Do normal personality traits connect to the dynamic processes of psychopathology?

Do normal personality traits connect to the dynamic processes of psychopathology?
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正常的人格特征是否与精神病理学的动态过程有关?

DOI:
10.1037/per0000516
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发表时间:
2022
期刊:
Personality disorders
影响因子:
--
通讯作者:
Fleeson,William
Fleeson,William
中科院分区:
--
文献类型:
--
作者:
Miskewicz,Kelly;Furr,RMichael;Fleeson,William

文献摘要

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本文旨在揭示特质是否能够预测构成边缘型人格障碍(BPD)的核心过程。一个大样本,包括许多BPD,完成个性问卷,并报告触发和症状的经验,每天5次,为期2周。多层次模型显示,第一,症状是强烈的并发触发和BPD的关联症状主要是由于这种偶然性。其次,人格特质预测了这个过程的所有组成部分:触发体验,症状强度和触发症状的偶然性。然而,正常的人格特质只能部分解释BPD患者对触发因素的高度体验、症状升高和对触发因素的放大反应。因此,正常的人格特质能够解释临床障碍的动态过程特征,这意味着正常的人格特质甚至可以阐明复杂的动态临床过程。然而,性状似乎只部分包含负责BPD核心过程的活性成分。除了特质之外,疾病的其他方面可能会导致BPD患者的触发体验增强,症状强度升高以及对触发的反应放大。
The purpose of this article is to reveal whether traits can predict the core processes constituting borderline personality disorder (BPD). A large sample, including many with BPD, completed personality questionnaires and reported trigger and symptom experiences 5 times per day for 2 weeks. Multilevel modeling revealed first that symptoms were strongly contingent upon concurrent triggers and that BPD’s association to symptoms was largely due to this contingency. Second, personality traits predicted all components of this process: trigger experiences, symptom intensity, and the contingency of the symptoms on triggers. However, normal personality traits only partially accounted for the heightened experience of triggers, elevated symptoms, and magnified reactivity to triggers among those with BPD. Thus, normal personality traits are capable of explaining the dynamic processes characteristic of clinical disorders, meaning that normal traits can elucidate even complex dynamic clinical processes. However, traits appear to only partially contain the active ingredients responsible for the core process in BPD. Aspects of the disorder other than traits may account for the heightened trigger experience, elevated symptom intensity, and magnified reactivity to triggers in those with BPD.