边缘型人格障碍自杀未遂背景下Leary人际关系和依恋类型的影响

IF 0.6 4区 医学 Q4 CLINICAL NEUROLOGY
Laura Csizmadia, Ágoston Schmelowszky, Noémi Mónika Szeifert
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引用次数: 0

摘要

背景和目的:目前越来越多的研究致力于精神病人自杀企图的原因和背景。迄今为止的研究结果表明,边缘性自杀背后的动机也与依恋模式密切相关。此外,许多调查也针对在这种情况下的人际关系的干扰。最近,人际关系障碍作为一种危险因素的研究受到了极大的重视。本研究旨在探讨边缘型人格障碍患者Leary人际关系对依恋类型和自杀行为的中介作用。方法:在psamterfy Sándor医院创伤中心、危机干预与精神科、毒理科和危重救护中心,以纸笔测试的形式对有自杀企图的边缘型患者(N = 213,女性155,男性58,M = 38.16, SD = 13.40)进行问卷调查。依恋类型采用关系量表(RSQ)和成人依恋量表(AAS)进行定义,人际关系采用Leary人际关系量表进行评估。我们使用结构路径分析测试了变量之间的直接和间接影响。结果:所有依恋类型对管理-专制(AP)类别(secure: ß = 0.32; p < 0.5;全神贯注:ß = 0.53; p < 0.5; dismissing: ß = 0.34)均有显著的直接影响。结论:在边缘型自杀倾向发展的背景下,人际关系的干扰,尤其是叛逆-不信任(FG)类别和自杀行为背后的危险因素的影响比依恋类型本身更强。依恋形式通过人际关系的中介作用对边缘性自杀行为产生影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The impact of Leary's interpersonal relationships and attachment styles in the background of suicide attempts in borderline personality disorder].

Background and purpose: Nowadays ever more studies are devoted to the causes and background of suicide attempts by psychiatric patients. The research results so far show that the motivations behind borderline suicidality are also closely related to attachment patterns. In addition, many investigations are also directed at the disturbance of interpersonal relationships in this context. Recently, the examination of the disturbance of interpersonal relations as a risk factor has received significant emphasis. The present research aims to explore the mediating effect of Leary's interpersonal relationships in relation to attachment styles and suicidality in borderline personality disorder.

Methods: Our compiled questionnaire package was administered in the form of a paper-and-pencil test at the Traumatology Center, Crisis Intervention and Psychiatry Department, Toxicology Department and Crisis Ambulance of Péterfy Sándor Hospital with a sample of borderline patients (N = 213; 155 female, 58 male; M age = 38.16, SD age = 13.40) who underwent suicide attempts. Attachment styles were defined by the Relationship Scales Questionnaire (RSQ) and the Adult Attachment Scale (AAS), while the interpersonal relationships were assessed using Leary's Interpersonal Checklist. We tested the direct and indirect effects between the variables using structural path analysis.

Results: All attachment forms had a significant direct effect on the Managerial-Autocratic (AP) category (secure: ß = 0.32; p < 0.5; preoccupied: ß = 0.53; p < 0.5; dismissing: ß = 0.34; p.

Conclusion: In the background of the development of borderline suicidality, the disturbance of interpersonal relationships, especially the Rebellious-Distrustful (FG) category, and the risk factors behind suicidal behavior have a stronger efficacy than the attachment styles themselves. Attachment forms can exert their influence on borderline suicidality through mediating effect of interpersonal relationships.

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来源期刊
Ideggyogyaszati Szemle-Clinical Neuroscience
Ideggyogyaszati Szemle-Clinical Neuroscience CLINICAL NEUROLOGY-NEUROSCIENCES
CiteScore
1.30
自引率
0.00%
发文量
40
审稿时长
>12 weeks
期刊介绍: The aim of Clinical Neuroscience (Ideggyógyászati Szemle) is to provide a forum for the exchange of clinical and scientific information for a multidisciplinary community. The Clinical Neuroscience will be of primary interest to neurologists, neurosurgeons, psychiatrist and clinical specialized psycholigists, neuroradiologists and clinical neurophysiologists, but original works in basic or computer science, epidemiology, pharmacology, etc., relating to the clinical practice with involvement of the central nervous system are also welcome.
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