Affective instability and impulsivity in borderline personality and bipolar II disorders: similarities and differences

Affective instability and impulsivity in borderline personality and bipolar II disorders: similarities and differences
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DOI:
10.1016/s0022-3956(01)00038-3
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发表时间:
2001-11-01
影响因子:
4.8
通讯作者:
Siever, LJ
Siever, LJ
中科院分区:
医学2区
文献类型:
--
作者:
Henry, C;Mitropoulou, V;Siever, LJ

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目的:许多研究报道了心境障碍与边缘人格障碍之间的高度共病,其中包括双相情感障碍,一些研究表明这些障碍是在家庭中共同传播的。然而。很少有研究比较这些障碍之间的人格特征,以确定两种诊断之间是否存在维度重叠。这项研究的目的是比较边缘人格和双相II型障碍患者的冲动、情感不稳定和强度,以及没有这两种诊断的受试者。方法:采用情感不稳定量表(ALS)、情感强度量表(AIM)、Buss-Durkee敌意问卷(BDHI)和Barratt冲动量表(BIS-7B)对29例无双相人格障碍的临界型人格障碍患者、14例无临界型人格障碍但有其他人格障碍的双相人格障碍患者、12例兼有临界型人格特征的双相情感障碍患者和93例非临界型人格障碍的双相情感障碍患者进行测评。结果:边缘人格患者ALS总分显著高于对照组(P
Objectives: many studies have reported a high degree of comorbidity between mood disorders, among which are bipolar disorders, and borderline personality disorder and some studies have suggested that these disorders are co-transmitted in families. However. few studies have compared personality traits between these disorders to determine whether there is a dimensional overlap between the two diagnoses. The aim of this study was to compare impulsivity, affective lability and intensity in patients with borderline personality and bipolar II disorder and in subjects with neither of these diagnoses. :Methods: patients with borderline personality but without bipolar disorder (n=29), patients with bipolar II disorder without borderline personality but with other personality disorders (n= 14), patients with both borderline personality and bipolar II disorder (n= 12), and patients with neither borderline personality nor bipolar disorder but other personality disorders (OPD: n=93) were assessed using the Affective Lability Scale (ALS), the Affect Intensity Measure (AIM), the Buss-Durkee Hostility Inventory (BDHI) and the Barratt Impulsiveness Scale (BIS-7B). Results: borderline personality patients had significantly higher ALS total scores (P