Borderline personality disorder features and their relationship with trauma and dissociation in a sample of community health service users.

IF 4 2区 医学 Q1 PSYCHIATRY
Hong Wang Fung, Ming Yu Claudia Wong, Stanley Kam Ki Lam, Emily Nga Man Wong, Wai Tong Chien, Suet Lin Hung, Kun-Hua Lee, Jialiang Cui, Colin A Ross
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引用次数: 1

Abstract

Background: Previous studies have indicated that borderline personality disorder (BPD) is closely associated with trauma and dissociation. Nevertheless, BPD is a heterogeneous condition, and not all people with BPD have severe dissociation. This study examined whether the relationship of BPD features with trauma and dissociation would remain significant after controlling for some general non-specific mental health distress. We also made the first attempt to explore which specific BPD features would be particularly associated with dissociation.

Methods: We analyzed survey data from a sample of community health service users in Hong Kong (N = 376). Hierarchical multiple regression and data-driven network analysis were used.

Results: The lifetime prevalence of DSM-5 BPD was 16.0% in our sample. Of participants who met criteria for BPD, 43.3% scored above cutoff on the dissociation measures, thus possibly having clinically significant dissociative symptoms. BPD features were associated with adulthood trauma and psychoform dissociation even after controlling for age, depression and self-esteem. Network analysis showed that some BPD features - including impulsivity, identity disturbance and suicidal/self-mutilation behaviors - were particularly associated with dissociation; other BPD features such as interpersonal-related problems had relatively weak to no connection with dissociation.

Conclusions: Our results suggested that some particular BPD features might be dissociative in nature, although further longitudinal research is required. We argue that a trauma-informed perspective should be employed when working with clients presenting with BPD features despite these features being commonly stigmatized. Further research on the intervention needs of the people with BPD who suffer from high levels of dissociation is required.

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社区卫生服务使用者样本中的边缘性人格障碍特征及其与创伤和分离的关系
背景:以往的研究表明边缘型人格障碍(BPD)与创伤和分离密切相关。然而,BPD是一种异质性疾病,并不是所有的BPD患者都有严重的分离。本研究考察了在控制了一些一般的非特异性精神健康困扰后,BPD特征与创伤和分离的关系是否仍然显著。我们还首次尝试探索哪些特定的BPD特征与解离特别相关。方法:我们分析了来自香港社区卫生服务使用者样本的调查数据(N = 376)。采用层次多元回归和数据驱动网络分析。结果:我们的样本中DSM-5 BPD的终生患病率为16.0%。在符合BPD标准的参与者中,43.3%的人在解离测量中得分高于临界值,因此可能具有临床显著的解离症状。即使在控制了年龄、抑郁和自尊之后,BPD特征仍与成年期创伤和精神形态分离有关。网络分析显示,一些BPD特征——包括冲动、身份障碍和自杀/自残行为——与分离特别相关;其他BPD特征,如人际关系问题,与分离的联系相对较弱或没有联系。结论:我们的研究结果表明,尽管需要进一步的纵向研究,但某些特定的BPD特征可能在本质上是游离性的。我们认为,在治疗具有BPD特征的患者时,应采用创伤知情的观点,尽管这些特征通常被污名化。需要进一步研究重度分离的BPD患者的干预需求。
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来源期刊
CiteScore
6.00
自引率
9.80%
发文量
30
审稿时长
28 weeks
期刊介绍: Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.
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