Explicit and Implicit Measures of Identity Diffusion in Adolescent Girls With Borderline Personality Disorder.

Explicit and Implicit Measures of Identity Diffusion in Adolescent Girls With Borderline Personality Disorder.
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DOI:
10.3389/fpsyt.2021.805390
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发表时间:
2021
影响因子:
4.7
通讯作者:
Gregorič Kumperščak H
Gregorič Kumperščak H
中科院分区:
医学3区
文献类型:
--
作者:
Plakolm Erlač S;Bucik V;Gregorič Kumperščak H

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本研究首次考察了边缘型人格障碍青少年患者的内隐和外显自我概念。诊断为BPD的青春期女孩的临床样本(N = 30; M年龄= 15.9岁)和具有健康人格发展的女孩的样本(N = 33; M年龄= 16.6岁)完成了内隐关联测试(IAT),该测试被调整为身份扩散,BPD的核心。共同领域的儿童和青少年精神病理学和BPD的核心组成部分进行了评估,使用自我报告的优势和困难问卷(SDQ),边缘人格特征量表的儿童-11(BPFSC-11)和评估的身份发展在青春期(AIDA)。BPD患者得分显着高于边缘病理学的明确措施比女孩与健康的人格发展。这项研究的一个关键发现是,与对照组相比,BPD女孩对稳定性的内隐偏好明显较低。此外,边缘性人格病理的外显测量与BPD核心的身份扩散的内隐测量显着相关。然而,当考虑内隐和外显测量的预测能力时,只有外显身份扩散与边界特征显著相关。我们的数据表明,青春期女孩与BPD不同于健康的人,不仅在他们的有意识的表示,但也在他们的隐式表示的自我与BPD相关的特征,这进一步推进了需要识别的风险青少年。
The present study is the first to examine both the implicit and explicit self-concept of identity diffusion in a sample of adolescent patients with borderline personality disorder (BPD). A clinical sample of adolescent girls with diagnosed BPD (N = 30; M age = 15.9 years) and a sample of girls with a healthy personality development (N = 33; M age = 16.6 years) completed an implicit association test (IAT) that was adjusted to identity diffusion, the core of BPD. Common domains of child and adolescent psychopathology and core components of BPD were assessed using self-reports on the Strengths and Difficulties Questionnaire (SDQ), the Borderline Personality Features Scale for Children—11 (BPFSC-11) and the Assessment of Identity Development in Adolescence (AIDA). BPD patients scored significantly higher on explicit measures of borderline pathology than girls with a healthy personality development. A crucial finding for this study was that girls with BPD had a significantly lower implicit preference for stability than their counterparts in the control group. Moreover, explicit measures of borderline personality pathology were significantly correlated with an implicit measure of identity diffusion, the core of BPD. However, when looking at the predictive ability of implicit and explicit measures, only explicit identity diffusion was significantly associated with borderline features. Our data suggests that adolescent girls with BPD differ from healthy individuals not only in their conscious representation but also in their implicit representation of the self with regard to BPD related characteristics, which further advances the need for the identification of at-risk adolescents.
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