Tess C Gecha, Isabel V Glass, Frances R Frankenburg, Carla Sharp, Mary C Zanarini
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引用次数: 0
Abstract
Background: The present study has descriptive and predictive aims. The descriptive aims were to determine if participants with borderline personality disorder (BPD) reported higher levels of experiential avoidance (EA) than participants with other personality disorders (OPD) as well as determine if non-recovered participants with BPD reported higher levels of EA than participants with BPD who have recovered symptomatically and psychosocially. The predictive aim was to determine if the level of EA reported by participants with BPD was predicted by the severity of aspects of childhood or adult adversity and/or aspects of temperament.
Methods: The Overall Anxiety Severity and Impairment Scale (OASIS) was administered to 248 participants at 24-year follow-up in the McLean Study of Adult Development (MSAD). Adversity and temperament were assessed during index admission using interviews (Revised Childhood Experience Questionnaire [CEQ-R], Adult History Interview [AHI], and the NEO-FFI self-report measure).
Results: Participants with BPD reported significantly higher levels of EA than those with OPD. Within the BPD group, non-recovered participants reported significantly higher levels of EA than recovered participants. Severity of childhood sexual abuse and lower levels of extraversion were found to be significant multivariate predictors of levels of EA in those with BPD.
Conclusions: Taken together, these results suggest that EA is a serious problem for participants with BPD, particularly those who have not recovered. They also suggest that both the severity of childhood adversity and a temperament marked by lower levels of extroversion are significantly related to levels of EA reported by participants with BPD.
研究背景本研究具有描述性和预测性目的。描述性目的是确定边缘型人格障碍（BPD）参与者报告的体验性回避（EA）水平是否高于其他人格障碍（OPD）参与者，以及确定未康复的边缘型人格障碍参与者报告的体验性回避水平是否高于症状和社会心理已康复的边缘型人格障碍参与者。预测的目的是确定BPD参与者报告的EA水平是否会受到童年或成年逆境的严重程度和/或气质方面的影响：方法：对麦克林成人发展研究（McLean Study of Adult Development，MSAD）的248名参与者进行了为期24年的随访，并对其进行了整体焦虑严重程度和损害量表（Overall Anxiety Severity and Impairment Scale，OASIS）评估。在索引入院期间，通过访谈（修订版童年经历问卷[CEQ-R]、成人史访谈[AHI]和NEO-FFI自我报告测量）对逆境和气质进行了评估：结果：BPD 患者的 EA 水平明显高于 OPD 患者。在 BPD 组中，未康复者的 EA 水平明显高于康复者。研究发现，童年性虐待的严重程度和较低的外向性水平是BPD患者EA水平的重要多变量预测因素：综上所述，这些结果表明，EA 是 BPD 患者，尤其是尚未康复的 BPD 患者面临的一个严重问题。这些结果还表明，童年逆境的严重程度和外向性较低的气质与 BPD 患者报告的 EA 水平显著相关。
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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