Salzer Simone, Cropp Carola, Streeck-Fischer Annette
Z Psychosom Med Psychother. 2014;60(4):368-82. doi: 10.13109/zptm.2014.60.4.368.
Borderline personality disorder (BPD) should be understood as a disorder of development (Streeck-Fischer 2008, 2013) that has its first manifestation in late childhood and adolescence. There are only few treatment studies of adolescents meeting the diagnostic criteria of borderline personality disorder, although early interventions for these patients are urgently needed (see Chanen & McCutcheon 2013). We examined the effectiveness of an inpatient psychodynamic therapy (PDT).
Twenty-eight adolescents fulfilling the DSM-IV diagnostic criteria of borderline personality disorder were treated with psychodynamic therapy. The mean duration of treatment was 29.87 weeks (SD = 15.88). Outcomes were remission rates, GAF, GSI, SDQ, IIP and BPI scores. Assessments were made at admission and after treatment. Pre-post comparisons and comparisons with normative data were conducted.
At the end of treatment 39.29% of the patients were remitted. We found significant improvements for the GAF, GSI, SDQ, IIP (all p0.001) and the BPI (p = 0.006).
These clinically relevant improvements demonstrate the effectiveness of psychodynamic therapy in adolescents with borderline personality disorder and stress the usefulness of an early intervention for these patients.
边缘型人格障碍（BPD）应被理解为一种发育障碍（施特雷克 - 菲舍尔，2008年，2013年），其首次表现出现在童年晚期和青春期。尽管迫切需要对这些患者进行早期干预（见查嫩和麦卡琴，2013年），但针对符合边缘型人格障碍诊断标准的青少年的治疗研究却很少。我们研究了住院心理动力疗法（PDT）的有效性。
28名符合DSM - IV边缘型人格障碍诊断标准的青少年接受了心理动力疗法治疗。平均治疗时长为29.87周（标准差 = 15.88）。疗效指标包括缓解率、大体功能评定量表（GAF）、总体症状指数（GSI）、优势与困难问卷（SDQ）、人际间问题量表（IIP）和边缘型人格问卷（BPI）得分。在入院时和治疗后进行评估。进行了治疗前后比较以及与常模数据的比较。
治疗结束时，39.29%的患者病情缓解。我们发现GAF、GSI、SDQ、IIP（均p < 0.001）和BPI（p = 0.006）有显著改善。
这些具有临床意义的改善证明了心理动力疗法对边缘型人格障碍青少年的有效性，并强调了对这些患者进行早期干预的有用性。
