Department of Psychiatry and Behavioral Sciences, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, Box 359896, Seattle, WA 98104, USA.
Division of General Internal Medicine, University of Washington General Internal Medicine Center, University of Washington School of Medicine, Box 354760, Seattle, WA 98195-4750, USA.
Med Clin North Am. 2014 Sep;98(5):1049-64. doi: 10.1016/j.mcna.2014.06.005.
Borderline personality disorder is estimated to be present in approximately 6% of outpatient primary care settings. However, the time and energy spent on this population can greatly exceed what primary care doctors are able to spend. This article gives an overview of borderline personality disorder, including the clinical characteristics, epidemiology, and comorbidities, as well as pharmacologic and most important behavioral management. It is our hope that, with improved understanding of the disorder and skills for managing this population, caring for patients with the disorder can be more satisfying and less taxing for both primary care doctors and their patients.
边缘型人格障碍估计存在于约 6%的门诊初级保健环境中。然而，初级保健医生花费在这一人群上的时间和精力可能大大超过他们的能力。本文概述了边缘型人格障碍，包括临床特征、流行病学和共病，以及药物治疗和最重要的行为管理。我们希望，通过对这种疾病的认识的提高和对这一人群的管理技能，为患有这种疾病的患者提供护理，既能让初级保健医生更满意，又能减轻他们及其患者的负担。
