功能性患者的人格障碍:系统性审查
Ilaria Sammarra1, Iolanda Martino1, Laura Marino1
1Institute of Neurology, Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy.
Frontiers in psychiatry
|August 21, 2024
概括
功能性 (FS) 与人格障碍有关,特别是边缘人格障碍 (BPD),影响治疗. 辩证行为疗法可能有助于管理FS患者的情绪失调 BPD.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 功能性 (FS) 被归类为转化障碍 (DSM-5) 或分离性障碍 (ICD-11).
- FS表现出多因素的精神病理与常见的伴随性疾病,如抑郁和焦虑.
- 在FS和人格障碍之间存在显著的相关性,特别是B群,边界人格障碍 (BPD) 是最常见的.
研究的目的:
- 审查功能性发作和人格障碍之间的关系.
- 突出评估人格障碍对于FS.定制干预的相关性.
- 探索认知行为疗法 (CBT) 和辩证行为疗法 (DBT) 在管理FS中的作用.
主要方法:
- 对现有文献进行系统审查.
- 分析FS与各种人格障碍集群 (B和C) 之间的相关性.
- 评估当前的治疗方法,包括CBT和DBT.
主要成果:
- 边界性人格障碍 (BPD) 和其特征在FS患者中非常普遍.
- 情绪失调,这是BPD的标志,在FS中经常观察到.
- 在FS患者中也报告了集群C个性障碍 (例如,回避性,强迫症).
结论:
- 评估人格障碍对于有效的FS治疗计划至关重要.
- 辩证行为疗法 (DBT) 对FS患有BPD的患者来说是有前途的,因为它专注于情绪失调.
- 未来的研究应该调查FS系统性人格障碍评估的好处,以改善结果.
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