患者的诊断经验和结果.
- 将患者的观点纳入诊断方案对于以患者为中心的心理健康护理至关重要.
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