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边缘型人格障碍患者的照料者或亲属的心理困扰

Psychological distress in caretakers or relatives of patients with borderline personality disorder.

作者信息

Scheirs J G M, Bok S

机构信息

Tilburg University, Faculty of Social Sciences, Department of Psychology and Health, The Netherlands.

出版信息

Int J Soc Psychiatry. 2007 May;53(3):195-203. doi: 10.1177/0020764006074554.

DOI:10.1177/0020764006074554
PMID:17569405
Abstract

BACKGROUND AND AIMS

Caregivers or relatives of mental patients often show increased levels of psychological distress. This study investigated whether this is also the case for caregivers of patients with borderline personality disorder.

METHODS

The Symptom Check List (SCL-90) was administered to 64 Dutch volunteers, who were either biologically related (parents or siblings) or biologically unrelated caregivers (partners or friends) of patients with borderline personality disorder.

RESULTS

The group of caregivers as a whole scored higher on all symptom dimensions of the SCL-90 than the general population. When controlling for caregiver sex and age, as well as for patient sex, there were no significant differences between the biologically related and unrelated caregiver groups on any dimension.

CONCLUSIONS

The results are in line with findings concerning distress in caregivers of patients suffering from personality disorders in general, posttraumatic stress disorder or schizophrenia. The mechanism behind the increased levels of distress in our sample is not clear, however. Either exposure to the problematic behaviour of the patient, selective mating or a combination of both might have been responsible for the effect.

摘要

背景与目的

精神疾病患者的照顾者或亲属往往表现出更高程度的心理困扰。本研究调查了边缘型人格障碍患者的照顾者是否也是如此。

方法

对64名荷兰志愿者进行了症状自评量表(SCL - 90)测试,这些志愿者要么是边缘型人格障碍患者的生物学亲属(父母或兄弟姐妹),要么是无生物学关系的照顾者(伴侣或朋友)。

结果

照顾者群体在SCL - 90的所有症状维度上的得分均高于一般人群。在控制照顾者的性别和年龄以及患者的性别后,有生物学关系和无生物学关系的照顾者群体在任何维度上均无显著差异。

结论

这些结果与关于一般人格障碍、创伤后应激障碍或精神分裂症患者照顾者困扰的研究结果一致。然而,我们样本中困扰程度增加背后的机制尚不清楚。接触患者的问题行为、选择性交配或两者的结合都可能是造成这种影响的原因。

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