Suggerimenti di buona pratica clinica per il disturbo evitante di personalità

Titolo Rivista QUADERNI DI PSICOTERAPIA COGNITIVA
Autori/Curatori Ilario Mammone, Giancarlo Dimaggio
Anno di pubblicazione 2023 Fascicolo 2023/52
Lingua Italiano Numero pagine 25 P. 72-96 Dimensione file 0 KB
DOI 10.3280/qpc52-2023oa16175
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Questa review si concentra sugli aspetti diagnostici e sul trattamento del Disturbo Evitante di Personalità (DE). Gli studi attuali sottolineano la stretta relazione tra DE e Disturbo d’Ansia Sociale e la relativa stabilità dei sintomi oltre che l’impatto in termini sociali ed economici.Le scarse evidenze empiriche mostrano risultati promettenti per gli interventi psicoterapici, in particolare per le terapie di orientamento cognitivo-comportamentale, anche di terza onda. Mancano a oggi studi randomizzati sufficientemente solidi, mentre stanno apparendo recentemente alcuni lavori su gruppi di pazienti con grave DE trattati grazie a una comprensione accurata della psicopatologia. Complessivamente, allo stato dell’arte, è possibile suggerire alcuni obiettivi generali di medio-lungo termine da tenere in considerazione nel trattamento di questi pazienti. Gli approcci terapeutici dovrebbero mirare ai pattern pervasivi di inibizione e ritiro sociale, ai sentimenti di inadeguatezza e all’ipersensibilità verso il giudizio negativo e il rifiuto. Sarebbe utile anche puntare al miglioramento delle funzioni riflessive e metacognitive, a interrompere i processi di rimuginio e ruminazione. Allo stato attuale sappiamo che il DE è un disturbo con importanti problemi sintomatici e sociali e sono urgentemente necessari studi randomizzati controllati per definire meglio come trattarlo con efficacia.;

Keywords:; Disturbo Evitante di Personalità; ritiro sociale; linee guida; psicoterapia

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