Longitudinal development of risk-taking and self-injurious behavior in association with late adolescent borderline personality disorder symptoms
Longitudinal development of risk-taking and self-injurious behavior in association with late adolescent borderline personality disorder symptoms
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DOI：
10.1016/j.psychres.2019.01.010
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发表时间：
2019-03-01
影响因子：
11.3
通讯作者：
Kaess, Michael
中科院分区：
文献类型：
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作者：
Ghinea, Denisa;Koenig, Julian;Kaess, Michael
自残行为和冒险行为与青少年边缘性人格障碍(BPD)相关。自我伤害和冒险行为在预测BPD中的发展轨迹还没有完全被理解。本研究的目的是研究青春期自伤和冒险行为的发展及其对BPD症状的预期影响。分析了来自德国拯救和赋权欧洲青年生活队列的数据(n=506；62.06%女性，14.53岁)。在基线和一年的随访中评估自我伤害和冒险行为。在两年的随访中对BPD症状进行评估。在完全调整的逐步二项回归分析中，最近开始、终止和维持危险饮酒和自残行为仍然是BPD的重要预测因素。在戒酒和维持自我伤害行为方面，OR值最高。在两年的随访中，冒险行为的其他方面与BPD症状的OR增加无关。这些发现突显了自我伤害行为和冒险行为的特定方面在青少年BPD发展中的重要性。临床医生应该集中精力预防青少年的冒险和自残行为，因为在青少年时期从事这些行为，因此潜在的较长时间与BPD的最高风险相关。
Self-injurious behavior and risk-taking behaviors are associated with adolescent borderline personality disorder (BPD). Developmental trajectories of self-injurious and risk-taking behavior in predicting BPD have not been fully understood. The aim of the present study was to examine self-injurious and risk-taking behavior development and their prospective influence on BPD symptoms in adolescence. Data (n = 506; 62.06 % females, 14.53 years) from the German Saving and Empowering Young Lives in Europe cohort were analyzed. Self-injurious and risk-taking behaviors were assessed at baseline and one-year follow-up. BPD symptoms were assessed at two-year follow-up. In fully adjusted stepwise binominal regression analyses, recent onset, termination and maintenance of risky alcohol use and self-injurious behavior remained as significant predictors of BPD. Highest ORs were found for alcohol termination and maintenance of self-injurious behavior. Other facets of risk-taking behavior were not associated with increased ORs of BPD symptoms at two-year follow-up. These findings highlight the importance of self-injurious behavior and specific facets of risk-taking behavior in the development of adolescent BPD. Clinicians should focus on efforts in preventing adolescents from risk-taking and self-injurious behavior, since engaging in young age and therefore in potentially longer periods of these behaviors is associated with the highest risk of BPD.