青春期边缘型人格特征的亚型:跨滞后面板网络分析的启示。

Personality disorders Pub Date : 2024-11-01 Epub Date: 2024-09-30 DOI:10.1037/per0000694
Qian Wang, Huiting Fang, On Lon Wong, Zirong Li, Zeyu Wang, Yizhou Chen, Jie Zhong
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引用次数: 0

摘要

边缘型人格障碍(BPD)是一种复杂而严重的精神疾病,其特点是情绪、自我形象、行为和人际关系不稳定。虽然成人 BPD 的异质性已被广泛研究,但青少年的边缘型人格现象特征(BPFs)仍未得到研究。本研究旨在通过交叉滞后面板网络(Cross-lagged panel network,CLPN)分析,探讨青少年时期边缘人格特征之间潜在的动态因果关系,并识别其亚型。研究人员对两个独立的中国青少年样本分别进行了18个月(N₁ = 1,056, M1age = 15.37, SD1 = 1.86)和6个月(N₂ = 723, M2age = 16.84, SD₂ = 0.48)的BPFs追踪。我们采用 CLPN 模型来研究青少年 BPFs 的稳定性、潜在因果关系和亚型。结果显示,青少年 BPF 网络结构总体上相对稳定,但随着时间的推移会发生一些微妙的变化。冲动是具有最高预期外影响的 BPF,这表明它对其他 BPF 具有预测作用。在冲动性和情感不稳定性之间存在着很强的互为因果关系。根据 CLPN 估计,两个不同的 BPFs 亚群自发地聚集在一起:外化-失调亚型(冲动、情感不稳定和自残/自杀)和内向-紊乱亚型(身份紊乱、长期空虚和压力相关解离)。本研究根据这两个可能具有不同病理机制的群组,初步探索了青少年 BPF 的潜在类型学,并为青少年 BPD 的基本结构和临床干预提供了启示。(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。
Subtypes of borderline personality features in adolescence: Insights from cross-lagged panel network analysis.

Borderline personality disorder (BPD) is a complex and severe psychiatric condition characterized by emotional, self-image, behavior, and relational instability. While adult BPD heterogeneity has been extensively studied, the phenomenological borderline personality features (BPFs) in adolescence remain uninvestigated. This study aimed to explore the potentially dynamic causal relationships between BPFs in adolescence and identify the subtypes through cross-lagged panel network (CLPN) analysis. Two independent Chinese adolescent samples were followed over 18 months (N₁ = 1,056, M1age = 15.37, SD1 = 1.86) and 6 months (N₂ = 723, M2age = 16.84, SD₂ = 0.48) to track BPFs. CLPN modeling was employed to investigate the stability, potential causal relations, and subtypes of adolescent BPFs. The results revealed a relatively stable overall adolescent BPF network structure with some subtle changes over time. Impulsivity emerged as the BPF with the highest out-expected influence, indicating its predictive role for other BPFs. A strong reciprocal causal relationship was observed between impulsivity and affective instability. Based on the CLPN estimation, two distinct BPFs subgroups were spontaneously clustered: externalized-dysregulation subtype (impulsivity, affective instability, and self-harm/suicide) and introjective-disturbance subtype (identity disturbance, chronic emptiness, and stress-related dissociation). The present study tentatively explores a potential typology for adolescent BPF based on these two clusters, which possibly have different pathological mechanisms, and moreover offer insights into the essential construct and clinical intervention of adolescent BPD. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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