Stepp Stephanie D, Trull Timothy J, Sher Kenneth J
Department of Psychology, University of Missouri, Columbia, MO 65211, USA.
J Pers Disord. 2005 Dec;19(6):711-22. doi: 10.1521/pedi.2005.19.6.711.
This study assessed the relation between BPD features and problems associated with alcohol use 2 years later in young adults. Approximately 5,000 nonclinical young adults were screened for BPD features, and two cohorts of participants completed the laboratory phase of the study at Time 1 (total N = 421) and then again 2 years later at Time 2 (total N = 356). Measures included self-report and interview-based assessments of personality disorders, psychopathology in biological parents, Axis I psychopathology, and alcohol use problems. BPD features were found to significantly predict alcohol use problems 2 years later after controlling for parents' substance use disorders, Axis I psycho-pathology (including alcohol abuse/dependence), and non-BPD personality disorders. In addition, the BPD subscale that assesses impulsivity was found to be significantly associated with alcohol use problems once all predictors were entered into the model.
本研究评估了边缘型人格障碍（BPD）特征与两年后年轻成年人酒精使用相关问题之间的关系。约5000名非临床年轻成年人接受了BPD特征筛查，两组参与者在时间1完成了研究的实验室阶段（总样本量N = 421），并在两年后的时间2再次完成（总样本量N = 356）。测量指标包括基于自我报告和访谈的人格障碍评估、亲生父母的精神病理学情况、轴I精神病理学以及酒精使用问题。研究发现，在控制了父母的物质使用障碍、轴I精神病理学（包括酒精滥用/依赖）和非BPD人格障碍后，BPD特征能显著预测两年后的酒精使用问题。此外，一旦将所有预测因素纳入模型，发现评估冲动性的BPD分量表与酒精使用问题显著相关。
