Granični poremećaj ličnosti – razlika između verzija

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Napravljeno prevođenjem stranice "User:Mr. Ibrahem/Borderline personality disorder"
 
m uklonjena kategorija Poremećaji osobnosti; dodana kategorija Poremećaji ličnosti pomoću gadgeta HotCat
 
(Nije prikazano 8 međuverzija 4 korisnika)
Red 1: Red 1:
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{{Infobox medical condition (new)|name=Granični poremećaj osobnosti|image=Edvard Munch - The Brooch. Eva Mudocci - Google Art Project.jpg|image_size=280px|alt=|caption=[[Idealizacija i devaluacija|Idealization]] vidljiva na slici [[Edvard Munch|Edvarda Muncha]] ''Broš. Eva Mudocci'' (1903)<ref name="Ed1990">{{cite book|title=Edvard Munch : the life of a person with borderline personality as seen through his art|date=1990|publisher=Lundbeck Pharma A/S|location=[Danmark]|isbn=978-8798352419|pages=34–35}}</ref>|field=[[Psihijatrija]]|Synonyms=*granični poremećaj ličnosti
*emocionalno nestabilna ličnost|Symptoms=<nowiki>nestabilni [[interpersonalni odnosi], </nowiki>[[self-image|sense of self]], and [[affect (psychology)|emotions]]; [[impulsivity]]; recurrent suicidal behavior and [[self-harm]]; fear of [[abandonment (emotional)|abandonment]]; chronic feeling of [[emptiness]]; inappropriate [[anger]]; [[Dissociation (psychology)|feeling detached from reality]]<ref name=NIH2016 /><ref name=DSM5 />|complications=[[Samoubojstvo]]<ref name=NIH2016 />| odrasla dob<ref name=DSM5 />|Duration=Dugotrajno<ref name=NIH2016 />|causes=Nerazjašnjeno<ref name=CP2013 />|risks=[[Family history (medicine)|Family history]], [[Psychological trauma|trauma]], [[Child abuse|abuse]]<ref name=NIH2016 /><ref name=Lei2011 />|Diagnosis=Based on reported symptoms<ref name=NIH2016 />|differential=[[Identity disorder]], [[mood disorder]]s, [[post traumatic stress disorder]], [[cptsd]],[[substance use disorder]]s, [[Cluster B personality disorders|histrionic, narcissistic, or antisocial personality disorder]]<ref name=DSM5 /><ref>{{cite web |title=Borderline Personality Disorder Differential Diagnoses |url=https://emedicine.medscape.com/article/913575-differential |website=emedicine.medscape.com |accessdate=10 March 2020 |archive-date=29 April 2011 |archive-url=https://web.archive.org/web/20110429130848/https://emedicine.medscape.com/article/913575-differential |url-status=live }}</ref>|Prevention=|Treatment=[[Bihejvioraln terapija]]<ref name=NIH2016 />|Medication=|Prognosis=Ublažava se s vremenom<ref name=DSM5 />|frequency=1.6% of people in a given year<ref name=NIH2016 />|Deaths=}} 
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'''Granični poremećaj osobnosti, ili granični poremećaj ličnosti''', poznat i kao '''emocionalno nestabilna ličnost''', <ref name="NICEGuidelines2009">{{Cite book|url=https://www.ncbi.nlm.nih.gov/books/NBK55415/|title=Borderline personality disorder NICE Clinical Guidelines, No. 78|date=2009|publisher=British Psychological Society|access-date=5 August 2020|archive-date=12 November 2020|archive-url=https://web.archive.org/web/20201112031402/https://www.ncbi.nlm.nih.gov/books/NBK55415/}}</ref> je [[Mentalni poremećaj|mentalna bolest]] koju karakterizira dugotrajan obrazac nestabilnih [[Međuljudski odnosi|odnosa]], iskrivljen osećaj sebstva, te jake [[Afekat|emocionalne]] reakcije. <ref name=DSM5>{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref> <ref>{{Cite journal|last=Chapman|first=Alexander L.|date=August 2019|title=Borderline personality disorder and emotion dysregulation|url=https://www.cambridge.org/core/product/identifier/S0954579419000658/type/journal_article|journal=[[Development and Psychopathology]]|language=en|location=Cambridge, England|publisher=[[Cambridge University Press]]|volume=31|issue=3|pages=1143–1156|doi=10.1017/S0954579419000658|issn=0954-5794|pmid=31169118|archive-url=https://web.archive.org/web/20201204232023/https://www.cambridge.org/core/journals/development-and-psychopathology/article/abs/borderline-personality-disorder-and-emotion-dysregulation/EA2CB1C041307A34392F49279C107987|archive-date=4 December 2020|access-date=5 August 2020}}</ref> Zahvaćene osobe često se samopovređuju i pokazuju druga opasna ponašanja. <ref name=NIH2016>{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> Takve osobe također se mogu boriti sa osjećajem praznine, strahom od napuštanja i odvojenošću od stvarnosti . <ref name=NIH2016 /> Simptome mogu izazvati događaji koji su drugim osobama normalni. <ref name=NIH2016 /> Ponašanje obično počinje u ranoj odrasloj dobi i javlja se u različitim situacijama. <ref name=DSM5 /> [[Zloupotreba droga|Zloupotreba supstanci]], depresija i poremećaji ishrane obično su povezani sa BPD-om. <ref name=NIH2016 /> Oko 10% pogođenih ljudi umre od [[Samoubistvo|samoubojstva]]. <ref name=NIH2016 /> <ref name=DSM5 />


