Qhov ua rau thiab cov teebmeem tshwm sim ntawm kev tshwm sim
Hmoov tsis, borderline tus kheej teeb meem (BPD) feem ntau tshwm sim nrog lwm cov neeg mob uas cuam tshuam rau kev mob hlwb. Alcoholism yog ib yam kab mob uas tshwm sim ntawm cov neeg muaj mob BPD.
Kev Caw Tiv Thaiv Kev Cawv hauv BPD
Nws muaj ib qho sib txuam sib luag ntawm kev quav tshuaj yeeb dej cawv thiab kev tsis sib haum xeeb. Ib txoj kev tshawb nrhiav tau tshawb pom tias muaj li ntawm 78% ntawm cov neeg laus tau txais kev kuaj mob ntawm BPD tseem yuav muaj qee zaum muaj kev quav tshuaj yeeb dej cawv qee lub sij hawm hauv lawv lub neej, txhais tau tias cov tsos mob thiab txoj kev BPD thiab kev quav tshuaj yeeb dej caw tib lub sijhawm .
Feem ntau cov kev siv tshuaj yeeb dej caw ntawm cov neeg uas muaj BPD yog kev quav dej quav cawv, ua raws li tshuaj lom neeg thiab cov tshuaj tua kabmob. Lwm txoj kev tshawb xyuas tsis ntev los no tau pom tias muaj li 63 feem pua ntawm cov neeg uas muaj tus mob BPD koom rau hauv txoj kev tshawb no kuj muaj cawv siv tsis zoo. Tshaj li, txoj kev tshawb no pom tias cov neeg uas haus dej cawv siv kabmob muaj 3.35 npaug ntau dua yuav kuaj tau tus kabmob ntawm tuskheej. Nws yog qhov tseeb ob feem ntau mus tes ua tes haujlwm.
Teebmeem ntawm Dej Cawv Ua Dej Cawv thiab BPD
Hmoov tsis, kuj muaj pov thawj qhia tias cov tib neeg uas muaj cov mob BPD thiab alcoholism muaj teeb meem ntau dua hauv lawv lub neej thiab lawv tsis teb rau kev kho dua li cov neeg uas muaj ib yam mob. Piv txwv li, cov neeg uas haus dej cawv thiab BPD tsis tshua yuav nyob hauv kev quav tshuaj yeeb dej caw, muaj kev ntxhov siab thiab kev xav phem , thiab muaj feem ntau ua rau lwm yam kev coj cwj pwm, xws li kev noj mov lossis kev twv txiaj, dua li cov neeg quav cawv tsis raws cai tseem muaj BPD.
Txawm li cas los xij, txoj kev kho yuav ua tau zoo rau cov uas ua nrog nws.
Vim Li Cas Alcoholism thiab BPD Co-Occur Feem ntau?
Feem ntau yuav muaj ntau yam tseem ceeb rau qhov siab tshaj plaws ntawm kev haus dej cawv thiab kev tsis sib haum xeeb. Ua ntej, BPD thiab kev quav dej caw yuav sib faib cov kab mob genetic pathways.
Qhov ntawd yog, qee yam ntawm cov noob uas tso cov neeg ntxim siab dua rau BPD tej zaum yuav tsim kev pheej hmoo siab dua rau kev quav dej quav cawv.
Thib ob, tej zaum yuav ua rau ib puag ncig ua rau haus cawv hauv BPD. Piv txwv, kev ua phem rau thaum yau, xws li kev tsim txom ntawm lub cev lossis kev sib deev, lossis kev tsim txom lossis kev tsis nyiam, tau txuas rau BPD thiab alcoholism.
Lwm qhov laj thawj ntawm txoj kev sib txuas ntawm kev quav dej quav cawv thiab kev tsis sib haum xeeb yog vim cov neeg uas muaj BPD yuav siv cawv los txo cov kev mob siab ntsws uas ua rau pom tau tias BPD. Vim tias cov neeg muaj tus kab mob BPD muaj zog heev, feem ntau siv cawv rau tus kheej tshuaj noj yuav ua rau muaj kev tsim txom lossis kev vam khom.
Txoj kev tshawb zaum thib ob uas tau hais los saum toj no qhia ntxiv txog kev tshwm sim ntawm BPD thiab cawv siv kab mob, nrog rau kev tsim txom thiab kev siv yeeb dawb, tag nrho peb yam uas zoo tshaj plaws nrog BPD. Evidently, haus dej cawv, opiates thiab yeeb yaj kiab tag nrho cov kev tsim kho qhov kev sim tshuaj (Endomal opioid system) (EOS), uas nws muaj nuj nqi yog los txo kev mob thiab ua rau kev qhuas thiab txhawb kev coj cwj pwm. BPD cov tsos mob tau txuas nrog lub EOS tsis ua hauj lwm zoo, yog li ntawd qhov txuas tau hais tias cov neeg uas muaj BPD ntau dua yuav tsim kev quab yuam cov khoom peb vim lawv tau qhib lub EOS.
Nrhiav Kev Pab Cawv thiab BPD
Yog tias koj lossis ib tus neeg koj txhawj xeeb txog teebmeem txog kev quav dej caw thiab BPD, koj yuav tsum tau txais kev pab. Cov mob no tsis yooj yim tackled ib leeg. Hu rau koj tus kws kho mob, nrhiav tus kws kho mob lossis kuaj xyuas Alcoholics Anonymous .
Qhov chaw:
Zanarini MC, Frankenburg FR, Hennen J, Reich DB, & Silk Cross. "Axis kuv Comorbidity rau cov neeg mob nrog cov Ciam Tiv Thaiv Kev Sib Ceeb Rau Tus Cwj Pwm: 6-Lub Npe Tom Qab thiab Tshawb Fawb Txog Lub Sij Hawm Tshem Tawm." American Journal of Psychiatry , 161: 2108-2114, 2004.
Miller FT, Abrams T, Dulit R, & Fyer M. "Kev Tsim Yeeb Me Nyuam Hauv Kev Ciam Tus Cwj Pwm." American Journal of Drug & Alcohol Abuse , 19: 491-497, 1993.
Morgenstern J, Langenbucher J, Labouvie E, & Miller KJ. "Kev Cuam Tshuam ntawm Cawv Cawv thiab Cwj Pwm Cuam Tshuam nyob rau hauv Ib Pej Xeem Kuaj Kho: Cov Nqi Tshuaj Tiv Thaiv thiab Kev Sib Txawv Rau Cov Cwj Pwm Tshuaj Caw." Ntawv Tshaj Tawm Ntawm Kev Txawj Paus ( Abnormal Psychology) , 106: 74-84, 1997.
Kienast, T., Stoffers, J., Bermpohl, F., & Lieb, K. "Borderline Tus Cwj Pwm Sib Cais thiab Comorbid Addiction: Epidemiology thiab Kev Kho Mob." Deutsches Ärzteblatt International , 111 (16), 280-286. (2014).
Ntoo, RW, Ntoo, PK, Trull, TJ "Comorbidity of Borderline Cwj Pwm Tiv Thaiv thiab Kev Siv Lub Sij Hawm Siv Sij Hawm Hauv Cov Neeg Sawv Cev Sawv Cev." Phau Ntawv Txog Tus Cwj Pwm ntawm Tus Cwj Pwm , 29, xyoo 2015.