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边缘型人格障碍患者的心理药物治疗管理

Psychopharmacologic management of patients with borderline personality disorder.

作者信息

Links P S, Steiner M

机构信息

Department of Psychiatry, Faculty of Health Sciences, McMaster University, Hamilton, Ontario.

出版信息

Can J Psychiatry. 1988 Jun;33(5):355-9. doi: 10.1177/070674378803300508.

DOI:10.1177/070674378803300508
PMID:3044565
Abstract

This paper reviews recent literature on the psychopharmacologic management of borderline personality disorder (BPD) patients and discusses an approach to drug therapy. Five randomized controlled trials have shown positive, but non-specific effects of antipsychotic drugs on the symptoms suffered by BPD patients. There were too few data on other types of drugs to draw any conclusion. We propose that BPD patients be treated on the basis of being in a state or episode of co-existing Axis I disorder.

摘要

本文回顾了近期关于边缘型人格障碍(BPD)患者心理药物治疗的文献,并讨论了药物治疗方法。五项随机对照试验表明,抗精神病药物对BPD患者的症状有积极但非特异性的效果。关于其他类型药物的数据太少,无法得出任何结论。我们建议根据BPD患者是否同时存在轴I障碍的状态或发作来进行治疗。

相似文献

1
Psychopharmacologic management of patients with borderline personality disorder.边缘型人格障碍患者的心理药物治疗管理
Can J Psychiatry. 1988 Jun;33(5):355-9. doi: 10.1177/070674378803300508.
2
Psychopharmacologic approaches to the borderline patient.针对边缘型人格障碍患者的心理药理学方法。
Hillside J Clin Psychiatry. 1988;10(1):55-70.
3
Pharmacotherapy of the borderline patient: a critical review and clinical guidelines.边缘型人格障碍患者的药物治疗:批判性综述与临床指南
Can J Psychiatry. 1989 May;34(4):347-53. doi: 10.1177/070674378903400416.
4
Pharmacological treatment for borderline personality disorder.边缘型人格障碍的药物治疗
Bull Menninger Clin. 1987 May;51(3):277-84.
5
Management and effectiveness of psychopharmacology in emotionally unstable and borderline personality disorder.情绪不稳定和边缘型人格障碍的精神药理学管理和疗效。
J Clin Psychiatry. 2015 Apr;76(4):e524-5. doi: 10.4088/JCP.14com09534.
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Why patients with severe personality disorders are overmedicated.为什么严重人格障碍患者会过度用药。
J Clin Psychiatry. 2015 Apr;76(4):e521. doi: 10.4088/JCP.14com09441.
7
Pharmacotherapy of borderline outpatients.边缘型人格障碍门诊患者的药物治疗
Compr Psychiatry. 1988 Jul-Aug;29(4):372-8. doi: 10.1016/0010-440x(88)90018-1.
8
Borderline personality and psychotropic medication prescription in an outpatient psychiatry clinic.门诊精神科诊所中的边缘性人格障碍与精神药物处方
Compr Psychiatry. 2003 Nov-Dec;44(6):454-8. doi: 10.1016/S0010-440X(03)00147-0.
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The process of managing medications in patients with borderline personality disorder.边缘型人格障碍患者的药物管理过程。
J Psychiatr Pract. 2011 Sep;17(5):311-9. doi: 10.1097/01.pra.0000405361.88257.4a.
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Drug treatment of the personality disorders.
Br J Psychiatry. 1992 Aug;161:167-84. doi: 10.1192/bjp.161.2.167.

引用本文的文献

1
Neurobehavioral study of borderline personality disorder.边缘型人格障碍的神经行为研究。
J Psychiatry Neurosci. 1993 May;18(3):121-9.
2
The successful pharmacological treatment of adolescents and young adults with borderline personality disorder: a preliminary open trial of flupenthixol.氟哌噻吨对青少年及青年边缘型人格障碍的成功药物治疗:一项初步开放性试验
J Psychiatry Neurosci. 1995 Mar;20(2):113-8.