纵向描述和预测边缘型人格障碍患者和人格障碍对比受试者缺乏运动的情况。

IF 4 2区 医学 Q1 PSYCHIATRY
Isabel V Glass, Frances R Frankenburg, Mary C Zanarini
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引用次数: 0

摘要

背景:体育锻炼对身体和心理的益处众所周知,而且体育锻炼已被证明是对许多症状性障碍(包括情绪和焦虑障碍)进行心理治疗的一种有益辅助手段。本研究探讨了边缘型人格障碍(BPD)患者缺乏体育锻炼的情况。本研究的第一个目的是描述边缘型人格障碍患者缺乏运动的 12 年历程。第二个目的是研究身体不活跃的预测因素,包括逆境经历、合并症状性障碍(以前的第一轴)、内科疾病和人口学因素:作为麦克林成人发展研究(McLean Study of Adult Development,MSAD)的一部分,245 名 BPD 患者在 12 年的前瞻性随访中接受了 7 次访谈。患者被分为曾经康复(即患者从 BPD 中经历了症状和心理康复)和从未康复两类。在每次随访时,患者都会通过半结构化访谈--病史和服务利用情况访谈(MHSUI)--报告身体活动水平(每周运动分钟数)。数据收集时间为 1992 年 6 月至 2018 年 12 月:从未痊愈的 BPD 患者明显比曾经痊愈的患者更不运动(P 结论:未痊愈的 BPD 患者明显比曾经痊愈的患者更不运动:未康复的 BPD 患者比已康复的患者更可能不活动。临床和医疗因素似乎都是导致BPD患者不活动的原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Longitudinal description and prediction of physical inactivity among patients with borderline personality disorder and personality-disordered comparison subjects.

Background: The physical and psychological benefits of physical activity are well-known, and physical activity has been proven to be a helpful adjunct to psychotherapeutic treatment for many symptomatic disorders, including mood and anxiety disorders. The current study explores physical inactivity levels in patients with borderline personality disorder (BPD). The first aim of this study is to describe the 12-year course of physical inactivity in patients with BPD. The second aim is to examine predictors of physical inactivity, including adversity experiences, comorbid symptomatic (formerly axis I) disorders, medical disorders, and demographic factors.

Methods: Two hundred and forty-five patients with BPD were interviewed seven times over 12-years of prospective follow-up as part of the McLean Study of Adult Development (MSAD). Patients were categorized as ever-recovered (i.e., patient had experienced a symptomatic and psychosocial recovery from BPD) or never-recovered. At each follow-up, patients reported physical activity levels (minutes of exercise per week) via a semi-structured interview- the Medical History and Services Utilization Interview (MHSUI). Data was collected from June 1992 to December 2018.

Results: Never-recovered patients with BPD were significantly more inactive than their ever-recovered counterparts (p < 0.001). These rates of inactivity remained stable over time for both groups. Two significant multivariate predictors of inactivity were found: obesity (p = 0.003) and PTSD (p < 0.001).

Conclusions: Non-recovered BPD patients are more likely to be inactive than patients who have recovered. Both clinical and medical factors appear to contribute to inactivity levels in patients with BPD.

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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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