精神崩还是人格障碍? 在患有病态人格结构的青少年中,精神病学表征和向年轻成人发展的发展途径
Chiara Rogantini1, Marika Orlandi1,2, Arianna Vecchio2
1Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy.
患有人格障碍 (PD) 的青少年表现出持续的症状,而高风险的青少年可能会转变为PD. 早期发现和干预对于处于危险阶段的青少年至关重要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 关于从青春期到成年早期的人格障碍 (PD) 发展的研究有限.
- 了解早期的风险因素和发展轨迹对于及时干预至关重要.
研究的目的:
- 与患有完整的PD和其他精神疾病的青少年相比,分析高风险青少年的情况.
- 确定临床标记,表明青少年的人格障碍风险.
主要方法:
- 99名青少年 (12-17岁) 使用DSM-5标准,采访,问卷,认知任务和功能/严重程度等级进行评估.
- 三组:完整的PD (FBPD),PD的高风险 (HPD) 和其他精神疾病 (OTH).
- 56名参与者完成了后续评估,以追踪发育轨迹 (缓解,稳定,过渡).
主要成果:
- 患有FBPD的青少年报告了更多受损的家庭背景.
- HPD组包括年轻的女性;外部化症状可能先于FBPD.
- 过渡到FBPD的年轻HPD患者的母亲在基线报告了更高的内化症状.
- 没有FBPD患者实现了缓解.
结论:
- 调查结果支持了研究的概念.
- 处于危险的精神状态
- 对于青少年的PDs来说.
- 无论年龄如何,早期发现和治疗青少年的PDs至关重要.
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