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“赋予希望:边缘型人格障碍(BPD)群体的非药物干预措施”:范围综述

"Empowering Hope: Non-Pharmacological Interventions for Borderline Personality Disorder (BPD) Communities": Scoping Review.

作者信息

Maulana Indra, Suryani Suryani, Sriati Aat, Yosep Iyus, Amira Iceu

机构信息

Department of Mental Health, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia.

出版信息

J Multidiscip Healthc. 2024 Oct 4;17:4603-4609. doi: 10.2147/JMDH.S483930. eCollection 2024.

DOI:10.2147/JMDH.S483930
PMID:39381418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11460281/
Abstract

AIM

Borderline personality disorder (BPD) is defined by impulsive behaviour and instability in interpersonal relationships, self-image, mood, and emotions. BPD can be prevented and treated using a mix of medication and psychotherapy. Non-pharmacological interventions are essential for maintaining stable interpersonal interactions in individuals with BPD.

GOAL

The literature review tries to identify different methods of non-pharmacological management. Psychotherapy, particularly tailored to aid in the recovery from emotional disorders in individuals with BPD. The methodology employed is a scoping review that integrates papers from Semantic Scholars, Pubmed, and CINAHL databases. The keyword utilised is PICO.

OUTCOMES

Four pieces of literature aligned with the research goals based on the literature review results. Three articles discuss therapies that focus on cognitive processes, such as mindfulness therapy, schema therapy, Dialectical Behavioural Therapy (DBT), and therapy groups that incorporate supplementing with Omega-3.

CONCLUSION

Non-pharmacological therapies for patients with Borderline Personality Disorder (BPD) can enhance good psychosocial outcomes, dialectical effects, and decrease emotional instability.

摘要

目的

边缘型人格障碍(BPD)的定义是存在冲动行为以及人际关系、自我形象、情绪和情感方面的不稳定。BPD可以通过药物治疗和心理治疗相结合的方式进行预防和治疗。非药物干预对于维持BPD患者稳定的人际互动至关重要。

目标

文献综述旨在确定不同的非药物管理方法。心理治疗,特别是为帮助BPD患者从情绪障碍中康复而量身定制的治疗。所采用的方法是一项范围综述,整合了来自语义学者、PubMed和CINAHL数据库的论文。使用的关键词是PICO。

结果

根据文献综述结果,有四篇文献与研究目标相符。三篇文章讨论了专注于认知过程的疗法,如正念疗法、图式疗法、辩证行为疗法(DBT)以及结合补充欧米伽-3的治疗小组。

结论

针对边缘型人格障碍(BPD)患者的非药物疗法可以提高良好的心理社会结局、辩证效果,并减少情绪不稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a326/11460281/df7897e68e96/JMDH-17-4603-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a326/11460281/df7897e68e96/JMDH-17-4603-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a326/11460281/df7897e68e96/JMDH-17-4603-g0001.jpg

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本文引用的文献

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Front Psychiatry. 2024 Mar 1;15:1361535. doi: 10.3389/fpsyt.2024.1361535. eCollection 2024.
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Mindfulness Component in a Dialectical Behavioural Therapy Group Intervention for Family Members of Borderline Personality Disorder Patients.正念成分在边缘型人格障碍患者家属的辩证行为治疗团体干预中的作用。
Psicothema. 2022 Aug;34(3):392-401. doi: 10.7334/psicothema2021.411.
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Effectiveness of Predominantly Group Schema Therapy and Combined Individual and Group Schema Therapy for Borderline Personality Disorder: A Randomized Clinical Trial.
主要团体图式治疗和个体与团体图式治疗相结合治疗边缘型人格障碍的疗效:一项随机临床试验。
JAMA Psychiatry. 2022 Apr 1;79(4):287-299. doi: 10.1001/jamapsychiatry.2022.0010.
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Psychotherapies for borderline personality disorder: a focused systematic review and meta-analysis.边缘型人格障碍的心理治疗:一项聚焦的系统评价和荟萃分析。
Br J Psychiatry. 2022 Sep;221(3):538-552. doi: 10.1192/bjp.2021.204.
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Omega-3 polyunsaturated fatty acids in cardiovascular diseases comorbid major depressive disorder - Results from a randomized controlled trial.ω-3 多不饱和脂肪酸与心血管疾病合并主要抑郁障碍的相关性:一项随机对照试验的结果。
Brain Behav Immun. 2020 Mar;85:14-20. doi: 10.1016/j.bbi.2019.03.012. Epub 2019 Mar 19.
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Competing Theories of Borderline Personality Disorder.边缘型人格障碍的竞争理论。
J Pers Disord. 2018 Apr;32(2):148-167. doi: 10.1521/pedi.2018.32.2.148.
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