Uzroci graničnog poremećaja ličnosti su nejasni, ali čini se da uključuju genetske, neurološke, okolišne i društvene faktore. <ref name=CP2013>{{Cite book|title=Clinical Practice Guideline for the Management of Borderline Personality Disorder | publisher=National Health and Medical Research Council|year=2013|isbn=978-1-86496-564-3|location=Melbourne|pages=40–41|quote=In addition to the evidence identified by the systematic review, the Committee also considered a recent narrative review of studies that have evaluated biological and environmental factors as potential risk factors for BPD (including prospective studies of children and adolescents, and studies of young people with BPD)}}</ref> Javlja se oko pet puta češće kod osoba koje imaju zahvaćenog bliskog rođaka. <ref name=NIH2016 /> Čini se da štetni životni događaji također igraju ulogu. <ref name=Lei2011>{{cite journal | vauthors = Leichsenring F, Leibing E, Kruse J, New AS, Leweke F | title = Borderline personality disorder | journal = [[Lancet (journal)|Lancet]] | volume = 377 | issue = 9759 | pages = 74–84 | date = January 2011 | pmid = 21195251 | doi = 10.1016/s0140-6736(10)61422-5 }}</ref> Vjerojatno je da osnovni mehanizam uključuje [[Limbički sistem|frontolimbičku]] mrežu [[Neuron|neurona]] . <ref name=Lei2011 /> Granični poremećaj osobnosti je prepoznat u ''[[Dijagnostički i statistički priručnik za mentalne poremećaje|Dijagnostičkom i statističkom priručniku za mentalne poremećaje]]'' (DSM) kao poremećaj ličnosti, zajedno s devet drugih takvih poremećaja. <ref name=DSM5 /> Dijagnoza se zasniva na simptomima, a medicinskim pregledom isključuju se drugi problemi <ref name=NIH2016 /> kao što su problem identiteta ili poremećaja upotrebe supstanci. <ref name=DSM5 />
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{{Infobox medical condition (new)|name=Granični poremećaj osobnosti|image=Edvard Munch - The Brooch. Eva Mudocci - Google Art Project.jpg|image_size=280px|alt=|caption=[[Idealization and devaluation|Idealization]] is seen in [[Edvard Munch|Edvard Munch's]] ''The Brooch. Eva Mudocci'' (1903)<ref name="Ed1990">{{cite book|title=Edvard Munch : the life of a person with borderline personality as seen through his art|date=1990|publisher=Lundbeck Pharma A/S|location=[Danmark]|isbn=978-8798352419|pages=34–35}}</ref>|field=[[Psychiatry]]|Synonyms={{plainlist|
*Emotionally unstable personality disorder – impulsive or borderline type<ref name=Maj2005>{{cite book|first=Robert C.|last=Cloninger|editor1-first=Mario|editor1-last=Maj|editor2-first=Hagop S.|editor2-last=Akiskal|editor3-first=Juan E.|editor3-last=Mezzich|chapter=Antisocial Personality Disorder: A Review|title=Personality disorders|date=2005|publisher=[[Wiley (publisher)|John Wiley & Sons]]|location=New York City|isbn=978-0-470-09036-7|page=126|chapter-url=https://books.google.com/books?id=9fgwbCW7OQMC&pg=PA126|access-date=5 August 2020|archive-date=4 December 2020|archive-url=https://web.archive.org/web/20201204232038/https://books.google.com/books?id=9fgwbCW7OQMC&pg=PA126|url-status=live}}</ref>
*Emotional intensity disorder<ref>{{cite book|last1=Blom|first1=Jan Dirk|title=A dictionary of hallucinations|date=2010|publisher=Springer|location=New York|isbn=978-1-4419-1223-7|page=74|edition=1st|url=https://books.google.com/books?id=KJtQptBcZloC&pg=PA74|access-date=5 August 2020|archive-date=4 December 2020|archive-url=https://web.archive.org/web/20201204232039/https://books.google.com/books?id=KJtQptBcZloC&pg=PA74|url-status=live}}</ref>}}|Symptoms=Unstable [[interpersonal relationships|relationships]], [[self-image|sense of self]], and [[affect (psychology)|emotions]]; [[impulsivity]]; recurrent suicidal behavior and [[self-harm]]; fear of [[abandonment (emotional)|abandonment]]; chronic feeling of [[emptiness]]; inappropriate [[anger]]; [[Dissociation (psychology)|feeling detached from reality]]<ref name=NIH2016>{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref><ref name=DSM5>{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref>|complications=[[Samoubojstvo]]<ref name=NIH2016>{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref>| odrasla dob<ref name=DSM5>{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref>|Duration=Dugotrajno<ref name=NIH2016>{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref>|causes=Nerazjašnjeno<ref name=CP2013>{{Cite book|title=Clinical Practice Guideline for the Management of Borderline Personality Disorder | publisher=National Health and Medical Research Council|year=2013|isbn=978-1-86496-564-3|location=Melbourne|pages=40–41|quote=In addition to the evidence identified by the systematic review, the Committee also considered a recent narrative review of studies that have evaluated biological and environmental factors as potential risk factors for BPD (including prospective studies of children and adolescents, and studies of young people with BPD)}}</ref>|risks=[[Family history (medicine)|Family history]], [[Psychological trauma|trauma]], [[Child abuse|abuse]]<ref name=NIH2016>{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref><ref name=Lei2011>{{cite journal | vauthors = Leichsenring F, Leibing E, Kruse J, New AS, Leweke F | title = Borderline personality disorder | journal = [[Lancet (journal)|Lancet]] | volume = 377 | issue = 9759 | pages = 74–84 | date = January 2011 | pmid = 21195251 | doi = 10.1016/s0140-6736(10)61422-5 }}</ref>|Diagnosis=Based on reported symptoms<ref name=NIH2016>{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref>|differential=[[Identity disorder]], [[mood disorder]]s, [[post traumatic stress disorder]], [[cptsd]],[[substance use disorder]]s, [[Cluster B personality disorders|histrionic, narcissistic, or antisocial personality disorder]]<ref name=DSM5>{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref><ref>{{cite web |title=Borderline Personality Disorder Differential Diagnoses |url=https://emedicine.medscape.com/article/913575-differential |website=emedicine.medscape.com |accessdate=10 March 2020 |archive-date=29 April 2011 |archive-url=https://web.archive.org/web/20110429130848/https://emedicine.medscape.com/article/913575-differential |url-status=live }}</ref>|Prevention=|Treatment=[[Bihejvioraln terapija]]<ref name=NIH2016>{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref>|Medication=|Prognosis=Ublažava se s vremenom<ref name=DSM5>{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref>|frequency=1.6% of people in a given year<ref name=NIH2016>{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref>|Deaths=}} 
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'''Granični poremećaj osobnosti, ili granični poremećaj ličnosti''', poznat i kao '''emocionalno nestabilna ličnost''', <ref name="NICEGuidelines2009">{{Cite book|url=https://www.ncbi.nlm.nih.gov/books/NBK55415/|title=Borderline personality disorder NICE Clinical Guidelines, No. 78|date=2009|publisher=British Psychological Society|access-date=5 August 2020|archive-date=12 November 2020|archive-url=https://web.archive.org/web/20201112031402/https://www.ncbi.nlm.nih.gov/books/NBK55415/}}</ref> je [[Mentalni poremećaj|mentalna bolest]] koju karakterizira dugotrajan obrazac nestabilnih [[Međuljudski odnosi|odnosa]], iskrivljen osećaj sebstva, te jake [[Afekat|emocionalne]] reakcije. <ref name="DSM5">{{Cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|isbn=978-0-89042-555-8|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref> <ref>{{Cite journal|last=Chapman|first=Alexander L.|date=August 2019|title=Borderline personality disorder and emotion dysregulation|url=https://www.cambridge.org/core/product/identifier/S0954579419000658/type/journal_article|journal=[[Development and Psychopathology]]|language=en|location=Cambridge, England|publisher=[[Cambridge University Press]]|volume=31|issue=3|pages=1143–1156|doi=10.1017/S0954579419000658|issn=0954-5794|pmid=31169118|archive-url=https://web.archive.org/web/20201204232023/https://www.cambridge.org/core/journals/development-and-psychopathology/article/abs/borderline-personality-disorder-and-emotion-dysregulation/EA2CB1C041307A34392F49279C107987|archive-date=4 December 2020|access-date=5 August 2020}}</ref> Zahvaćene osobe često se samopovređuju i pokazuju druga opasna ponašanja. <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> Takve osobe također se mogu boriti sa osjećajem praznine, strahom od napuštanja i odvojenošću od stvarnosti . <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> Simptome mogu izazvati događaji koji su drugim osobama normalni. <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> Ponašanje obično počinje u ranoj odrasloj dobi i javlja se u različitim situacijama. <ref name="DSM5">{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref> [[Zloupotreba droga|Zloupotreba supstanci]], depresija i poremećaji ishrane obično su povezani sa BPD-om. <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> Oko 10% pogođenih ljudi umre od [[Samoubistvo|samoubojstva]]. <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> <ref name="DSM5">{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref>


