IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY
Said Jiménez, Iván Arango de Montis, Eduardo A Garza-Villarreal
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引用次数: 0

摘要

背景:边缘型人格障碍(BPD边缘型人格障碍(BPD)是一种严重的异质性精神病。目前的研究存在一些局限性:(1)群体(即个体间)分析的结果往往被错误地归纳到个体(即个体内);(2)研究往往强调症状的共同原因,而不是探索症状之间的相互关系:本研究旨在通过时间网络分析来分析 BPD 中心症状的个体内部动态变化。研究使用了两年来每隔六个月定期收集的 212 名确诊为 BPD 患者的纵向测量数据:结果:网络分析提取了个体内部的时间关系和同期关系,前者是先前的空虚与随后的身份不稳定之间的定向关系,后者是身份不稳定与愤怒失调之间的定向关系。此外,先前的愤怒失调也会预测身份不稳定和随后的空虚。在同一时间窗口中,同期网络及其拓扑结构强调了愤怒失调与大多数BPD症状(包括身份不稳定和自杀意向)的相关性:局限性:间隔时间较长的测量无法在类似实时的记录窗口中捕捉症状动态:结论:探索愤怒调节障碍与身份不稳定性之间的动态关系可能对了解 BPD 在个体层面上的严重程度至关重要,并有可能为治疗提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Longitudinal dynamics between the central nodes in the symptoms network of borderline personality disorder: An intraindividual network analysis.

Background: Borderline Personality Disorder (BPD) is a severe and heterogeneous psychiatric condition. Current research has some limitations: (1) findings from group (i.e., interindividual) analyses are often incorrectly generalized to individuals (i.e., intraindividual); and (2) research tends to emphasize common causes of symptomatology rather than exploring the interrelationships between symptoms.

Method: The current study aimed to analyze the intraindividual dynamics of central BPD symptoms using a temporal network analysis. Longitudinal measurement data collected over two years at regular six-month intervals in 212 patients diagnosed with BPD were used.

Results: The network analysis extracted temporal and contemporaneous intraindividual relationships, the former were directional relationships between previous emptiness and subsequent identity instability, as well as identity instability and anger dysregulation. Also, previous anger dysregulation predicted identity instability and subsequent emptiness. In the same time window, the contemporaneous network and its topology underscored the relevance of anger dysregulation for its relation to most BPD symptoms, including identity instability and suicidal intent.

Limitation: Measurements with widely spaced intervals do not capture symptom dynamics in a recording window similar to real-time.

Conclusion: Exploring the dynamic between anger dysregulation and identity instability may be crucial for understanding the severity of BPD at the individual level and could potentially inform treatment.

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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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