Stressful life events as predictors of functioning: findings from the Collaborative Longitudinal Personality Disorders Study
Stressful life events as predictors of functioning: findings from the Collaborative Longitudinal Personality Disorders Study
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DOI：
10.1111/j.1600-0447.2004.00398.x
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发表时间：
2004-12-01
影响因子：
6.7
通讯作者：
Gunderson, JG
中科院分区：
文献类型：
--
作者：
Pagano, ME;Skodol, AE;Gunderson, JG
目的：尽管童年不良经历对人格障碍（pd）发展的影响已经得到了很多关注，但我们对最近的生活事件如何影响正在进行的功能过程知之甚少。我们研究了PD受试者在生活事件发生率上的差异程度，以及生活事件对心理社会功能的影响程度。方法：从协同纵向人格障碍研究（CLPS）中抽取633名受试者，CLPS是一项多地点研究四种人格障碍-分裂型（STPD），边缘型（BPD），回避型（AVPD），强迫症（OCPD）和无PD的重度抑郁症（MDD）对照组。结果：与其他pd或重度抑郁症患者相比，边缘型人格障碍患者报告的负面生活事件总数显著增加。消极事件，尤其是人际事件，预示着随着时间的推移，社会心理功能会下降。结论：我们的研究结果表明，更严重的pd患者的负面事件发生率更高，并表明负面生活事件对心理社会功能的多个领域产生不利影响。
Objective: Although much attention has been given to the effects of adverse childhood experiences on the development of personality disorders (PDs), we know far less about how recent life events influence the ongoing course of functioning. We examined the extent to which PD subjects differ in rates of life events and the extent to which life events impact psychosocial functioning.Method: A total of 633 subjects were drawn from the Collaborative Longitudinal Personality Disorders Study (CLPS), a multi-site study of four personality disorders - schizotypal (STPD), borderline (BPD), avoidant (AVPD), obsessive-compulsive (OCPD) - and a comparison group of major depressive disorders (MDD) without PD.Results: Borderline personality disorder subjects reported significantly more total negative life events than other PDs or subjects with MDD. Negative events, especially interpersonal events, predicted decreased psychosocial functioning over time.Conclusion: Our findings indicate higher rates of negative events in subjects with more severe PDs and suggest that negative life events adversely impact multiple areas of psychosocial functioning.