BPD se obično liječi [[Psihoterapija|terapijom]], kao što je kognitivna bihejvioralna terapija (CBT) ili dijalektičko- bihejvioralna terapija (DBT). Dijalektičko-bihejvioralna terapija može smanjiti rizik od samoubojstva. <ref name=NIH2016 /> Terapija se može odvijati individualno ili u grupi . <ref name=NIH2016 /> Iako lijekovi ne liječe BPD, oni se mogu koristiti za pomoć kod povezanih simptoma. <ref name=NIH2016 /> Nekim zahvaćenim osobama potrebna je bolnička skrb. <ref name=NIH2016 />
Uzroci graničnog poremećaja ličnosti su nejasni, ali čini se da uključuju genetske, neurološke, okolišne i društvene faktore. <ref name="CP2013">{{Cite book|title=Clinical Practice Guideline for the Management of Borderline Personality Disorder | publisher=National Health and Medical Research Council|isbn=978-1-86496-564-3}}</ref> Javlja se oko pet puta češće kod osoba koje imaju zahvaćenog bliskog rođaka. <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> Čini se da štetni životni događaji također igraju ulogu. <ref name="Lei2011">{{Cite journal| title = Borderline personality disorder | journal = [[Lancet (journal)|Lancet]] | volume = 377 | issue = 9759 | pages = 74–84 | date = January 2011 | pmid = 21195251 | doi = 10.1016/s0140-6736(10)61422-5 }}</ref> Vjerojatno je da osnovni mehanizam uključuje [[Limbički sistem|frontolimbičku]] mrežu [[Neuron|neurona]] . <ref name="Lei2011">{{cite journal | vauthors = Leichsenring F, Leibing E, Kruse J, New AS, Leweke F | title = Borderline personality disorder | journal = [[Lancet (journal)|Lancet]] | volume = 377 | issue = 9759 | pages = 74–84 | date = January 2011 | pmid = 21195251 | doi = 10.1016/s0140-6736(10)61422-5 }}</ref> Granični poremećaj osobnosti je prepoznat u ''[[Dijagnostički i statistički priručnik za mentalne poremećaje|Dijagnostičkom i statističkom priručniku za mentalne poremećaje]]'' (DSM) kao poremećaj ličnosti, zajedno s devet drugih takvih poremećaja. <ref name="DSM5">{{Cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|isbn=978-0-89042-555-8|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}<cite class="citation book cs1" data-ve-ignore="true">[https://archive.org/details/diagnosticstatis0005unse/page/645 ''Diagnostic and statistical manual of mental disorders : DSM-5''] (5th&nbsp;ed.). Washington, D.C.: [[American Psychiatric Publishing]]. 2013. pp.&nbsp;[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]. [[ISBN (identifier)|ISBN]]&nbsp;[[Special:BookSources/978-0-89042-555-8|<bdi>978-0-89042-555-8</bdi>]].</cite></ref> Dijagnoza se zasniva na simptomima, a medicinskim pregledom isključuju se drugi problemi <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> kao što su problem identiteta ili poremećaja upotrebe supstanci. <ref name="DSM5">{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref>


