Interpersonal Functioning in Borderline Personality

描述(由申请人提供)：本申请是MH56888的修订竞争延续申请，现标题为“边缘人格中的人际功能”。总体目标是更详细地描述临界性人格障碍(BPD)患者的人际功能，并比以前的研究具有更大的临床相关性。本课程将考察BPD中人际功能的概念层次，从长期的关系模式到时时刻刻的人际评价，并将测试这些测量的结构和预测有效性。第一个具体目标是使用多种测量方法来表征BPD患者的成人依恋类型。第二个具体目标是使用最先进的面谈-修订的成人人格功能评估(RAPFA)-对这些患者在浪漫关系、友谊和工作领域的人际功能进行详细评估。第三个具体目标是证明RAPFA确定的依恋类型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日记。在最详细的分析水平上，第四个具体目标是使用一种评估中性面孔感知偏差的范式来评估BPD患者的社会认知。这项研究将分三组(每组50人)进行：BPD患者和两个对照组--回避型人格障碍(AvPD)患者和没有PD的患者，即那些只有Axis I情绪或焦虑症的患者。所有患者都将在入院时进行评估，并前瞻性地进行六个月的随访。这些目标的实现不仅对于在BPD中建立这些人际变量的结构和预测有效性将是重要的，而且对于代表患有这种疾病的患者促进改进治疗的发展也是重要的。识别人际危险因素将有助于实现不仅了解这些患者而且将这些知识用于基于sc ce的治疗以改善他们的生活的长期目标。

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.