Interpersonal Functioning in Borderline Personality

描述（由申请人提供）：此提交是MH56888的修订竞争性延续申请，现在标题为“边缘型人格中的人际功能”。总体目标是更详细地描述边缘型人格障碍（BPD）患者的人际功能，并具有比以前更大的临床相关性。本文将研究BPD中人际功能的概念层次，从长期的关系模式到即时的人际评价，并对这些措施的结构和预测有效性进行测试。第一个具体目的是使用多种测量方法来表征BPD患者的成人依恋类型。第二个具体目标是对这些患者在恋爱关系、友谊和工作方面的人际功能进行详细评估，使用最先进的访谈，即修订成人人格功能评估（RAPFA）。第三个具体目标是证明RAPFA所确定的依恋风格和关系模式都与实际的日常人际功能有关；为此，将使用改编自罗切斯特互动记录的社交互动日记。在最详细的分析层面上，第四个具体目标是使用评估中性人脸感知偏差的范式来评估BPD患者的社会认知。研究将分为三组（每组N = 50）： BPD患者和两个对照组-回避型人格障碍（AVPD）患者和无PD患者，即只有I轴情绪或焦虑障碍的患者。所有患者将在入院时进行评估，并进行为期6个月的前瞻性随访。这些目标的实现不仅对于建立BPD中这些人际变量的结构和预测有效性很重要，而且对于促进代表患有这种疾病的患者的改进治疗的发展也很重要。确定人际风险因素将有助于实现长期目标，不仅要了解这些患者，而且要利用这些知识在基于sc的治疗中改善他们的生活。

DESCRIPTION (provided by applicant): This submission is an amended competing continuation application for MH56888, now titled "Interpersonal Functioning in Borderline Personality." The overall goal is to characterize the interpersonal functioning of patients with borderline personality disorder (BPD) in greater detail and with greater clinical relevance than has been done previously. A conceptual hierarchy of interpersonal functioning in BPD will be examined, ranging from long-term patterns of relatedness to moment-to-moment interpersonal appraisals, and the construct and predictive validity of these measures will be tested. The first specific aim is to characterize the adult attachment styles of BPD patients using multiple measures. The second specific aim is to undertake a detailed assessment of the interpersonal functioning of these patients in the areas of romantic relationships, friendships, and work using a state-of-the-art interview, the Revised Adult Personality Functioning Assessment (RAPFA). The third specific aim is to document that both attachment styles and patterns of relatedness identified with the RAPFA are associated with actual day-to-day interpersonal functioning; for this purpose, a Social Interaction Diary, adapted from the Rochester Interaction Record, will be used. At the most detailed level of analysis, the fourth specific aim is to undertake an assessment of social cognition in BPD patients using a paradigm evaluating biases in the perception of neutral human faces. The research will be conducted with three groups (N = 50 in each group): Patients with BPD and two comparison groups-patients with avoidant personality disorder (AVPD) and patients with no PD, i.e., those with an Axis I mood or anxiety disorder only. All patients will be assessed at intake and followed prospectively for six months. The accomplishment of these aims will be important not only for establishing the construct and predictive validity of these interpersonal variables in BPD but also for promoting the development of improved treatments on behalf of patients who suffer from this disorder. Identification of interpersonal risk factors will help achieve the long-term goal of not only knowing these patients well but also using this knowledge in sc ce-based therapies to improve their lives.