Developmental aspects of borderline personality disorder.
Developmental aspects of borderline personality disorder.
复制标题
边缘性人格障碍的发展方面。
DOI：
10.1080/10673220127909
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Zanarini,MC
中科院分区：
文献类型：
--
作者：
Reich,DB;Zanarini,MC
这项研究检验了边缘性人格障碍患者和其他人格障碍患者对童年的记忆是否存在差异，包括分离困难、唤起记忆、挫折耐受力和情绪反应性等气质因素以及症状的出现。使用一种工具对 290 名边缘性人格障碍患者和 72 名其他人格障碍患者进行了评估，对 18 岁之前的分离困难、气质问题和症状发作的记忆进行评分。边缘性人格障碍患者记得 6 岁至 17 岁之间的分离困难更多，6 岁至 17 岁之间的情绪反应性更强，挫败耐受性较差，以及 18 岁之前出现更多症状（最明显的是悲伤、抑郁、焦虑和自杀）。与其他人格障碍患者相比。各组在 18 岁之前的唤起记忆报告中没有差异。这些结果表明，边缘性人格障碍成年患者的许多特征可能最初出现在童年和青春期，这些特征可用于区分边缘性人格障碍和其他人格障碍。
This study examined whether patients with borderline personality disorder and controls with other personality disorders remember their childhoods differently with respect to separation difficulties, evocative memory, temperamental factors such as frustration tolerance and mood reactivity, and onset of symptoms. Two hundred and ninety patients with borderline personality disorder and 72 with other personality disorders were assessed using an instrument to rate memories of separation difficulties, temperamental problems, and onset of symptoms before age 18. Patients with borderline personality disorder remembered more difficulties with separation between ages 6 and 17 years, more mood reactivity and poorer frustration tolerance between ages 6 and 17, and the onset of more symptoms (most prominently sadness, depression, anxiety, and suicidality) before age 18 than did patients with other personality disorders. The groups did not differ in reports of evocative memory before age 18. These results indicate that many of the features of adult patients with borderline personality disorder may initially appear during childhood and adolescence and that these features may be used to differentiate borderline from other personality disorders.