Negative affectivity and disinhibition as moderators of an interpersonal pathway to suicidal behavior in borderline personality disorder.

Negative affectivity and disinhibition as moderators of an interpersonal pathway to suicidal behavior in borderline personality disorder.
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负面的情感和抑制作用,作为边缘人格障碍自杀行为的人际交往途径的主持人。

DOI:
10.1177/21677026211056686
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发表时间:
2022-09
影响因子:
4.8
通讯作者:
Dombrovski, Alexandre Y.
Dombrovski, Alexandre Y.
中科院分区:
医学1区
文献类型:
--
作者:
Allen, Timothy A.;Hallquist, Michael N.;Wright, Aidan G. C.;Dombrovski, Alexandre Y.

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这项纵向研究探讨了人格特质是否缓和人际功能障碍和自杀行为之间的联系,在458个被诊断为边缘性人格障碍(BPD)的高危样本。每年对参与者进行评估,长达30年(平均随访次数= 7.82)。使用多层次结构方程模型,我们检查了i)纵向,人际功能障碍,自杀意念和自杀企图之间的个人关系;和ii)这些关系的负情感和去抑制的调节。负性情感预测人际功能障碍和自杀意念之间更强的人内耦合。去抑制预测意念和自杀企图之间的耦合更强。在治疗环境中评估消极情感和去抑制可以指导临床医生对那些人际触发自杀行为风险最高的人保持警惕。
This longitudinal study examined whether personality traits moderate the link between interpersonal dysfunction and suicidal behavior in a high-risk sample of 458 individuals diagnosed with borderline personality disorder (BPD). Participants were assessed annually for up to 30 years (mean number of follow-ups = 7.82). Using multilevel structural equation modeling, we examined i) longitudinal, within-person relationships among interpersonal dysfunction, suicidal ideation, and suicide attempts; and ii) moderation of these relationships by negative affectivity and disinhibition. Negative affectivity predicted a stronger within-person coupling between interpersonal dysfunction and suicidal ideation. Disinhibition predicted a stronger coupling between ideation and suicide attempts. Assessing negative affectivity and disinhibition in a treatment setting may guide clinician vigilance toward those at highest risk for interpersonally triggered suicidal behaviors.
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