边缘型人格障碍与社会联系:系统综述。

Personality disorders Pub Date : 2024-07-01 Epub Date: 2024-05-02 DOI:10.1037/per0000665
Alyssa A Di Bartolomeo, Ashley Siegel, Lindsay Fulham, Skye Fitzpatrick
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引用次数: 0

摘要

边缘型人格障碍(BPD)是一种以社会联系缺失为特征的衰弱性障碍,社会联系是一个多方面的结构(即社会关系的数量、多样性或频率)、功能(即社会关系提供的实际或感知资源)和质量(即社会关系的积极和消极方面)要素(Holt-Lunstad,2018)。然而,有关 BPD 缺乏社会联系的具体要素及其原因的文献并不多,也缺乏整合。本系统性综述综合了有关社会联系与 BPD 双向关系的文献。通过对三个数据库(即 PsycInfo、PsycArticles 和 PubMed)的电子检索,发现了 1,962 篇文章,对这些文章进行了标题和摘要筛选,并对可能符合条件的文章进行了全文审阅。有 62 篇文章符合资格标准,并进行了数据提取和偏倚风险评估。横断面研究支持 BPD 与结构性、功能性和高质量社会联系问题之间的关联,大多数研究强调了高质量社会联系的缺陷。初步的纵向研究表明,BPD 病理学可预测这些领域的问题,但几乎没有反向研究。虽然 BPD 患者在建立人际关系方面可能没有困难,但他们在这些关系中会表现出一系列问题。BPD可能会引发这些社会关系问题,但目前还不清楚这些问题是否会相互加剧和引发BPD,因此需要对这种方向性进行纵向研究。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Borderline personality disorder and social connectedness: A systematic review.

Borderline personality disorder (BPD) is a debilitating disorder characterized by deficits in social connectedness, which is a multifaceted construct with structural (i.e., the number, diversity, or frequency of social relationships), functional (i.e., the actual or perceived resources relationships provide), and quality (i.e., the positive and negative aspects of social relationships) elements (Holt-Lunstad, 2018). However, the literature is sparse and lacks integration regarding which specific elements of social connectedness are deficient in BPD and why. This systematic review synthesized the literature on the bidirectional relationship of social connectedness and BPD. Electronic searches of three databases (i.e., PsycInfo, PsycArticles, and PubMed) identified 1,962 articles which underwent title and abstract screening and, if potentially eligible, full-text review. Sixty two articles met the eligibility criteria and underwent data extraction and risk of bias assessment. Cross-sectional research supported associations between BPD and problems in structural, functional, and quality social connectedness, with most research underscoring deficits in quality social connectedness. Preliminary longitudinal research suggested that BPD pathology predicts problems across these domains, but little to no research exists testing the reverse direction. Although people with BPD may not have difficulties forming relationships, they exhibit a range of problems within those relationships. BPD may elicit such problems in social connectedness, but it is unclear whether such issues reciprocally exacerbate and elicit BPD, and longitudinal research investigating such directionality is needed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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