患有自恋人格障碍的患者可以改变吗? 一个案例系列
Igor Weinberg1, Elsa Ronningstam, Caitlin Ravichandran
1McLean Hospital, Belmont, Massachusetts; and Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
The Journal of nervous and mental disease
|July 1, 2024
概括
心理治疗可以显著改善自恋人格障碍 (NPD) 患者的结果. 经过2.5到5年的治疗后,患者不再符合诊断标准,并表现出增强的心理社会功能.
科学领域:
- 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:
- 自恋人格障碍 (NPD) 是一种复杂的心理健康状况.
- 对于NPD的心理治疗的长期有效性存在有限的研究.
研究的目的:
- 研究心理治疗的潜力,以促进诊断为NPD的患者的改善.
- 评估心理治疗干预后诊断标准和心理社会功能变化.
主要方法:
- 对八名被诊断患有NPD的患者进行了回顾性分析,这些患者在治疗期间表现出改善.
- 使用临床医生/研究者从自恋诊断面试 (DIN) 和DSM-5标准的诊断得分.
- 在治疗前后评估工作,学校和浪漫关系中的心理社会功能.
主要成果:
- 所有八名患者在经过2.5至5年的心理治疗后都显著改善.
- 患者不再符合NPD的诊断标准,根据DIN和DSM-5.
- 在具有较大的效果大小的心理社会功能中观察到实质性的改善.
结论:
- 心理治疗可以在2.5到5年的治疗期间导致自恋人格障碍的有意义的变化和缓解.
- 需要进一步的研究来确定特定的患者特征,治疗干预措施和与NPD成功治疗结果相关的常见过程.
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