MacLeod Andrew K, Tata Philip, Tyrer Peter, Schmidt Ulrike, Davidson Kate, Thompson Simon
Department of Psychology, Royal Holloway, University of London, United Kingdom.
J Pers Disord. 2004 Oct;18(5):459-66. doi: 10.1521/pedi.18.5.459.51329.
Parasuicide patients have been found to lack positive expectations for the future. The aim of the present study was to look at variations in this lack of positive future-thinking as a function of personality status. A sample (N = 442) of repeat parasuicide patients was assessed on positive and negative future-thinking and the presence of personality disorder or personality difficulty. Those with a Cluster B personality disorder (borderline or dissocial) were significantly lower in positive future-thinking than those with no Cluster B symptoms or those with Cluster B personality difficulty. Neither Cluster A nor Cluster C symptomatology was related to positive future-thinking. Negative future-thinking was not significantly related to any type of personality disorder or difficulty. The results are interpreted as evidence of the importance of personality status in influencing positive future-thinking and gives some indications of why those with Cluster B personality disorder have such high rates of recurrent self-harm.
研究发现，自杀未遂患者对未来缺乏积极的期望。本研究的目的是探讨这种缺乏积极未来思维的情况因人格状态不同而产生的差异。对442名多次自杀未遂患者进行了抽样评估，了解他们积极和消极的未来思维以及是否存在人格障碍或人格问题。患有B类人格障碍（边缘型或反社会型）的患者在积极未来思维方面显著低于没有B类症状的患者或有B类人格问题的患者。A类或C类症状与积极未来思维均无关联。消极未来思维与任何类型的人格障碍或问题均无显著关联。研究结果被解释为表明人格状态在影响积极未来思维方面具有重要性的证据，并为B类人格障碍患者反复自我伤害率高的原因提供了一些线索。
