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[抑郁症与人格障碍]

[Depression and personality disorders].

作者信息

Guelfi Julien-Daniel

机构信息

Université Paris V-René Descartes, clinique des maladies mentales et de l'encéphale, hôpital Sainte-Anne, 75674 Paris Cedex 14.

出版信息

Rev Prat. 2008 Feb 29;58(4):373-6.

Abstract

The association between depressive disorders and personality disorders is frequent. They need to be acknowledged in general practice for a better treatment (therapeutic alliance, compliance). Twenty to 50% of psychiatric inpatients and 50 to 85% of outpatients with a major depressive episode also have an associated personality disorder, most frequently borderline, avoidant, dependent or obsessive. These associations, as well as the so-called depressive personality disorder, have many implications for other persistant mood disorders such as dysthymic disorders. This article discusses the therapeutic options for an optimal treatment of these disorders.

摘要

抑郁症与人格障碍之间的关联很常见。在全科医疗中需要认识到它们,以便进行更好的治疗(治疗联盟、依从性)。20%至50%的精神科住院患者以及50%至85%的重度抑郁发作门诊患者也伴有某种人格障碍,最常见的是边缘型、回避型、依赖型或强迫型。这些关联以及所谓的抑郁性人格障碍,对其他持续性心境障碍如恶劣心境障碍有诸多影响。本文讨论了对这些障碍进行最佳治疗的治疗选择。

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