Loneliness, Social Networks, and Social Functioning in Borderline Personality Disorder
Loneliness, Social Networks, and Social Functioning in Borderline Personality Disorder
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DOI：
10.1037/per0000208
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发表时间：
2017-10-01
影响因子：
2.8
通讯作者：
Lis, Stefanie
中科院分区：
文献类型：
--
作者：
Liebke, Lisa;Bungert, Melanie;Lis, Stefanie
边缘型人格障碍（BPD）患者经常报告持续性孤独。然而，调查BPD精神病理学这方面的实证研究很少。社会心理学的研究表明，社会孤立和社会功能低下会导致孤独感，即孤独的主观感觉。本研究的目的是通过调查孤独感与社会隔离和不同生活领域的功能之间的关系，为理解BPD中的孤独感做出贡献。采用UCLA孤独感量表对80名女性（BPD患者40名，健康对照者40名）的孤独感进行了测量。社会孤立和社会功能与社会网络量表和社会功能量表进行了评估。此外，我们还通过全球功能评估对全球功能进行了评估。与健康参与者相比，BPD患者报告了更强烈的孤独感。总的来说，孤独感与网络规模、社会参与和亲社会行为有关。社交网络的多样性和人际交往领域的功能仅与BPD的孤独水平相关。减少各种角色在社会生活中的人际交往障碍与BPD孤独的经验特别相关，这表明一个间接的路径，以针对这种精神病理学特征的治疗干预。然而，社会隔离和社会功能都不足以解释这些患者所经历的严重增加的孤独感，强调需要进一步调查的决定因素，在这个临床人群的孤独。
Persistent loneliness is often reported by patients with borderline personality disorder (BPD). However, empirical studies investigating this aspect of BPD psychopathology are sparse. Studies from social psychology revealed that social isolation and low social functioning contribute to loneliness, that is, the subjective feeling of being alone. The aim of the present study was to contribute to the understanding of loneliness in BPD by investigating its relation to social isolation and functioning in different domains of life. Subjective experience of loneliness was measured in 80 women (40 BPD patients, 40 healthy controls) with the UCLA Loneliness Scale. Social isolation and social functioning were assessed with the Social Network Inventory and the Social Functioning Scale. In addition, we assessed global functioning with the Global Assessment of Functioning. BPD patients reported stronger feelings of loneliness compared to healthy participants. In general, the level of loneliness was linked to network size, social engagement, and prosocial behavior. Diversity of social networks and functioning in the domain of interpersonal communication were associated with the level of loneliness only in BPD. A reduced variety of roles in social life together with impairments in interpersonal communication were particularly relevant for the experience of loneliness in BPD, suggesting an indirect path to target this psychopathological feature in therapeutic interventions. However, both social isolation and social functioning were not sufficient to explain the severely increased loneliness experienced by these patients, stressing the need for further investigation of determinants of loneliness in this clinical population.