Učestalost graničnog poremećaja osobnosti u općoj populaciji je 1,6%, a prema nekim procjenama i do 6%. <ref name=NIH2016 /> <ref name=DSM5 /> Kod žena se dijagnosticira oko tri puta češće nego kod muškaraca. <ref name=DSM5 /> Učestalost se smanjuje s porastom dobi. <ref name=DSM5 /> U oko polovice pogođenih ljudi stanje se poboljša tokom desetogodišnjeg perioda. <ref name=DSM5 /> Pogođeni ljudi obično koriste veliku količinu zdravstvenih resursa. <ref name=DSM5 /> U toku je debata o imenovanju poremećaja, posebno o prikladnosti riječi ''granični'' . <ref name=NIH2016 /> Poremećaj je često stigmatiziran, kako u medijima, ako i na psihijatrijskom polju. <ref>{{Cite journal|date=2006|title=Borderline personality disorder, stigma, and treatment implications|journal=Harvard Review of Psychiatry|volume=14|issue=5|pages=249–56|doi=10.1080/10673220600975121|pmid=16990170}}</ref>
BPD se obično liječi [[Psihoterapija|terapijom]], kao što je kognitivna bihejvioralna terapija (CBT) ili dijalektičko- bihejvioralna terapija (DBT). Dijalektičko-bihejvioralna terapija može smanjiti rizik od samoubojstva. <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> Terapija se može odvijati individualno ili u grupi . <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> Iako lijekovi ne liječe BPD, oni se mogu koristiti za pomoć kod povezanih simptoma. <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> Nekim zahvaćenim osobama potrebna je bolnička skrb. <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref>

