The relationship between dispositional mindfulness, borderline personality features, and suicidal ideation in a sample of women in residential substance use treatment.
The relationship between dispositional mindfulness, borderline personality features, and suicidal ideation in a sample of women in residential substance use treatment.
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DOI：
10.1016/j.psychres.2016.02.040
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发表时间：
2016-04-30
影响因子：
11.3
通讯作者：
Stuart GL
中科院分区：
文献类型：
--
作者：
Shorey RC;Elmquist J;Wolford-Clevenger C;Gawrysiak MJ;Anderson S;Stuart GL
边缘性人格障碍（BPD）的特点是情绪、行为和人际关系不稳定，也与自杀意念增强有关。先前的研究表明，边缘性人格障碍和自杀意念在接受药物滥用治疗的女性中普遍存在。由于 BPD 的严重性，治疗该人群的药物滥用变得困难，针对药物滥用的基于正念的干预措施可能是该人群的有效方法。然而，需要对正在接受药物滥用治疗的女性的性格正念、BPD 和自杀意念之间的关系进行基础研究，以支持她们的关联，这也是本研究的目的。先前存在的医疗记录是从住宅药物使用治疗中心审查的。本研究共纳入 81 名女性患者。患者在接受治疗时完成了正念、BPD、自杀意念、物质使用和印象管理的自我报告测量。研究结果表明，性格正念与 BPD 特征和自杀意念呈负相关。除了自残之外，即使在控制了年龄、物质使用和印象管理之后，这种负相关关系仍然存在。未来的研究应该检验基于正念的干预措施是否是治疗药物滥用和边缘性人格障碍的有效方法。
Borderline personality disorder (BPD), which is characterized by unstable moods, behavior, and relationships, is also associated with heightened suicidal ideation. Prior research has demonstrated that BPD and suicidal ideation are prevalent among women in substance use treatment. Efforts to treat substance use in this population are made difficult due to the severity of BPD, and it is possible that mindfulness-based interventions specific to substance use could be an effective approach for this population. However, basic research is needed on the relationship between dispositional mindfulness, BPD, and suicidal ideation among women in treatment for substance use to support their associations, which was the purpose of the present study. Pre-existing medical records were reviewed from a residential substance use treatment center. A total of 81 female patients were included in the current study. Patients completed self-report measures of mindfulness, BPD, suicidal ideation, substance use, and impression management at treatment intake. Findings demonstrated dispositional mindfulness to be negatively associated with BPD features and suicidal ideation. With the exception of self-harm, this negative relationship was found even after controlling for age, substance use, and impression management. Future research should examine whether mindfulness-based interventions are an effective treatment for comorbid substance use and BPD.