From the Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA.
From the Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA.
Curr Opin Psychol. 2018 Jun;21:89-93. doi: 10.1016/j.copsyc.2017.09.013. Epub 2017 Oct 6.
Methodological advances enable the latest research on personality pathology in later life to turn toward understanding the role personality pathology plays in age-related outcomes. Despite indications that some features of personality disorders fade in later life, a prevalence rate of approximately 10 percent has been established for adults aged 50 or older. Personality disorder features have been linked to suicidal ideation, poorer physical health, and cognitive decline in later life. Given these associations, the literature on treatment of personality disorders in this age group is surprisingly scant. Future research needs to address this lack in order to provide guidelines for the use of the DSM-5 Alternative Model for Personality Disorders with older adults.
方法学的进步使有关老年人个性病理学的最新研究能够转向理解个性病理学在与年龄相关的结果中所起的作用。尽管有迹象表明，一些人格障碍的特征在晚年会逐渐消失，但 50 岁或以上的成年人中约有 10%的人被确定患有人格障碍。人格障碍特征与晚年的自杀意念、较差的身体健康和认知能力下降有关。鉴于这些关联，关于这一年龄组人格障碍治疗的文献却少得惊人。为了为使用 DSM-5 人格障碍替代模型提供指导，未来的研究需要解决这一不足。
