纤维肌痛患者的个性障碍
Eli Magen1, Akim Geishin2, Abraham Weizman3
1Leumit Health Services, Tel Aviv-Yafo 6473817, Israel; Medicine A Department, Assuta Ashdod Medical Center affiliated with Ben Gurion University of the Negev, Beer Sheva 8410501, Israel; Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
纤维肌痛 (FM) 与人格障碍 (PD) 的更高率有关,特别是像边界PD这样的B组类型. 这种关联持续了20多年,这表明需要在FM护理中进行例行PD查.
科学领域:
- 精神病学是一个精神病学.
- 流行病学 流行病学
- 内部医学 内部医学
背景情况:
- 纤维肌痛 (FM) 经常与精神健康状况同时发生.
- 有限的人口层面数据存在于患有FM的个体中人格障碍 (PD) 的流行率和长期发病率.
研究的目的:
- 与匹配的对照人群相比,量化 FM 患者中 PD 诊断的横截面流行率和 20 年累计发病率.
- 评估诊断机会对FM观察到的PD率的影响.
主要方法:
- 使用以色列全国卫生系统数据库进行了一项回顾性匹配队列研究.
- 15,869名患有FM的成年人与79,345名对照人进行了1:5的匹配,比较了ICD-10的20年PD诊断.
- 统计分析包括条件后勤回归和生存分析,以及对监测偏差的敏感性分析.
主要成果:
- 患有FM的个体在基线 (1.84%vs0.49%) 和随访结束 (2.85%vs0.57%) 时显示出任何PD的显着更高的患病率,B组PD显著增加,特别是边缘PD.
- 20年累计的PD发病率在FM队列中显著高于 (1.03%对比0.08%),主要是由B组疾病驱动的.
- 监测校准表明,在FM中B组PDs的过度风险仅部分由精神病医疗服务利用率的增加来解释.
结论:
- 纤维肌痛与B组人格障碍的显著和持久增加有关,特别是边界PD.
- 这些发现支持将例行PD查纳入FM管理协议.
- 建议进行进一步的研究,以探索关联FM和PD的潜在免疫-神经内分泌和前体内膜机制.
更多相关视频
11:26Home-Based Transcranial Direct Current Stimulation Device Development: An Updated Protocol Used at Home in Healthy Subjects and Fibromyalgia Patients
Published on: July 14, 2018
09:55Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
相关概念视频
Personality Disorders: Paranoid and Schizoid
Paranoid Personality Disorder
Paranoid personality disorder is...
Personality Disorders: Schizotypal and Histrionic
Schizotypal Personality Disorder: Eccentric Behavior and Social Withdrawal
Schizotypal personality disorder is marked by odd or eccentric...
Personality Disorders: Dependent and Obsessive-Compulsive
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
Personality Disorders: Narcissistic and Avoidant
Characteristics of Narcissistic Personality Disorder
Narcissistic individuals exhibit an inflated sense of self-importance and an excessive need for admiration. They are often...
Borderline Personality Disorder
Genetic and Environmental Contributions
Borderline Personality...
Depressive Disorders: MDD and Dysthymia
