Tus Mob Ua Ntej ntawm BPD thiab AVPD
Txoj kev tsis sib haum xeeb ntawm tus kheej (BPD) thiab kev tiv thaiv tus kheej tsis zoo (AVPD) co-zaus feem ntau tshwm sim nyob rau hauv qee qhov kev kuaj, 43 feem pua ntawm 47 feem pua ntawm cov neeg uas muaj BPD kuj muaj cov qauv rau AVPD.
To Taub Txog Kev Tiv Thaiv Tus Cwj Pwm
AVPD yog ib yam ntawm kaum tus neeg mob uas tau lees paub nyob rau hauv qhov thib tsib tsab ntawm Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Nws yog ib qho yooj yim thiab cuam tshuam ntawm lub neej-tsis xav zoo txaus, ntshai tsam lwm tus pom koj tsis zoo, thiab yog neeg txaj muag heev thiab txhawj xeeb txog kev thim rov qab.
Cov tsos mob ntawm kev tiv thaiv tus cwj pwm tsis zoo
Koj yuav tsum muaj plaub lossis ntau dua los yog cov tsos mob yuav tau kuaj pom nrog AVPD, uas yuav muaj xws li cov nram qab no:
- Tsis txhob cuam tshuam ntawm kev sib raug zoo vim kev ntshai ntawm kev thuam
- Ua kev tsis txaus siab nrog kev tsis ua
- Tsis yog koom nrog kev sib raug zoo nrog tib neeg tshwj tsis yog tias koj zoo li lawv nyiam koj thiab tuav rov qab thaum koj los koom tes
- Ua siab tawv tsis pom zoo los sis tsis thuam
- Tus cwj pwm tsis zoo ; Piv txwv, pom tej teeb meem loj dua li qhov lawv muaj tiag
- Inhibition nyob rau hauv txawv sijhawm
- Tsis tshua muaj nqi
Cov neeg uas muaj AVPD tej zaum yuav raug piav hais tias yog neeg txaj muag heev, kev txhawj xeeb, paub txog tus kheej, thiab nws tus kheej tseem ceeb. Tus cwj pwm ntawm tus cwj pwm no nce mus rau theem ntawm kev kuaj mob thaum nws cuam tshuam nrog koj cov kev sib raug zoo, kev ua haujlwm, lossis lwm qhov chaw tseem ceeb ntawm koj lub neej.
Kev Ciam Dej Num thiab Kev Tiv Thaiv Tus Cwj Pwm Feem Cuam Tshaj
Cov kev tshawb pom kev pom ntawm cov xwm txheej tshwm sim ntawm cov borderline thiab kev tiv thaiv tus kheej kev tsis sib haum xeeb nyob ntawm qhov sib txawv ntawm cov qauv ntawm txoj kev tshawb no. Hauv cov qauv kev kho mob, txhais tau tias ib qho piv txwv ntawm cov neeg muaj mob BPD uas tau kho, 43 feem pua ntawm cov neeg mob BPD kuj tau ntsib cov ntsiab lus tshawb nrhiav txog AVPD.
Hauv lwm txoj kev tshawb nrhiav uas siv cov qauv hauv zej zog, tshaj 11 feem pua ntawm cov neeg uas tau ntsib BPD cov cai hauv lawv lub neej tseem ua tau raws li cov qauv ntawm AVPD hauv lawv lub neej.
Vim li cas AVPD thiab BPD tuaj yeem koom ua ke thiaj li nquag
Peb tsis paub yog vim li cas thiaj li muaj coob tus neeg nrog BPD kuj tau raws li cov txheej xwm rau AVPD, tab sis cov kws qhia tau pom txog ob yam tseem ceeb rau kev sib koom tes no. Ua ntej, BPD thiab AVPD feem ntau muaj cov yeeb yam tseem ceeb: ob leeg muaj feem xyuam nrog kev ntshai kev thuam thiab kev thim rov qab . Tej zaum nws yog tias qhov kev zoo siab no yuav ua rau tus neeg muaj feem ntsib kev sib ntsib rau ob leeg mob.
Ntxiv mus, nws kuj yog tias cov neeg muaj mob BPD muaj qhov mob siab heev hauv lawv cov kev sib raug zoo uas lub subset yuav thim tawm los ntawm kev sib raug zoo rau nws kom txo tau qhov mob.
Kev kho mob rau AVPD thiab BPD
Tam sim no tsis muaj cov kev sim tshuaj uas tau kuaj xyuas uas tau kuaj xyuas cov kev kho mob xws li AVPD thiab BPD. Txawm li cas los xij, kev coj cwj pwm kev coj cwj pwm (CBT) pom zoo rau kev kho mob ntawm AVPD thiab kev hloov ntawm CBT, hu ua kev coj cwj pwm coj (dialectical behavior therapy (DBT) , yog BPD kev kho mob nrog cov kev pabcuam tshaj plaws.
Lwm txoj kev kho mob zoo rau BPD yog qhov kev kho kom puas hlwb (MBT), uas yuav pab koj to taub thiab paub txog tias koj thiab lwm tus neeg zoo li cas ntawm koj lossis lawv tus cwj pwm.
Txoj kev tshawb no tsis ntev los no tau xaus tias kev tsis sib haum xeeb ntawm tus kheej tsis tshua muaj tshwm sim rau nws tus kheej thiab cov kev kho mob zoo rau BPD feem ntau pab kho cov tsos mob ntawm tus kab mob tshwm sim no thiab. Piv txwv li, yog tias koj muaj ob leeg BPD thiab kev nyuab siab loj (MDD), koj qhov MDD yuav ua rau zoo dua rau BPD txoj kev kho dua li nws yuav ua rau antidepressants ib leeg.
> Qhov chaw:
> Biskin RS, Paris J. Comorbidities hauv Borderline Tus Cwj Pwm. Psychiatric Times. Lub Ib Hlis 9, 2013.
> Choi-Kain LW, Unruh BT. Kev Kho Mob Mentalization Based; Txoj Kev Sib Xws Txog Kev Sib Txawv Rau Kab Ciam Tiag. Psychiatric Times. Peb Hlis 31, 2016.
> MedLine Plus. Tsis Txaus Siab Tiv Thaiv. Teb Chaws Asmeskas Lub Tsev Qiv Ntawv ntawm Tshuaj. Kho lub Kaum Ob Hlis 5, 2017.
> Tomko RL, Trull TJ, Wood PK, Sher KJ. Cov Cwj Pwm Ciam Ntawm Tus Cwj Pwm Sib Ceeb Hauv Zej Zog Hauv Zej Zog: Ua Taus Tiv Thaiv, Kho Kev Siv, thiab Kev Ua Haujlwm. Phau Ntawv Txog Tus Cwj Pwm Cwm Pwm . 2014; 28 (5): 734-750. doi: 10.1521 / pedi_2012_26_093.