Gunderson Personality Disorders Institute, McLean Hospital, Belmont, MA, United States.
Gunderson Personality Disorders Institute, McLean Hospital, Belmont, MA, United States; Department of Psychiatry, Harvard Medical School, Boston, MA, United States.
Curr Opin Psychol. 2021 Feb;37:1-6. doi: 10.1016/j.copsyc.2020.05.006. Epub 2020 Jun 2.
While borderline personality disorder (BPD) has its onset in youth and is highly prevalent in young people, diagnosis and treatment are frequently delayed, leading to disruptions in development. The few treatments for this population are specialized, resource-intensive, and not widely implemented. Generalist treatments could broadly increase early intervention and access to care, at a less intensive level, when symptoms are milder and developmental arrests can be avoided. One generalist treatment for adults with BPD, General Psychiatric Management, has been adapted for adolescents (GPM-A). GPM-A can be flexibly implemented in different settings, and emphasizes psychoeducation, medicalization of the disorder, life-building activities, and conservative prescribing. This paper introduces GPM-A and proposes it serve as a primary intervention for adolescents with BPD.
虽然边缘型人格障碍 (BPD) 在青年时期发病，且在年轻人中患病率很高，但诊断和治疗往往被延迟，导致发育中断。针对该人群的少数治疗方法具有专业性，资源密集且尚未广泛实施。一般治疗方法可以在症状较轻且可以避免发育障碍时，以较低的强度广泛增加早期干预和获得护理的机会。一种针对 BPD 成年患者的通用治疗方法，即一般精神科管理（General Psychiatric Management），已被改编为青少年版本（GPM-A）。GPM-A 可以在不同环境中灵活实施，并强调心理教育、疾病的医学化、生活建设活动和保守处方。本文介绍了 GPM-A，并提出将其作为 BPD 青少年的主要干预措施。
