Personality Disorders and Clinical Disorders: The Challenge of Comorbid Autism Spectrum Disorder (ASD), Eating Disorders (EDs), Posttraumatic Stress Disorder (PTSD), or Somatic Symptom Disorder (SSD).

IF 5.5 2区医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2024-11-28 DOI:10.1007/s11920-024-01571-8

Paul S Links, Hira Aslam, McKenna O'Donnell

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Abstract

Purpose of the review: The purpose of this review is to report on prevalence of co-occurrence, possible etiologic mechanisms, and course and treatment implications of each of these challenging clinical disorders (Autism Spectrum Disorder, Eating Disorders, Posttraumatic Stress Disorder) comorbid with Personality Disorders.

Recent findings: These comorbidities often increase the symptom severity, worsen the course and outcome, and increase the risk of self-harm and suicidal behavior. For EDs and PTSD, existing therapies may prove somewhat helpful but novel approaches are needed and under investigation in the context of comorbid PDs and ASD, EDs and PTSD to address common underlying diatheses. Treatments for these comorbid disorders need to incorporate interventions addressing suicide risk, emotion dysregulation, be trauma-informed and attend to patient engagement. Future research should prioritize studying the course and outcome of ASD comorbid with PDs, novel therapies for EDs comorbid with PDs; refining the concept of Complex PTSD and commencing study of SSD comorbid with PDs.

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人格障碍和临床障碍：合并自闭症谱系障碍 (ASD)、进食障碍 (ED)、创伤后应激障碍 (PTSD) 或躯体症状障碍 (SSD) 的挑战。

综述的目的：本综述旨在报告这些具有挑战性的临床疾病（自闭症谱系障碍、进食障碍、创伤后应激障碍）与人格障碍合并症的并发率、可能的病因机制、病程和治疗影响：这些合并症通常会增加症状的严重程度，恶化病程和结果，并增加自残和自杀行为的风险。对于创伤后应激障碍和心理创伤后应激障碍，现有的治疗方法可能会有一些帮助，但对于合并有帕金森氏症和自闭症、创伤后应激障碍和心理创伤后应激障碍的患者，还需要新的方法来解决共同的潜在病症。对这些合并症的治疗需要纳入针对自杀风险、情绪失调的干预措施，以创伤为基础，并关注患者的参与。未来的研究应优先考虑研究与创伤后应激障碍合并的自闭症的病程和结果、与创伤后应激障碍合并的自闭症的新型疗法、完善复杂创伤后应激障碍的概念以及开始研究与创伤后应激障碍合并的创伤后应激障碍。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.