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边缘性人格障碍与酒精成瘾治疗:一项为期一年的随访研究。

Borderline personality disorder and alcoholism treatment: a one-year follow-up study.

作者信息

Nace E P, Saxon J J, Shore N

出版信息

J Stud Alcohol. 1986 May;47(3):196-200. doi: 10.15288/jsa.1986.47.196.

DOI:10.15288/jsa.1986.47.196
PMID:3724153
Abstract

One year following treatment, alcoholic patients with a documented borderline personality disorder were compared with alcoholic patients who did not show borderline personality features. Both groups of alcoholic patients showed significant and comparable decreases in alcohol use through the follow-up year. Nonborderline alcoholics showed significant decreases in drug use through the follow-up. Borderline alcoholics showed a significant decrease in drug use for the first 6 months of follow-up, with uncertain results thereafter. Borderline alcoholics also showed significant improvements in their ratings of satisfaction with family, decreased hospitalizations and greater leisure satisfaction. There were also trends toward improvements in their relations with children and self-ratings of health and a decrease in accidents. The study documents that alcoholic patients with severe character pathology can significantly benefit from treatment in a short-term psychiatrically oriented alcoholism treatment program.

摘要

治疗一年后,将有记录的边缘型人格障碍酒精患者与未表现出边缘型人格特征的酒精患者进行比较。两组酒精患者在随访年度内的酒精使用量均出现显著且相当程度的下降。非边缘型酒精患者在随访期间药物使用量显著下降。边缘型酒精患者在随访的前6个月药物使用量显著下降,此后结果不明。边缘型酒精患者在家庭满意度评分方面也有显著改善,住院次数减少,休闲满意度提高。在与子女的关系、健康自评以及事故发生率降低方面也有改善趋势。该研究表明,患有严重性格病理的酒精患者可从短期以精神科为导向的酒精成瘾治疗项目中显著获益。

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