人格障碍患者治疗使用情况的前瞻性评估。
Prospective assessment of treatment use by patients with personality disorders.
作者信息
Bender Donna S, Skodol Andrew E, Pagano Maria E, Dyck Ingrid R, Grilo Carlos M, Shea M Tracie, Sanislow Charles A, Zanarini Mary C, Yen Shirley, McGlashan Thomas H, Gunderson John G
机构信息
Department of Psychiatry, New York State Psychiatric Institute, Columbia University College of Physicians and Surgeons, 1051 Riverside Drive, New York, New York 10032, USA.
出版信息
Psychiatr Serv. 2006 Feb;57(2):254-7. doi: 10.1176/appi.ps.57.2.254.
OBJECTIVE
This study examined the utilization of mental health treatments over a three-year period among patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorders compared with patients with major depressive disorder and no personality disorder.
METHODS
A prospective, longitudinal study design was used to measure treatment use for 633 individuals aged 18 to 45 years during a three-year period.
RESULTS
Patients with borderline personality disorder were significantly more likely than those with major depressive disorder to use most types of treatment. Furthermore, all patients continued using high-intensity, low-duration treatments throughout the study period, whereas individual psychotherapy attendance declined significantly after one year.
CONCLUSIONS
Although our data showed that patients with borderline personality disorder used more mental health services than those with major depressive disorder, many questions remain about the adequacy of the treatment received by all patients with personality disorders.
目的
本研究调查了分裂样、边缘型、回避型或强迫型人格障碍患者在三年期间的心理健康治疗利用情况，并与重度抑郁症患者和无人格障碍患者进行了比较。
方法
采用前瞻性纵向研究设计，在三年期间对633名18至45岁的个体的治疗使用情况进行测量。
结果
边缘型人格障碍患者比重度抑郁症患者更有可能使用大多数类型的治疗。此外，在整个研究期间，所有患者都持续使用高强度、低持续时间的治疗，而个体心理治疗的参与率在一年后显著下降。
结论
尽管我们的数据显示边缘型人格障碍患者比重度抑郁症患者使用了更多的心理健康服务，但关于所有人格障碍患者所接受治疗的充分性仍有许多问题。
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