边缘型人格障碍的良好精神治疗:基础与未来挑战》。

IF 2.3 Q2 PSYCHOLOGY, CLINICAL
Paul S Links, James Ross
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引用次数: 0

摘要

边缘型人格障碍是一种常见疾病,其特点是合并症多、频繁使用临床服务以及终生自杀风险高。针对边缘型人格障碍患者开发的 "良好精神管理"(GPM)旨在支持社区更广泛地采用和推广现有疗法。作者旨在回顾 GPM 的基础和发展,特别是加拿大对该疗法的初步评估研究。然后,他们回顾了最初研究的研究进展,并探讨了进一步发展针对边缘型人格障碍患者的 GPM 所需的研究和教育机会。研究表明,伴有复杂并发症和冲动的边缘型人格障碍患者可能会从 GPM 中受益。未来的研究需求包括:比较 GPM 与另一种循证疗法的非劣效性和等效性研究;证明边缘型人格障碍的循证疗法能够改善患者功能的研究;以及关于更易获得的疗法、循证疗法的作用机制、将疗法扩展至边缘型人格障碍和严重合并症患者以及修改边缘型人格障碍男性患者疗法的研究。应关注测试阶梯式护理模式,并将 GPM 等疗法纳入精神科培训计划。GPM 尚处于开发阶段,但有望成为一种有效、方便、可广泛推广的疗法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Good Psychiatric Management of Borderline Personality Disorder: Foundations and Future Challenges.

Borderline personality disorder is a common condition characterized by numerous comorbid conditions, frequent use of clinical services, and an elevated lifetime risk for suicide. Good psychiatric management (GPM) was developed for patients with borderline personality disorder with the purpose of supporting wider community adoption and dissemination compared with existing therapies. The authors aimed to review the foundations and development of GPM, in particular the initial Canadian study assessing the therapy. They then reviewed the progress in research arising from the initial study and explored the research and educational opportunities needed to further the development of GPM for patients with borderline personality disorder. Research has indicated that patients with borderline personality disorder with complex comorbid conditions and impulsivity may benefit from GPM. Future research needs include noninferiority and equivalence studies comparing GPM with another evidence-based treatment; studies demonstrating that evidence-based therapies for borderline personality disorder improve functioning; and research on more accessible therapies, mechanisms of action for evidence-based therapies, extending therapies to patients with borderline personality disorder and significant comorbid conditions, and modifying therapies for men with borderline personality disorder. Attention should be directed toward testing stepped care models and integrating therapies such as GPM into psychiatric training programs. GPM is in development but shows promise as a therapy that is effective and accessible and that can be widely disseminated.

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来源期刊
AMERICAN JOURNAL OF PSYCHOTHERAPY
AMERICAN JOURNAL OF PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-
CiteScore
2.90
自引率
4.00%
发文量
39
期刊介绍: Founded in 1939, the American Journal of Psychotherapy (AJP) has long been a leader in the publication of eclectic articles for all psychotherapists. Transtheoretic in reach (offering information for psychotherapists across all theoretical foundations), the goal of AJP is to present an overview of the psychotherapies, subsuming a host of schools, techniques, and psychological modalities within the larger domain of clinical practice under broad themes including dynamic, behavioral, spiritual, and experiential.
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