Cara L Wicher, Alexandre Y Dombrovski, Michael N Hallquist, Susanne Buecker, Aidan G C Wright, Aleksandra Kaurin
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引用次数: 0
摘要
孤独与边缘型人格障碍(BPD)患者的自杀意念(SI)有关。然而,这种关联的时间动态仍不清楚:我们不知道孤独感是否会在临床相关的短期时间范围内(如每天)放大自杀意念。为了填补这一空白,我们使用了对被诊断为 BPD 患者(N = 152,其中 103 人有自杀未遂史)进行的一项为期 21 天的流动评估研究的数据,并预先登记了我们分析的假设和代码。我们检验了以下假设:每天的孤独感与当天和次日的SI相关,而在确诊为BPD的个体中,自我报告的更严重的BPD特征会加强这些关联。与我们的假设一致,我们发现孤独感与 SI 之间存在显著的同期和滞后关联。与我们的假设相反,这些联系并没有因 BPD 特征的程度而显著增强。探索性分析进一步表明,孤独感并不能解释日常社交互动与SI之间的人际联系,更普遍的人格障碍特征也不会改变孤独感与SI之间的联系。孤独感与SI之间的联系凸显了自杀风险的显著脆弱性,我们的研究结果表明,被诊断为BPD的个体自我报告的BPD症状严重程度可能会通过诱发孤独感而影响自杀过程的早期阶段。(PsycInfo Database Record (c) 2025 APA,保留所有权利)。
Daily loneliness and suicidal ideation in borderline personality disorder.
Loneliness has been linked with suicidal ideation (SI) in people with a borderline personality disorder (BPD) diagnosis. However, the temporal dynamics of this association remain unclear: we do not know whether loneliness amplifies SI within clinically relevant short-term timeframes (e.g., day to day). To fill this gap, we used data from a 21-day ambulatory assessment study of individuals diagnosed with BPD (N = 152, 103 with a history of attempted suicide) and preregistered the hypotheses and code of our analyses. We tested the hypotheses that daily loneliness would be associated with same- and next-day SI, and that, among individuals with a BPD diagnosis, more severe self-reported BPD features would strengthen these associations. In line with our hypotheses, we found a significant contemporaneous and lagged association between loneliness and SI. Contrary to our hypotheses, these links were not significantly amplified by the level of BPD features. Exploratory analyses further suggested that loneliness did not account for the within-person link between daily social interactions and SI, nor did more general personality disorder features alter loneliness-SI links. The links between loneliness and SI highlight a significant vulnerability to suicide risk and our findings suggest that self-reported BPD symptom severity among individuals with a BPD diagnosis may impact the early stages of the suicidal process by predisposing to loneliness. (PsycInfo Database Record (c) 2025 APA, all rights reserved).