Boone Kiran, Choi-Kain Lois, Sharp Carla
Department of Psychology, University of Houston, Houston (Boone, Sharp); Department of Psychiatry, Harvard Medical School, Boston, and Gunderson Personality Disorders Institute, McLean Hospital, Belmont, Massachusetts (Choi-Kain).
Am J Psychother. 2025 Mar 1;78(1):16-23. doi: 10.1176/appi.psychotherapy.20230050. Epub 2024 Sep 20.
Significant gains have been made in the treatment of personality disorder among young people. However, effect sizes for evidence-based treatments have been modest, and emerging evidence suggests the potential of generalist approaches to improve outcomes in this population. The aim of this review was to highlight how generalist approaches such as good psychiatric management for adolescents (GPM-A) hold promise for early intervention for personality disorders among young people. The authors discuss recent advances in clinical understanding of the diagnosis and treatment of personality disorder among youths and demonstrate how these advances align with GPM-A. Specifically, the authors show how several of GPM-A's guiding principles-most notably the need for access, common-factor approaches, and a focus on interpersonal hypersensitivity and restoring general functioning-align with these advances. This review suggests that GPM-A provides a timely and promising framework for innovating early interventions for personality disorder among young people.
在年轻人人格障碍的治疗方面已取得显著进展。然而，循证治疗的效应量一直不大，新出现的证据表明通科方法在改善这一人群治疗效果方面具有潜力。本综述的目的是强调诸如青少年良好精神科管理（GPM-A）等通科方法在年轻人人格障碍早期干预方面的前景。作者讨论了青少年人格障碍诊断和治疗临床认识方面的最新进展，并展示了这些进展如何与GPM-A相契合。具体而言，作者展示了GPM-A的几个指导原则——最显著的是可及性需求、共同因素方法以及对人际过敏和恢复整体功能的关注——如何与这些进展相契合。本综述表明，GPM-A为创新年轻人人格障碍早期干预提供了一个及时且有前景的框架。
