表演型人格障碍与BPD

Histrionic personality disorder (HPD) is a personality disorder that tends to co-occur with other personality disorders, particularly边缘型人格障碍（BPD）、自恋和依赖性人格障碍。BPD和HPD的特征有很大的重叠，以至于一些专家认为HPD实际上可能无法与BPD区分开来。

Understanding Histrionic Personality Disorder

HPD是10个personality disorders在第五版的精神障碍诊断和统计手册（DSM-5）。HPD是Cluster B以戏剧性、过度情绪化和/或不稳定为特征的疾病。

DSM-5将表演型人格障碍定义为一种极端情绪化和寻求注意力的行为模式，这种行为从成年早期开始，在不同的情况下都很明显。此外，您必须有以下五种或五种以上的症状或体征才能被诊断为HPD：

• Discomfort in situations in which you're not the center of attention
• Interaction with others that's often characterized by inappropriate sexually seductive or provocative behavior
• 情绪的快速变化和肤浅的表达
• 一贯使用外表来吸引对自我的注意
• 过分印象派的缺乏细节的讲话风格
• 表现出自我戏剧化、戏剧化和夸张的情感表达
• Is easily influenced by others or by circumstances
• Considers relationships to be more intimate than they actually are

HPD患者可能被描述为过度戏剧化、情绪化或寻求注意力。当这种行为模式严重干扰人际关系、工作或生活中其他重要领域时，就会上升到临床疾病的水平。

HPD与BPD共病

只有少数研究检验了HPD和BPD的共同发生。一项经常被引用的研究发现，HPD常与BPD同时发生。 在另一项使用community sample大约10%的BPD患者也符合HPD标准。

HPD与BPD

There is a marked overlap between the symptoms of HPD and BPD. For example, both share the features of rapidly shifting and reactive emotions, both are associated with冲动行为，两者的特点都是非常强烈的情感表达。

While some clinicians argue that the qualities of these symptoms are different in HPD versus BPD, for example, that the rapidly shifting emotions in HPD are not experienced with the same depth and intensity as those in BPD, other experts have argued that HPD and BPD are not necessarily distinct disorders. However, despite predictions that the HPD diagnosis would be dropped in DSM-5, it was not, and so it remains its own specific and unique diagnosis.

Treatment

虽然有一些建议，为临床医生治疗HPD，它通常是基于专家意见或经验，而不是研究数据。在这个问题上需要更多的研究，但一般来说，心理治疗是经常使用的，可能是有帮助的。如果你有其他症状，如抑郁或焦虑，药物治疗可能有助于减轻这些症状以及。