在边界性人格障碍中识别和管理听觉语言幻觉
M B A Niemantsverdriet1,2, C W Slotema1,3, I H A Franken3
1Department of Personality Disorders, Parnassia Psychiatric Institute, The Hague, Netherlands.
Frontiers in psychiatry
|March 4, 2025
概括
听觉语言幻觉 (AVH) 在边缘性人格障碍 (BPD) 患者中经常错过. 虽然抗精神病药物显示出一些效果,但副作用限制了使用,强调了需要更好的治疗策略.
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:
- 听觉语言幻觉 (AVH) 影响25%的边缘性人格障碍 (BPD) 患者.
- 在BPD患者中AVH的临床讨论,治疗和疗效需要进一步调查.
研究的目的:
- 在临床实践中评估AVH讨论和治疗在BPD患者的流行率.
- 在这个人群中评估AVH治疗的有效性和耐受性.
主要方法:
- 分析了130名人格障碍专业诊所的临床档案.
- 结果与研究小组之前的四项科学研究进行了比较.
主要成果:
- 在经历每周一次的BPD患者中,31%的AVH错过了.
- 只有41%的人接受了针对性AVH治疗;抗精神病药物显示有效,但高副作用率 (93%) 导致57%的患者停止治疗.
- 很少提供非药物治疗方法.
结论:
- 在BPD患者中检测和治疗AVH仍然具有挑战性,尽管抗精神病治疗的潜在好处.
- 需要进一步的研究,以优化剂量,治疗指南和非药物干预对BPD中的AVH.
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