边缘性人格障碍患者和人格障碍患者24年症状障碍的过程比较对象:BPD恢复的描述和预测
Mary C Zanarini1,2,3, Frances R Frankenburg1,4, Isabel V Glass1
1McLean Hospital, Belmont, Massachusetts.
The Journal of clinical psychiatry
|August 15, 2024
概括
随着时间的推移,症状障碍与边缘性人格障碍 (BPD) 的同时发生较少,特别是在康复的患者中. 没有物质使用障碍强烈预测BPD恢复.
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
- 纵向研究 纵向研究
背景情况:
- 边界性人格障碍 (BPD) 经常与症状性障碍并发.
- 了解这些并发症的长期发展过程对于治疗和康复至关重要.
研究的目的:
- 在24年内,比较BPD患者中症状障碍的患病率与其他性格障碍的患病率.
- 检查BPD患者的症状障碍和康复之间的关系.
主要方法:
- 利用了麦克林成人发育研究 (MSAD) 的数据,这是一项长达24年的前性后续研究.
- 使用DSM-III-R轴I障碍结构化临床访谈评估症状障碍.
- 使用通用估计方程来分析362名住院患者的结果.
主要成果:
- 患有BPD的患者表现出比对照组更高的症状障碍率.
- 这些疾病的患病率随着时间的推移在BPD和对照组中显著下降.
- 没有物质使用障碍是BPD恢复最强的预测因素 (RR=2.53,P<.001).
结论:
- 随着时间的推移,症状障碍似乎与BPD同时发生的频率越来越低,特别是在康复的个体中.
- 没有物质使用障碍是从BPD中恢复的关键指标.
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