Učestalost graničnog poremećaja osobnosti u općoj populaciji je 1,6%, a prema nekim procjenama i do 6%. <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}<cite class="citation web cs1" data-ve-ignore="true">[http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml "Borderline Personality Disorder"]. ''NIMH''. [https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml Archived] from the original on 22 March 2016<span class="reference-accessdate">. Retrieved <span class="nowrap">16 March</span> 2016</span>.</cite></ref> <ref name="DSM5">{{Cite book|isbn=978-0-89042-555-8}}<cite class="citation book cs1" data-ve-ignore="true">[https://archive.org/details/diagnosticstatis0005unse/page/645 ''Diagnostic and statistical manual of mental disorders : DSM-5''] (5th&nbsp;ed.). Washington, D.C.: [[American Psychiatric Publishing]]. 2013. pp.&nbsp;[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]. [[ISBN (identifier)|ISBN]]&nbsp;[[Special:BookSources/978-0-89042-555-8|<bdi>978-0-89042-555-8</bdi>]].</cite></ref> Kod žena se dijagnosticira oko tri puta češće nego kod muškaraca. <ref name="DSM5">{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref> Učestalost se smanjuje s porastom dobi. <ref name="DSM5">{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref> U oko polovice pogođenih ljudi stanje se poboljša tokom desetogodišnjeg perioda. <ref name="DSM5">{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref> Pogođeni ljudi obično koriste veliku količinu zdravstvenih resursa. <ref name="DSM5">{{cite book|title=Diagnostic and statistical manual of mental disorders : DSM-5|date=2013|publisher=[[American Psychiatric Publishing]]|location=Washington, D.C.|isbn=978-0-89042-555-8|pages=[https://archive.org/details/diagnosticstatis0005unse/page/645 645, 663–6]|edition=5th|url=https://archive.org/details/diagnosticstatis0005unse/page/645}}</ref> U toku je debata o imenovanju poremećaja, posebno o prikladnosti riječi ''granični'' . <ref name="NIH2016">{{Cite web|url=http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|title=Borderline Personality Disorder|website=NIMH|access-date=16 March 2016|url-status=live|archive-url=https://web.archive.org/web/20160322130612/http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml|archive-date=22 March 2016}}</ref> Poremećaj je često stigmatiziran, kako u medijima, ako i na psihijatrijskom polju. <ref>{{Cite journal|date=2006|title=Borderline personality disorder, stigma, and treatment implications|journal=Harvard Review of Psychiatry|volume=14|issue=5|pages=249–56|doi=10.1080/10673220600975121|pmid=16990170}}</ref>


