青少年边缘型人格障碍的治疗
Treatment of borderline personality disorder in youth.
作者信息
Biskin Robert S
机构信息
Institute of Community and Family Psychiatry, Department of Psychiatry, McGill University, Montreal, Quebec.
出版信息
J Can Acad Child Adolesc Psychiatry. 2013 Aug;22(3):230-4.
Abstract
OBJECTIVES
Borderline personality disorder (BPD) is frequently encountered in both adult and youth populations. There is a robust literature supporting psychotherapy for adults with BPD, but the literature supporting its use for BPD in youth is more limited.
METHODS
A literature review was conducted using the keywords "borderline personality disorders" and "adolescence." Relevant articles were reviewed for inclusion.
RESULTS
Several specialized treatments have been studied with mixed results. Dialectical behaviour therapy has no randomized controlled trials in adolescents, emotion regulation training has not demonstrated superiority of treatment as usual, and cognitive analytic therapy has demonstrated more rapid recovery but little difference at follow-up. Mentalization-based treatment has one study supporting its use in self-harming adolescents. Pharmacotherapy has no evidence supporting its use in this population.
CONCLUSIONS
Structured therapy may be the most important therapeutic component in this population.
摘要
目的
边缘型人格障碍（BPD）在成人和青少年人群中均较为常见。有大量文献支持对成年BPD患者进行心理治疗，但支持其用于青少年BPD的文献则较为有限。
方法
使用关键词“边缘型人格障碍”和“青少年”进行文献综述。对相关文章进行审查以确定是否纳入。
结果
已对几种专门治疗方法进行了研究，结果不一。辩证行为疗法在青少年中尚无随机对照试验，情绪调节训练并未显示出优于常规治疗的效果，认知分析疗法显示恢复更快，但随访时差异不大。基于心理化的治疗有一项研究支持其用于有自伤行为的青少年。药物治疗尚无证据支持用于该人群。
结论
结构化治疗可能是该人群最重要的治疗组成部分。
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