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边缘型人格障碍的纵向病程

The Longitudinal Course of Borderline Personality Disorder.

作者信息

Temes Christina M, Zanarini Mary C

机构信息

Department of Psychiatry, McLean Hospital, Harvard Medical School, 115 Mill Street, Belmont, MA 02478, USA.

Department of Psychiatry, McLean Hospital, Harvard Medical School, 115 Mill Street, Belmont, MA 02478, USA.

出版信息

Psychiatr Clin North Am. 2018 Dec;41(4):685-694. doi: 10.1016/j.psc.2018.07.002. Epub 2018 Oct 16.

Abstract

Findings from decades of longitudinal research have challenged the long-held notion that borderline personality disorder (BPD) is a chronically disabling condition. Instead, several prospective, long-term follow-up studies have found that most patients with BPD experience a remission from the disorder, and many experience a full recovery over the course of their lives. These studies also indicate that symptoms of BPD wax and wane over time, although more acute, behavioral symptoms of the disorder tend to remit rapidly and recur rarely. Further, findings regarding predictors of good and poor outcomes in BPD could influence further developments in treatments for the disorder.

摘要

数十年纵向研究的结果对长期以来认为边缘型人格障碍(BPD)是一种慢性致残病症的观念提出了挑战。相反,多项前瞻性长期随访研究发现,大多数BPD患者的病症会得到缓解,许多患者在其一生中会完全康复。这些研究还表明,BPD的症状会随时间波动,不过该病症更严重的行为症状往往会迅速缓解且很少复发。此外,关于BPD预后好坏预测因素的研究结果可能会影响该病症治疗方法的进一步发展。

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