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首页> 外文期刊>The journal of forensic psychiatry & psychology >Prescribing of psychotropic medication for personality disordered patients in secure forensic settings
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Prescribing of psychotropic medication for personality disordered patients in secure forensic settings

机译：在安全的法医环境中为人格障碍患者开精神药物

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Little is known about effective interventions for personality disorders but psychological treatment is generally favoured over psychotropic medication. However, rates of prescribing are high in personality disorders, in particular in borderline personality disorder (BPD). We surveyed prescribing for ASPD and BPD in a high and medium secure setting. We found that nearly 80% of the 161 personality disordered patients surveyed received some form of psychotropic medication, nearly two-thirds were prescribed two or more drugs. Sixty-five percent of patients were prescribed medication specifically for the management of their personality disorder. Second generation antipsychotics and mood stabilisers were the most commonly prescribed drugs. Symptoms most frequently reported as targets for psychotropic medication included emotional instability, paranoia, aggression and hostility. Psychotropic interventions were seen as effective by prescribers. We discuss the implications of our findings in the light of recent NICE guidance on ASPD and BPD.
机译：对于人格障碍的有效干预措施知之甚少，但是与精神科药物相比，人们通常更喜欢心理治疗。但是，在人格障碍中，特别是在边缘性人格障碍（BPD）中，开药率很高。我们调查了在高中安全环境中对ASPD和BPD的处方。我们发现，在接受调查的161名人格障碍患者中，将近80％接受了某种形式的精神药物，近三分之二的人开了两种或两种以上的药物。 65％的患者开了专门用于治疗人格障碍的药物。第二代抗精神病药和情绪稳定剂是最常用的处方药。最常被报告为精神药物治疗目标的症状包括情绪不稳定，偏执狂，攻击性和敌意。开处方者认为精神干预是有效的。我们将根据NICE关于ASPD和BPD的最新指南讨论研究结果的含义。

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