Bornovalova Marina A, Gratz Kim L, Delany-Brumsey Ayesha, Paulson Autumn, Lejuez C W
University of Maryland, USA.
J Pers Disord. 2006 Jun;20(3):218-31. doi: 10.1521/pedi.2006.20.3.218.
Borderline Personality Disorder (BPD) is widely considered the result of biological vulnerability and environmental adversity. Despite growing evidence for the role of several temperamental and environmental risk factors in the development of BPD, the unique contribution of each to the development of this disorder remains unclear. Furthermore, the extent to which these factors are associated with BPD among underserved and diverse populations is unknown. The current study examined the temperamental and environmental factors uniquely associated with BPD among a sample of 93 inner-city individuals receiving residential substance use treatment. Results indicate that BPD was associated with higher impulsivity and emotional instability/vulnerability, lower well-being, and several interpersonal manifestations of positive and negative temperament (i.e., greater alienation and lower achievement and social closeness). BPD was also associated with several forms of childhood maltreatment, including emotional and physical abuse and neglect. However, only emotional instability or vulnerability, impulsivity, and emotional abuse emerged as unique predictors of BPD status.
边缘性人格障碍（BPD）被广泛认为是生物易感性和环境逆境的结果。尽管越来越多的证据表明几种气质和环境风险因素在BPD的发展中起作用，但每种因素对这种障碍发展的独特贡献仍不清楚。此外，在服务不足和多样化的人群中，这些因素与BPD相关的程度尚不清楚。当前的研究在93名接受住院药物使用治疗的市中心个体样本中，考察了与BPD独特相关的气质和环境因素。结果表明，BPD与更高的冲动性和情绪不稳定/易感性、更低的幸福感以及正负气质的几种人际表现（即更大的疏离感、更低的成就感和社会亲密感）相关。BPD还与几种形式的童年虐待有关，包括情感和身体虐待以及忽视。然而，只有情绪不稳定或易感性、冲动性和情感虐待成为BPD状态的独特预测因素。
