Sansone Randy A, Sansone Lori A
Dr. R. Sansone is a Professor of Psychiatry and Internal Medicine at Wright State University School of Medicine in Dayton, Ohio, and Director of Psychiatry Education at Kettering Medical Center in Kettering, Ohio.
Psychiatry (Edgmont). 2004 Sep;1(2):19-27.
BORDERLINE PERSONALITY DISORDER (BPD) IS A COMPLEX AXIS II Phenomenon that is typically described in a psychological or psychiatric context. In this article, we translate the various aspects of BPD to the primary care setting. Previous work in this area has explored specific relationships between BPD and individual medical disorders or between BPD and general somatic symptoms, but the synthesis of these findings and their augmentation with cogent psychological theory is new to the field. Specifically, we highlight the prevalence rate of BPD in the primary care setting, the effects on healthcare utilization, the themes of somatic preoccupation and somatization disorder, several medical syndromes that illustrate the dynamics of the disorder in the medical setting, and the relationship of BPD to disability. We believe that the BPD concept needs to extend beyond its traditional psychological/psychiatric borders to include the subset of BPD patients with somatic symptoms who are seen in primary care settings.
边缘性人格障碍（BPD）是一种复杂的轴II现象，通常在心理学或精神病学背景下进行描述。在本文中，我们将BPD的各个方面转化到初级保健环境中。该领域以前的工作探讨了BPD与个体医学疾病之间或BPD与一般躯体症状之间的特定关系，但将这些发现进行综合并以有说服力的心理学理论加以补充，这在该领域尚属首次。具体而言，我们强调了初级保健环境中BPD的患病率、对医疗保健利用的影响、躯体关注和躯体化障碍的主题、几种说明该障碍在医疗环境中动态变化的医学综合征，以及BPD与残疾的关系。我们认为，BPD的概念需要超越其传统的心理学/精神病学边界，以纳入在初级保健环境中出现的有躯体症状的BPD患者子集。
