Azzam Saif, Almari Rahma, Khattab Karees, Badr Ammar, Balawi Arwa R, Haddad Rana, Almasri Rawan, Varrassi Giustino
Clinical Sciences, Yarmouk University, Irbid, JOR.
Medicine, Jordan University of Science and Technology, Irbid, JOR.
Cureus. 2024 Dec 17;16(12):e75893. doi: 10.7759/cureus.75893. eCollection 2024 Dec.
Borderline personality disorder (BPD) is a complex psychiatric condition characterized by pervasive patterns of instability in emotions, interpersonal relationships, and self-image. This comprehensive review explores the current diagnostic practices, treatment modalities, and ongoing controversies surrounding BPD. We discuss established and proposed diagnostic criteria, highlight the limitations of current assessment tools, and examine the epidemiology of the disorder, including its prevalence and comorbidities. The effectiveness of psychotherapeutic approaches such as dialectical behavior therapy, mentalization-based treatment, transference-focused psychotherapy, and schema-focused psychotherapy is evaluated alongside the role of pharmacological interventions. Furthermore, we address critical controversies, including misdiagnosis, the impact of trauma, stigma, and the ongoing debate regarding the treatability and recovery potential for individuals with BPD. By synthesizing these facets, we aim to provide a nuanced understanding of BPD and inform future research and clinical practice.
边缘型人格障碍（BPD）是一种复杂的精神疾病，其特征是情绪、人际关系和自我形象普遍存在不稳定模式。这篇综述探讨了围绕BPD的当前诊断实践、治疗方式以及持续存在的争议。我们讨论既定和提议的诊断标准，强调当前评估工具的局限性，并研究该疾病的流行病学，包括其患病率和共病情况。同时评估辩证行为疗法、基于心理化的治疗、聚焦移情的心理治疗和聚焦图式的心理治疗等心理治疗方法的有效性以及药物干预的作用。此外，我们还讨论了关键争议，包括误诊、创伤的影响、污名化以及关于BPD患者的可治疗性和康复潜力的持续辩论。通过综合这些方面，我们旨在提供对BPD的细致入微的理解，并为未来的研究和临床实践提供参考。
