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ID:62066350
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页数:46页
时间:2021-04-14
《最新Borderline personality disorder - University of South Dakota边缘性人格障碍-南达科他大学课件ppt.ppt》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、Borderlinepersonalitydisorder-UniversityofSouthDakota边缘性人格障碍-南达科他大学BPDBorderlinepersonalitydisorder(BPD)isaconditioninwhichapersonmakesimpulsiveactions,hasanunstablemoodandchaoticrelationships.BPDaffects1-2%ofthegeneralpopulationMostcommoninyoungwomen
2、“Borderline”betweenneurosisandpsychosisDSM-IVAffectiveCriteriaPeriodsofintenseangeranddifficultycontrollingangerChronicfeelingsofemptinessAffectiveinstability:episodesofdysphoria,irritability,oranxietylastingfromafewhourstoafewdaysCognitiveCriteriaTra
3、nsientparanoia/dissociationduetostressUnstableselfimageorsenseofidentityBPDTreatmentsGroupandindividualpsychotherapyAntidepressants,moodstabilizers,antipsychoticsRegulate5HT/NE/GABADialecticalbehaviortherapydevelopedspecificallyfortreatmentofBPDTeache
4、semotionalregulationToleratedistressBemoreeffectiveininterpersonalconflictControlattentionto“beinthemoment”BPDBPDisoftencomorbidwithotherpsychiatricillnessesMajordepressionEatingdisordersAnxietydisordersOtherpersonalitydisordersPost-traumaticstressdis
5、order46-56%ofBPDpatientsarediagnosedwithPTSDBPDBPDandPTSDcanbothbecausedbytheexperienceoftraumaticeventsBPDisconsideredbysometobeaformofcomplexchronicPTSDBPDisoftenassociatedwithchildhoodtraumaNeglect,abuseMostfrequentlyassociatedwithsexualabuseImpuls
6、ivebehaviorputsthosewithBPDatgreaterriskforexperiencingtraumaticeventssuchasdrivingaccidentsandphysicalorsexualassaultREDUCEDAMYGDALAANDHIPPOCAMPUSSIZEINTRAUMA-EXPOSEDWOMENWITHBORDERLINEPERSONALITYDISORDERANDWITHOUTPOSTTRAUMATICSTRESSDISORDERGodehar
7、dWeniger,MD;ClaudiaLange,PhD;UlrichSachsse,MD;EvaIrle,PhDBackgroundPTSDassociatedwithreducedvolumeofthehippocampusandleftamygdalaandwithreducedcognitivefunctionsSmallhippocampusandamygdalasizearealsoseeninpatientswithPTSDandBPDCurrentstudy:arereduceda
8、mygdalaandhippocampusvolumeandcognitivedeficitspresentinpatientswithBPDandwithoutPTSD?Methods24femalein-patientsexposedtoseverephysicalandsexualchildhoodabuse25matchedhealthycontrolsAssessedforhistoryofneurologicdisease,MRIabnormalities,psycho
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