Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Am Fam Physician. 2011 Dec 1;84(11):1253-60.
Personality disorders have been documented in approximately 9 percent of the general U.S. population. Psychotherapy, pharmacotherapy, and brief interventions designed for use by family physicians can improve the health of patients with these disorders. Personality disorders are classified into clusters A, B, and C. Cluster A includes schizoid, schizotypal, and paranoid personality disorders. Cluster B includes borderline, histrionic, antisocial, and narcissistic personality disorders. Cluster C disorders are more prevalent and include avoidant, dependent, and obsessive-compulsive personality disorders. Many patients with personality disorders can be treated by family physicians. Patients with borderline personality disorder may benefit from the use of omega-3 fatty acids, second-generation antipsychotics, and mood stabilizers. Patients with antisocial personality disorder may benefit from the use of mood stabilizers, antipsychotics, and antidepressants. Other therapeutic interventions include motivational interviewing and solution-based problem solving.
人格障碍在大约 9%的美国普通人群中得到了记录。心理治疗、药物治疗和为家庭医生设计的简短干预措施可以改善这些障碍患者的健康状况。人格障碍分为 A、B 和 C 型。A 型包括分裂样、分裂型和偏执型人格障碍。B 型包括边缘型、表演型、反社会型和自恋型人格障碍。C 型障碍更为常见，包括回避型、依赖型和强迫型人格障碍。许多人格障碍患者可以由家庭医生治疗。边缘型人格障碍患者可能受益于使用ω-3 脂肪酸、第二代抗精神病药和情绪稳定剂。反社会人格障碍患者可能受益于使用情绪稳定剂、抗精神病药和抗抑郁药。其他治疗干预措施包括动机访谈和基于解决方案的问题解决。
