<br>回避型人格障碍：当前见解。,Psychology Research and Behavior Management

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回避型人格障碍：当前见解。
Psychology Research and Behavior Management ( IF 2.8 ) Pub Date : 2018-03-01 , DOI: 10.2147/prbm.s121073
Lisa Lampe ₁ , Gin S Malhi ₂

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回避型人格障碍（AVPD）是一种相对常见的疾病，与严重的痛苦、损害和残疾有关。它是一种慢性疾病，发病年龄早，影响终生。然而，它没有得到充分认识，研究也很少。关于最有效的治疗方法知之甚少。对这种情况的研究动力起伏不定，可能是由于担心它与其他疾病的不同之处，尤其是社交焦虑症（SAD）、分裂样人格障碍和依赖型人格障碍。流行的范式赞同“严重性连续体假说”，其中 AVPD 本质上被视为 SAD 的严重变体。然而，已经描述了不连续的区域，并且支持将 AVPD 保留为一个单独的诊断类别。最近的研究集中在 AVPD 的现象学、可能具有病因意义的因素，例如早期育儿经历、依恋方式、气质和认知加工。自我概念、回避行为、早期依恋和依恋类型可能代表与 SAD 的不同点，这些点也与治疗相关。其他不专门关注 AVPD 的研究领域，包括与依恋和人格风格相关的社会认知文献，报告了有希望的未来研究结果，旨在更好地描述 AVPD 并为治疗提供信息。

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Avoidant personality disorder: current insights.

Avoidant personality disorder (AVPD) is a relatively common disorder that is associated with significant distress, impairment, and disability. It is a chronic disorder with an early age at onset and a lifelong impact. Yet it is underrecognized and poorly studied. Little is known regarding the most effective treatment. The impetus for research into this condition has waxed and waned, possibly due to concerns regarding its distinctiveness from other disorders, especially social anxiety disorder (SAD), schizoid personality disorder, and dependent personality disorder. The prevailing paradigm subscribes to the “severity continuum hypothesis”, in which AVPD is viewed essentially as a severe variant of SAD. However, areas of discontinuity have been described, and there is support for retaining AVPD as a distinct diagnostic category. Recent research has focused on the phenomenology of AVPD, factors of possible etiological significance such as early parenting experiences, attachment style, temperament, and cognitive processing. Self-concept, avoidant behavior, early attachments, and attachment style may represent points of difference from SAD that also have relevance to treatment. Additional areas of research not focused specifically on AVPD, including the literature on social cognition as it relates to attachment and personality style, report findings that are promising for future research aimed at better delineating AVPD and informing treatment.

更新日期：2018-03-01

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