== Reference ==
== Reference ==
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[[Kategorija:Poremećaji ličnosti]]

Aktualna verzija na datum 8 august 2023 u 13:16

Granični poremećaj osobnosti
Sinonimi
  • granični poremećaj ličnosti
  • emocionalno nestabilna ličnost
Idealization vidljiva na slici Edvarda Muncha Broš. Eva Mudocci (1903)[1]
SpecijalnostPsihijatrija
Simptominestabilni [[interpersonalni odnosi], sense of self, and emotions; impulsivity; recurrent suicidal behavior and self-harm; fear of abandonment; chronic feeling of emptiness; inappropriate anger; feeling detached from reality[2][3]
KomplikacijeSamoubojstvo[2]
Vreme pojaveRana odrasla dob[3]
TrajanjeDugotrajno[2]
UzrociNerazjašnjeno[4]
Faktori rizikaFamily history, trauma, abuse[2][5]
Dijagnostički metodBased on reported symptoms[2]
Slična oboljenjaIdentity disorder, mood disorders, post traumatic stress disorder, cptsd,substance use disorders, histrionic, narcissistic, or antisocial personality disorder[3][6]
LečenjeBihejvioraln terapija[2]
PrognozaUblažava se s vremenom[3]
Frekvencija1.6% of people in a given year[2]
Klasifikacija i eksterni resursi

 

Granični poremećaj osobnosti, ili granični poremećaj ličnosti, poznat i kao emocionalno nestabilna ličnost, [7] je mentalna bolest koju karakterizira dugotrajan obrazac nestabilnih odnosa, iskrivljen osećaj sebstva, te jake emocionalne reakcije. [3] [8] Zahvaćene osobe često se samopovređuju i pokazuju druga opasna ponašanja. [2] Takve osobe također se mogu boriti sa osjećajem praznine, strahom od napuštanja i odvojenošću od stvarnosti . [2] Simptome mogu izazvati događaji koji su drugim osobama normalni. [2] Ponašanje obično počinje u ranoj odrasloj dobi i javlja se u različitim situacijama. [3] Zloupotreba supstanci, depresija i poremećaji ishrane obično su povezani sa BPD-om. [2] Oko 10% pogođenih ljudi umre od samoubojstva. [2] [3]

Uzroci graničnog poremećaja ličnosti su nejasni, ali čini se da uključuju genetske, neurološke, okolišne i društvene faktore. [4] Javlja se oko pet puta češće kod osoba koje imaju zahvaćenog bliskog rođaka. [2] Čini se da štetni životni događaji također igraju ulogu. [5] Vjerojatno je da osnovni mehanizam uključuje frontolimbičku mrežu neurona . [5] Granični poremećaj osobnosti je prepoznat u Dijagnostičkom i statističkom priručniku za mentalne poremećaje (DSM) kao poremećaj ličnosti, zajedno s devet drugih takvih poremećaja. [3] Dijagnoza se zasniva na simptomima, a medicinskim pregledom isključuju se drugi problemi [2] kao što su problem identiteta ili poremećaja upotrebe supstanci. [3]

