患者的人格障碍:一篇综述
Veronica Viola1, Francesca Bisulli1,2, Cesare Maria Cornaggia3
1Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy.
Frontiers in psychiatry
|May 27, 2024
概括
人格障碍 (PDs) 经常在患者 (PwE) 中观察到. 发病率因类型而异,焦点和心理非发作的发病率较高,使治疗复杂化.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 临床医生经常观察到和人格障碍之间的相关性.
- 了解患者中PD的患病率和特征对于全面的患者护理至关重要.
研究的目的:
- 系统地审查有关患者患病率和PD的特定类型的现有文献.
- 确定与不同综合征相关的PDs模式,包括焦点,青少年肌性 (JME) 和心理非发作 (PNES).
主要方法:
- 进行了全面的PubMed搜索,产生了600多个结果.
- 选择了专注于PWE中PDs (而不是特征或症状) 的相关研究,仅限于英语,意大利语,法语和西班牙语,最终产生了23项符合条件的研究.
主要成果:
- 焦点 (尤其是叶) 中PD的患病率在18-42%之间,其中群体C疾病最常见.
- 在青少年肌性 (JME) 中,PD患病率为8-23%而没有特定的亚型相关性.
- 心理非发作 (PNES) 患病率最高 (30-60%),主要与B组疾病,特别是边缘性人格障碍相关.
结论:
- 在PWE中存在PD,使所有类型的治疗管理变得复杂.
- 关于神经生物学基础,仍然存在重大知识差距,而抗发作药物和手术对同时发生的PDs的影响需要进一步调查.
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