Arza R, Díaz-Marsá M, López-Micó C, de Pablo N Fernández, López-Ibor J J, Carrasco J L
Instituto de Psiquiatría y Salud, Mental Hospital, Clínico San Carlos, Madrid, Spain.
Actas Esp Psiquiatr. 2009 Jul-Aug;37(4):236-9.
Recent research studies have been confirming the evidence that patients with personality borderline disorder (BPD) suffer significant neuropsychological disorders. Neurocognitive dysfunction of BPD seems to mainly affect the functions characteristic of the prefrontal areas that participate in information processing and management and in the regulation of complex behavioral responses. Neuropsychological disorders not only are seen in the specific tests but are also reflected and could play an important role in the clinical manifestations of borderline disorder, such as emotional dysregulation and impulsive behaviors. Neurocognitive rehabilitation therapy has been used successfully in psychiatric disorders such as schizophrenia, also characterized by the presence of neuropsychological dysfunctions. Thus, it can be expected that rehabilitation of the neurocognitive functions affected in BPD contributes to the patient's functional improvement. The present work describes a series of five patients with BPD who presented important neuropsychological dysfunctions and who were treated successfully with a specific program of neurocognitive rehabilitation. The results observed justify the performance of controlled clinical studies on the efficacy of this technique in the treatment of BPD.
近期的研究不断证实,边缘型人格障碍(BPD)患者存在显著的神经心理障碍。BPD的神经认知功能障碍似乎主要影响前额叶区域的特征性功能,这些区域参与信息处理、管理以及复杂行为反应的调节。神经心理障碍不仅在特定测试中可见,还反映在边缘型人格障碍的临床表现中,并可能在其中发挥重要作用,如情绪调节障碍和冲动行为。神经认知康复疗法已成功应用于精神疾病,如同样存在神经心理功能障碍的精神分裂症。因此,可以预期,对BPD中受影响的神经认知功能进行康复治疗有助于患者功能的改善。本研究描述了5例患有BPD且存在重要神经心理功能障碍的患者,他们通过特定的神经认知康复计划成功接受了治疗。观察到的结果证明了开展关于该技术治疗BPD疗效的对照临床研究的合理性。