BPD se obično liječi terapijom, kao što je kognitivna bihejvioralna terapija (CBT) ili dijalektičko- bihejvioralna terapija (DBT). Dijalektičko-bihejvioralna terapija može smanjiti rizik od samoubojstva. [2] Terapija se može odvijati individualno ili u grupi . [2] Iako lijekovi ne liječe BPD, oni se mogu koristiti za pomoć kod povezanih simptoma. [2] Nekim zahvaćenim osobama potrebna je bolnička skrb. [2]

Učestalost graničnog poremećaja osobnosti u općoj populaciji je 1,6%, a prema nekim procjenama i do 6%. [2] [3] Kod žena se dijagnosticira oko tri puta češće nego kod muškaraca. [3] Učestalost se smanjuje s porastom dobi. [3] U oko polovice pogođenih ljudi stanje se poboljša tokom desetogodišnjeg perioda. [3] Pogođeni ljudi obično koriste veliku količinu zdravstvenih resursa. [3] U toku je debata o imenovanju poremećaja, posebno o prikladnosti riječi granični . [2] Poremećaj je često stigmatiziran, kako u medijima, ako i na psihijatrijskom polju. [9]

Reference

[uredi | uredi kod]
  1. ↑ Edvard Munch : the life of a person with borderline personality as seen through his art. [Danmark]: Lundbeck Pharma A/S. 1990. str. 34–35. ISBN 978-8798352419. 
  2. ↑ 2,00 2,01 2,02 2,03 2,04 2,05 2,06 2,07 2,08 2,09 2,10 2,11 2,12 2,13 2,14 2,15 2,16 2,17 2,18 2,19 „Borderline Personality Disorder”. NIMH. Arhivirano iz originala na datum 22 March 2016. Pristupljeno 16 March 2016. 
  3. ↑ 3,00 3,01 3,02 3,03 3,04 3,05 3,06 3,07 3,08 3,09 3,10 3,11 3,12 3,13 Diagnostic and statistical manual of mental disorders : DSM-5 (5th izd.). Washington, D.C.: American Psychiatric Publishing. 2013. str. 645, 663–6. ISBN 978-0-89042-555-8. 
  4. ↑ 4,0 4,1 Clinical Practice Guideline for the Management of Borderline Personality Disorder. Melbourne: National Health and Medical Research Council. 2013. str. 40–41. ISBN 978-1-86496-564-3. »In addition to the evidence identified by the systematic review, the Committee also considered a recent narrative review of studies that have evaluated biological and environmental factors as potential risk factors for BPD (including prospective studies of children and adolescents, and studies of young people with BPD)« 
  5. ↑ 5,0 5,1 5,2 „Borderline personality disorder”. Lancet 377 (9759): 74–84. January 2011. DOI:10.1016/s0140-6736(10)61422-5. PMID 21195251. 
  6. ↑ „Borderline Personality Disorder Differential Diagnoses”. emedicine.medscape.com. Arhivirano iz originala na datum 29 April 2011. Pristupljeno 10 March 2020. 
  7. ↑ Borderline personality disorder NICE Clinical Guidelines, No. 78. British Psychological Society. 2009. Arhivirano iz originala na datum 12 November 2020. Pristupljeno 5 August 2020. 
  8. ↑ Chapman, Alexander L. (August 2019). „Borderline personality disorder and emotion dysregulation” (en). Development and Psychopathology (Cambridge, England: Cambridge University Press) 31 (3): 1143–1156. DOI:10.1017/S0954579419000658. ISSN 0954-5794. PMID 31169118. Arhivirano iz originala na datum 4 December 2020. Pristupljeno 5 August 2020. 
  9. ↑ „Borderline personality disorder, stigma, and treatment implications”. Harvard Review of Psychiatry 14 (5): 249–56. 2006. DOI:10.1080/10673220600975121. PMID 16990170. 
Izvor: https://sh.wikipedia.org/w/index.php?title=Granični_poremećaj_ličnosti&oldid=41444607