症状从非自杀性自伤转移到物质使用和边界人格病理
Annekatrin Steinhoff1, Marialuisa Cavelti1, Julian Koenig2
1University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
JAMA network open
|November 8, 2024
概括
青少年非自杀性自我伤害 (NSSI) 行为的下降可能表明物质使用增加,不一定是恢复. 监测NSSI和物质使用对于有效治疗边缘性人格病理至关重要.
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
- 发展心理学 发展心理学
背景情况:
- 非自杀性自我伤害 (NSSI) 通常被视为边缘人格病理的青少年治疗进展的标志物.
- 然而,NSSI的减少可能会掩盖潜在的问题,例如症状转向吸毒.
研究的目的:
- 调查NSSI和药物使用在接受NSSI治疗的青少年的共同发展.
- 为了确定从NSSI转向物质使用是否与边界人格病理相关.
主要方法:
- 一项对277名青少年和年轻成年人进行NSSI治疗的队列研究.
- 利用自我报告的NSSI和物质使用数据,以及边界人格病理的诊断访谈.
- 采用增长混合模型来确定NSSI和物质使用的联合轨迹.
主要成果:
- 三个不同的类别出现了:下降的NSSI与下降的物质使用,中度增加的物质使用,和强增加的物质使用.
- 药物使用量大幅增加的类别持续显示高边缘性人格障碍 (BPD) 标准.
- NSSI的下降通常与物质使用的增加有关.
结论:
- 仅仅减少NSSI并不是成功治疗边缘性人格病理的青少年的足够指标.
- 对NSSI和物质使用轨迹的联合监测对于早期检测和定制干预至关重要.
- 这种方法可以改善青少年边缘性人格病理的管理.
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