双相障碍与BPD之间的差异

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Aief Juwono /时刻/盖蒂图像

Borderline personality disorder (BPD)这是一个有争议的诊断,因为1980年精神障碍诊断和统计手册首次认可。仍未解决的争议是BPD是否与双相情感障碍有关,因为它们具有许多类似的症状。

双极和边缘人格障碍如何相似

The primary reason that some experts have proposed that BPD and bipolar disorder may be related is that they share the common feature of mood instability.

Bipolar disorder is associated with mood shifts from depression to mania, a mood characterized by elation, a decreased need for sleep and an increase in activity, orhypomania, which is similar to mania but less severe.

BPD也与情绪变化有关,有时称为情绪化失调或情感不稳定。有BPD的人可能会因在几分钟内感到非常痛苦而感到沮丧。

冲动的行为is also frequently experienced both by people with bipolar disorder and by people with BPD.

双极和边缘人格障碍是如何不同的

BPD和双相情感障碍有什么区别?一些主要的组件分开了这两个。

  • 质量:虽然疾病的特征在于情绪变化,但情绪变化的质量可能非常不同。患有双相情感障碍的人往往会体验躁狂症和抑郁症,而BPD的人体验剧烈情绪痛苦和空虚感,绝望,愤怒,绝望和孤独。
  • 时间:在BPD中,情绪变化往往更短暂。他们一次只能持续几个小时。相比之下,双相情感障碍的情绪变化往往持续数天甚至几周。
  • Cause:Mood shifts in BPD are usually in reaction to an environmental stressor, such as an argument with a loved one, whereas mood shifts in bipolar disorder may occur out-of-the-blue.
  • Degree:The mood shifts typical of BPD rarely involve elation. Usually, the shift is from feeling upset to feeling OK, not from feeling bad to feeling a high or elevated mood, which is more typical of bipolar disorder.

Are Bipolar and Borderline Personality Disorder Related?

虽然尚未清除,但研究尚未发现BPD和双相情感障碍的良好关系。有一些证据表明,BPD的人们被诊断患有比其他人格障碍的个人更高的双相障碍。

一项研究发现,大约20%的BPD人也被诊断出具有双相障碍。只有大约10%的人为其他人格障碍也有双相情感障碍诊断。

Another study looked at people diagnosed with both BPD and bipolar disorder within a 10-year timeframe. The results showed that the disorders appear to be completely independent. The study's authors stressed that it's extremely important to treat each disorder individually for the best chance of symptom relief.

The Bottom Line

到目前为止,还没有足够的研究表明BPD和双相障碍是相关的。虽然肯定存在一些共享特征,但BPD和双相障碍之间也存在一些明显的差异。

此外,BPD和双相障碍的共同发生不足以表明两种疾病是相关的。但是,在本主题需要更多的研究。例如,可能是未来的研究,例如the genetic and biological causes of BPD和双相情感障碍,可以揭示两个条件之间的一些未被发现的关系。

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