边缘型人格障碍的治疗
Treatment of Borderline Personality Disorder.
作者信息
Levy Kenneth N, McMain Shelley, Bateman Anthony, Clouthier Tracy
机构信息
Department of Psychology, The Pennsylvania State University, State College, PA 16802, USA; Department of Psychiatry, Joan and Sanford I. Weill Medical College of Cornell University, New York, NY 10065, USA.
Department of Psychiatry, Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, M5S 2S1, Canada.
出版信息
Psychiatr Clin North Am. 2018 Dec;41(4):711-728. doi: 10.1016/j.psc.2018.07.011.
Findings from randomized controlled trials and meta-analyses suggest that there are several efficacious treatments for borderline personality disorder, including those based on cognitive behavior theories and psychodynamic theories. In addition, there are generalist and adjunctive approaches. These treatments and the corresponding evidence associated with each are described. It is concluded randomized controlled trials and meta-analyses suggest little to no difference between any active specialty treatments for borderline personality disorder; there are no differences between dialectical behavior therapy and non-dialectical behavior therapy treatments or between cognitive behavior-based and psychodynamic theory-based treatments. Thus, clinicians are justified in using any of these efficacious treatments.
随机对照试验和荟萃分析的结果表明，边缘型人格障碍有几种有效的治疗方法，包括基于认知行为理论和心理动力学理论的方法。此外，还有通用方法和辅助方法。文中描述了这些治疗方法以及与之相关的相应证据。得出的结论是，随机对照试验和荟萃分析表明，边缘型人格障碍的任何积极的专科治疗之间几乎没有差异；辩证行为疗法与非辩证行为疗法之间或基于认知行为的疗法与基于心理动力学理论的疗法之间没有差异。因此，临床医生有理由使用这些有效的治疗方法中的任何一种。
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