Borderline personality disorder: does its clinical features show specificity to differing developmental risk factors?
Borderline personality disorder: does its clinical features show specificity to differing developmental risk factors?
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DOI：
10.1177/1039856218760732
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发表时间：
2018-03
影响因子：
1.8
通讯作者：
G. Parker;S. McCraw;Adam Bayes
中科院分区：
文献类型：
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作者：
G. Parker;S. McCraw;Adam Bayes
目的：确定不同的发展因素是否对边缘型人格障碍（BPD）的不同表现具有特异性。研究方法：诊断为BPD的73名女性的临床样本进行了精神科医生访谈，并完成了自我报告问卷，包括DSM-IV人格障碍（DIPD-IV）评估BPD状态的半结构化诊断访谈。评估中包括一系列负面和潜在的创伤性发展因素。结果：49%的样本证实，儿童期性虐待与DIPD定义的情感不稳定性有关。DIPD定义的身份障碍也表现出特异性，仅与报告显著的非性发育创伤有关。DIPD定义的愤怒和偏执/解离表现出最小的特异性，并与成年期的大多数先行发展因素相关。结论：BPD的不同表现可能是由特异性和非特异性发育事件形成的。澄清这些联系有可能形成更具体的治疗干预措施。
Objectives: To determine if differing developmental factors show specificity to differing manifestations of borderline personality disorder (BPD). Methods: A clinical sample of 73 females diagnosed with BPD undertook a psychiatrist interview and completed self-report questionnaires, including the semi-structured Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV) assessing for BPD status. A set of negative and potentially traumatic developmental factors were included in the assessment. Results: Childhood sexual abuse, affirmed by 49% of the sample, showed specificity in being linked with DIPD-defined affective instability. DIPD-defined identity disturbance also showed specificity in being associated only with reporting significant non-sexual developmental trauma. DIPD-defined anger and paranoia/dissociation showed minimal specificity and were associated with most antecedent developmental factors in adulthood. Conclusions: Differing manifestations of BPD are likely to be shaped by specific and non-specific developmental events. Clarification of such links has the potential to shape more specific therapeutic interventions.