Dissociative phenomena in women with borderline personality disorder.
Dissociative phenomena in women with borderline personality disorder.
复制标题
患有边缘性人格障碍的女性的分离现象。
DOI：
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复制
发表时间：
1994
影响因子：
17.7
通讯作者：
Steven L. Shearer
中科院分区：
文献类型：
--
作者：
Steven L. Shearer
目的
本研究旨在确定创伤变量和某些行为相关因素是否在具有较大和较小分离经历的边缘型人格障碍患者中存在差异。
方法
受试者为62名女性住院患者，均符合DSM-III-R边缘型人格障碍的标准，其中14人还伴有分离性障碍诊断。结构化访谈和出版的规模被用来收集数据解决先验假设。
结果
单变量分析支持的假设，即边缘型人格障碍和更大的分离经验的患者的特点是更多的自我报告的创伤经历，创伤后症状，行为失控，自伤行为，酗酒。多变量分析表明，分离经验量表的分数预测，特别是成人性侵犯，行为失控，性虐待和身体虐待在童年。
结论
这些结果支持使用分离经验量表作为一个简短的筛选工具，以帮助识别边缘型人格障碍患者的突出创伤后和分离障碍。边缘型人格障碍患者的特点似乎是不同的生活经历，治疗史，行为表现取决于他们的解离经验水平，即使他们符合相同的DSM-III-R标准。两种极端的诊断人群重叠的观点都没有得到支持。
OBJECTIVE
This study was conducted to determine whether trauma variables and certain behavioral correlates are differentially prevalent in borderline personality disorder patients with greater and those with lesser dissociative experience.
METHOD
Subjects were 62 female inpatients, all meeting DSM-III-R criteria for borderline personality disorder, 14 of whom also had a concomitant dissociative disorder diagnosis. Structured interviews and published scales were used to collect data addressing a priori hypotheses.
RESULTS
Univariate analyses supported hypotheses that patients with borderline personality disorder and greater dissociative experience are characterized by more self-reported traumatic experiences, posttraumatic symptoms, behavioral dyscontrol, self-injurious behavior, and alcohol abuse. Multivariate analyses suggested that scores on the Dissociative Experiences Scale were predicted particularly by adult sexual assault, behavioral dyscontrol, and both sexual and physical abuse in childhood.
CONCLUSIONS
These results support the use of the Dissociative Experience Scale as a brief screening instrument to aid in the identification of borderline personality disorder patients with prominent posttraumatic and dissociative disorders. Patients with borderline personality disorder seem to be characterized by somewhat different life experiences, treatment histories, and behavioral presentations depending on their level of dissociative experience, even though they meet the same DSM-III-R criteria. Neither extreme view of the overlap in diagnostic populations was supported.