老年人人格障碍的临床分期
Jeroen A P Conjaerts1, Arjan C Videler2,3,4, Roel Schepman2
1Clinical Center of Excellence for Personality Disorders in Older Adults, Mondriaan Mental Health Center, Heerlen-Maastricht, The Netherlands.
Journal of geriatric psychiatry and neurology
|May 29, 2024
概括
专家们支持老年人人格障碍 (PDs) 的临床分期 (CS) 模型. 该模型整合了人格功能严重程度和生命过程PD表达,以获得更好的预后和治疗.
科学领域:
- 老年精神病学是一门精神病学专业.
- 临床心理学 临床心理学
- 人格障碍 研究 研究 个性障碍
背景情况:
- 老年人的人格障碍 (PD) 在诊断和治疗方面存在独特的挑战.
- 当前的模型可能无法完全捕捉晚年个性病理的生命周期轨迹.
研究的目的:
- 调查实施临床分期 (CS) 模型对老年人个性障碍 (PDs) 的可行性.
- 探索CS模型如何为了解PD老年患者的个性病理学,预后和治疗提供信息.
主要方法:
- 采用了国际德尔菲方法论,涉及三轮专家共识.
- 该领域的21名专家参与了这项研究.
主要成果:
- 在17个陈述中的12个达成共识,支持CS模型对老年人PD的可行性.
- 拟议的模型整合了PD的替代模型 (标准A) 和生命历程信息.
- 它区分慢性,复发性,晚发性和过去的人格障碍.
结论:
- 国际专家支持开发一个CS模型来治疗老年人格障碍.
- 该模型既考虑了个性功能的严重程度,也考虑了PD表达的回顾性生命过程.
- 预计这种方法将增强患有PD的老年人的临床决策能力.
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