Zanarini M C, Frankenburg F R, Reich D B, Fitzmaurice G, Weinberg I, Gunderson J G
Laboratory for the Study of Adult Development, McLean Hospital, Belmont, MA 02478, USA.
Acta Psychiatr Scand. 2008 Mar;117(3):177-84. doi: 10.1111/j.1600-0447.2008.01155.x. Epub 2008 Feb 1.
The purpose of this paper was to determine the frequency and methods of two forms of physically self-destructive acts (i.e. self-mutilation and suicide attempts) reported by borderline patients and axis II comparison subjects over 10 years of prospective follow-up.
Two hundred and ninety borderline patients and 72 axis II comparison subjects were interviewed about their physically self-destructive acts during their index admission and at five contiguous 2-year follow-up periods.
It was found that a high percentage of borderline patients reported multiple acts and methods of each of these two forms of physically self-destructive behavior prior to their index admission. It was also found that the percentage of borderline patients reporting multiple acts and methods declined significantly over time. However, these acts remained significantly more common among borderline patients than axis II comparison subjects.
The course of self-mutilation and suicide attempts among borderline patients is initially more serious and ultimately more benign than previously recognized.
本文旨在确定边缘型患者和轴II对照受试者在10年的前瞻性随访中报告的两种身体自我伤害行为(即自残和自杀未遂)的频率及方式。
对290名边缘型患者和72名轴II对照受试者在其首次入院时以及随后连续5个为期2年的随访期内,就其身体自我伤害行为进行访谈。
发现高比例的边缘型患者在首次入院前报告了这两种身体自我伤害行为的多种行为及方式。还发现报告多种行为及方式的边缘型患者比例随时间显著下降。然而,这些行为在边缘型患者中仍比轴II对照受试者更为常见。
边缘型患者中自残和自杀未遂的病程最初比之前认识到的更为严重,最终则更为良性。