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边缘型人格障碍:青少年研究

Borderline personality disorder: study in adolescence.

作者信息

James A, Berelowitz M, Vereker M

机构信息

Highfield Family and Adolescent Unit, The Warnford Hospital, Oxford, England.

出版信息

Eur Child Adolesc Psychiatry. 1996 Apr;5(1):11-7. doi: 10.1007/BF00708209.

Abstract

The study of the presentation, symptomatology and family characteristics of an exclusively adolescent sample of patients with borderline personality disorder (BPD) was undertaken. Twenty-four cases of borderline personality disorder, 20 females, 4 males, identified using chart review and meeting the criteria of the Diagnostic Interview for Borderlines (DIB) and DSM III-R, were matched with psychiatric controls. Adolescents with borderline personality disorder were found to have high rates of affective symptomatology with Axis I diagnosis of major depressive disorder MDD (DSM-III-R), and high rates of interpersonal psychopathology, i.e., manipulation, devaluation, and a pervasive sense of boredom. The latter seem to be characteristic as for adults with borderline personality disorder. The families were particularly angry and volatile.

摘要

对一组仅为青少年的边缘型人格障碍(BPD)患者的临床表现、症状学及家庭特征进行了研究。通过病历审查确定了24例边缘型人格障碍患者,其中20名女性,4名男性,他们符合边缘型人格障碍诊断访谈(DIB)及《精神疾病诊断与统计手册》第三版修订本(DSM III-R)的标准,并与精神科对照者进行匹配。发现边缘型人格障碍青少年中,患有轴I诊断为重度抑郁症(MDD,DSM-III-R)的情感症状发生率较高,人际心理病理学发生率也较高,即操纵、贬低及普遍存在的无聊感。后者似乎是边缘型人格障碍成年患者的特征。这些患者的家庭尤其易怒且情绪波动大。

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