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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

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

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时间：2021-04-14

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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、ivebehaviorputsthosewithBPDatgreaterriskforexperiencingtraumaticeventssuchasdrivingaccidentsandphysicalorsexualassaultREDUCEDAMYGDALAANDHIPPOCAMPUSSIZEIN TRAUMA-EXPOSEDWOMENWITHBORDERLINEPERSONALITY DISORDERANDWITHOUTPOSTTRAUMATICSTRESSDISORDERGodehar

7、dWeniger,MD;ClaudiaLange,PhD;UlrichSachsse,MD;EvaIrle,PhDBackgroundPTSDassociatedwithreducedvolumeofthehippocampusandleftamygdalaandwithreducedcognitivefunctionsSmallhippocampusandamygdalasizearealsoseeninpatientswithPTSDandBPDCurrentstudy:arereduceda

8、mygdalaandhippocampusvolumeandcognitivedeficitspresentinpatientswithBPDandwithoutPTSD?Methods24femalein-patientsexposedtoseverephysicalandsexualchildhoodabuse25matchedhealthycontrolsAssessedforhistoryofneurologicdisease,MRIabnormalities,psycho

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