Stoffers-Winterling Jutta, Taubner Svenja, Renneberg Babette, Lieb Klaus
Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Mainz, Untere Zahlbacher Straße 8, 55133, Mainz, Deutschland.
Institut für Psychosoziale Prävention, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
Nervenarzt. 2023 Nov;94(11):1062-1074. doi: 10.1007/s00115-023-01566-5.
Research on the understanding and especially on the treatment of borderline personality disorder (borderline PD) has made considerable progress in recent years, so that evidence-based German treatment guidelines have now been produced for the first time. This article highlights the development as well as the main content priorities and recommendations of the guidelines: first, the recommendations on the diagnostics are presented and in this context the upcoming changes to the International Classification of Diseases 11th reversion (ICD-11) are also explained. Subsequently, the most important recommendations on guideline-compliant psychotherapy, pharmacotherapy and treatment settings are presented. Finally, the recommendations concerning relatives (or other significant persons for people with borderline PD) as well as parenthood and borderline PD are presented.
近年来,关于边缘型人格障碍(边缘型PD)的理解,尤其是治疗方面的研究取得了长足进展,以至于德国首次制定了基于证据的治疗指南。本文重点介绍了该指南的发展情况、主要内容重点及建议:首先,介绍诊断方面的建议,并在此背景下解释即将发布的《国际疾病分类》第11版修订本(ICD - 11)中的变化。随后,介绍符合指南的心理治疗、药物治疗和治疗环境方面的最重要建议。最后,介绍关于亲属(或边缘型PD患者的其他重要人物)以及为人父母与边缘型PD的建议。