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边缘型人格障碍与蓄意自伤:经验性回避起作用吗?

Borderline personality disorder and deliberate self-harm: does experiential avoidance play a role?

作者信息

Chapman Alexander L, Specht Matthew W, Cellucci Tony

机构信息

Simon Fraser University, Department of Psychology, 8888 University Drive, Burnaby, British Columbia V5A 1S6 Canada.

出版信息

Suicide Life Threat Behav. 2005 Aug;35(4):388-99. doi: 10.1521/suli.2005.35.4.388.

DOI:10.1521/suli.2005.35.4.388
PMID:16178694
Abstract

The theory that borderline personality disorder (BPD) is associated with experiential avoidance, and that experiential avoidance mediates the association between BPD and deliberate, nonsuicidal self-harm was examined. Female inmate participants (N = 105) were given structured diagnostic assessments of BPD, as well as several measures of experiential avoidance. There was a high lifetime prevalence of past self-harm (47.6%). Higher dimensional scores representing BPD severity were associated with higher self-harm frequency and greater experiential avoidance. Structural equation modeling analyses indicated that experiential avoidance did not mediate the association between BPD and self-harm, although thought suppression was associated with self-harm frequency.

摘要

本研究检验了边缘型人格障碍(BPD)与经验性回避相关,且经验性回避介导了BPD与蓄意非自杀性自我伤害之间关联的理论。对105名女性囚犯参与者进行了BPD的结构化诊断评估以及多项经验性回避测量。过去有自我伤害行为的终生患病率很高(47.6%)。代表BPD严重程度的更高维度得分与更高的自我伤害频率和更强的经验性回避相关。结构方程模型分析表明,经验性回避并未介导BPD与自我伤害之间的关联,尽管思维抑制与自我伤害频率相关。

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