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边缘型人格障碍研究进展

  • 王小平,朱晓敏

* 通信作者: 王小平, 单位:中南大学湘雅二医院精神卫生研究所 410011

摘要

边缘型人格障碍是人格障碍一种常见的类型,以情感、人际关系、自我形象的不稳定及冲动行为为临床特征的一种复杂又严重的精神障碍。该障碍起病于年少年或者成年早期,患病率在不同人群中不一样,常见于青年女性,随着年龄增长,缓解率增加。该障碍显著的冲动性导致和犯罪关联性大,临床上共病率高,误诊率明显,自杀成功率显著。目前脑影像学研究主要发现前额叶边缘系统异常,研究者试图通过异常的脑影像学

结果和症状建立关联,但因为分析

方法的多样性,导致各研究

结果可比性较差。该病对药物治疗疗效欠佳,心理治疗依然是首选疗法

关键词:边缘型人格障碍;临床特点;脑影像学研究;药物治疗

ABSTRACT

Borderline Personality Disorder (BPD) is one common type of personality disorders. It is clinically characterized as instability in emotional, interpersonal relationships, self-image and obvious impulsivity. The onset of BPD is in teenagers or young adulthood. The prevalence is not the same in different populations while BPD is common in young women. And remission rate increases with age. BPD has significant impulsivity which is associated with crime. BPD’s features include higher comorbidity rate, apparent misdiagnosis and significant committed suicide. Currently the brain image study mainly found that the prefrontal limbic system is abnormal. Some researchers have attempted to associate these brain image findings and abnormal symptoms. Because of the diversity of analytical methods, the comparability among results is poor. Medication therapyis not so good on BPD. Psychotherapy is still the preferred treatment choice.

Key words: Borderline personality disorder; Clinical Characteristic; Brain image study; Medication therapy

引用本文 / How to Cite This Article

王小平,朱晓敏.边缘型人格障碍研究进展[J]. 国际精神病学杂志, , (): -

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