Operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescents.

Operationalizing intimacy and identity aspects of personality functioning in relation to personality disorder in adolescents.
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DOI:
10.3389/fpsyt.2023.1153274
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发表时间:
2023
影响因子:
4.7
通讯作者:
Sharp, Carla
Sharp, Carla
中科院分区:
医学3区
文献类型:
--
作者:
Cervantes, Breana R.;Kerr, Sophie;Vanwoerden, Salome;Sharp, Carla

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根据人格病理学的维度模型,人际(亲密和共情)和自我(认同和自我导向)功能缺陷(标准A)是所有人格障碍的核心。人格功能的这些方面(标准A)在青少年人格病理学的背景下,很少被评估它们如何相互关联。此外,使用基于性能的度量来评估标准A功能的各个方面仍然是一个未开发的资源。因此,本研究旨在评估标准A的两个特征,即不适应亲密和不适应(或扩散)认同在青少年中的关系。对于亲密关系,我们利用基于表现的方法来研究亲密关系,并以与发展相关的方式(感知父母亲密关系)进行操作。对于身份,我们依赖于身份扩散的有效自我报告测量。我们研究了这些特征之间的相互关系以及它们与边缘特征的关系。此外,我们还探讨了身份扩散是否介导了感知父母亲密度与边缘特征之间的预期关系。我们假设,感知到的父母亲密关系的距离越远,其边缘特征水平越高,身份扩散水平也越高,而身份扩散可以解释亲密关系和人格病理之间的关系。样本包括131名住院青少年(年龄15.35岁,70.2%为女性)。结果表明,与母亲和父亲的亲密关系,即感知到的父母亲密关系,与身份扩散水平和边缘特征显著相关。此外,通过更健康的身份功能,与父母更亲密的感觉与较低的边缘特征严重程度相关。讨论了研究结果的意义、局限性和未来的发展方向。
According to dimensional models of personality pathology, deficits in interpersonal (intimacy and empathy) and self (identity and self-direction) function (Criterion A) are core to all personality disorders. These aspects of personality functioning (Criterion A) have seldom been evaluated for how they might relate to one another in the context of personality pathology in adolescents. Moreover, the use of performance-based measures to evaluate aspects of Criterion A function remains an untapped resource. Therefore, the present study aimed to evaluate relations between two features of Criterion A, maladaptive intimacy and maladaptive (or diffused) identity, in adolescence. For intimacy, we leverage a performance-based approach to studying intimacy, operationalized in a developmentally relevant way (perceived parental closeness). For identity, we rely on a validated self-report measure of identity diffusion. We examined the relationship between these features with each other and their relations with borderline features. Additionally, we explored whether identity diffusion mediated the expected relationship between perceived parental closeness and borderline features. We hypothesized that greater distance in perceived parental closeness would be associated with higher levels of borderline features, as well as higher levels of identity diffusion, and that identity diffusion would account for the relationship between intimacy and personality pathology. The sample included 131 inpatient adolescents (Mage = 15.35, 70.2% female). Results indicated that intimacy, operationalized as perceived parental closeness, with both mothers and fathers was significantly associated with levels of identity diffusion and borderline features. In addition, greater feelings of closeness with parents were associated with lower severity of borderline features via healthier identity function. Implications of the results, limitations, and future directions are discussed.
DOI: 10.4088/jcp.v68n0217
发表时间: 2007-02-01
影响因子: 5.3
作者:
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DOI: 10.1093/scan/nsw136
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影响因子: 4.7
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发表时间: 2006-09-01
期刊: CHILD DEVELOPMENT
影响因子: 4.6
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