自恋人格障碍和精神病医院住院患者的情绪调节
Ryan P Smith1, John M Bouras2, Christopher Frazier1
1The Menninger Clinic 12301 Main St, Houston, Texas, USA.
患有自恋人格障碍 (NPD) 的患者经历了显著的情绪调节挑战. 治疗有好处,但控制冲动和接受情绪的困难仍然存在,特别是在那些有高度神经性的人群中.
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:
- 情绪调节困难在自恋人格障碍 (NPD) 中很常见,影响社会和职业功能.
- 识别NPD患者的特定情绪调节缺陷对于定制有效治疗至关重要.
研究的目的:
- 评估与匹配的同龄人相比,诊断为NPD的成人精神病医院住院患者的情绪调节困难.
- 探索神经病症对NPD患者治疗结果的影响.
主要方法:
- 倾向分数匹配 (PSM) 用于创建可比的NPD患者 (n=54) 和精神病学同行 (n=108) 组.
- 差异分析 (ANOVA) 在入院和出院时比较了情绪调节措施.
- 适度分析检查了神经病症在治疗反应中的作用.
主要成果:
- 在入院时,NPD患者在冲动控制,目标导向行为,情绪清晰,调节策略和经验回避方面表现出更大的困难.
- 在出院时,NPD患者仍在努力控制冲动和接受情绪反应.
- 与对照组相比,NPD患者更有可能过早停止治疗.
- 高度的神经病症与更大的治疗收益有关,但在经验回避和情绪调节策略中存在持续的挑战.
结论:
- 患有NPD的患者在情绪调节方面表现出精神病治疗的可衡量的益处.
- 特定的缺陷,包括冲动控制和情绪接受,需要有针对性的干预来改善结果.
- 解决持续的情绪调节困难可能会提高NPD患者的治疗疗效.
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