Sansone Randy A, McLean Jamie S, Wiederman Michael W
Departments of Psychiatry and Internal Medicine , Wright State University School of Medicine, Dayton, Ohio, USA.
Prim Care Companion J Clin Psychiatry. 2008;10(6):448-52. doi: 10.4088/pcc.v10n0604.
In this study, we hypothesized and explored a relationship between medically self-sabotaging behaviors and borderline personality disorder.
Using a cross-sectional self-report survey methodology, we examined 120 psychiatric inpatients, who were not psychotic, demented, medically ill, or cognitively impaired, being treated in an urban community hospital located in a midsized, midwestern city (sample of convenience) for medically self-sabotaging behaviors (author-developed survey) and borderline personality disorder. Borderline personality disorder was assessed with the following 3 measures: the borderline personality scale of the Personality Diagnostic Questionnaire-4 (PDQ-4), the Self-Harm Inventory (SHI), and the McLean Screening Inventory for Borderline Personality Disorder (MSI-BPD). Data were collected from May 2006 to November 2007.
For the 76 respondents (63.3%) who reported having engaged in at least 1 medically self-sabotaging behavior, the mean number of different medically self-sabotaging behaviors was 4.11 (SD = 3.93). With regard to the most commonly endorsed behaviors, approximately one quarter of participants acknowledged damaging self on purpose and seeking medical treatment; not going for medical treatment, despite needing it, to purposefully hurt self; not taking a prescribed medication to hurt self; and gravitating toward a dangerous situation hoping to be physically hurt. As hypothesized, greater numbers of self-reported medically self-sabotaging behaviors were related to higher scores on the PDQ-4 (r = 0.28, p < .01), the SHI (r = 0.55, p < .001), and the MSI-BPD (r = 0.41, p < .001).
Medically self-sabotaging behaviors are commonly encountered in psychiatric inpatients with borderline personality disorder.
在本研究中，我们进行了假设并探讨了医疗自我破坏行为与边缘型人格障碍之间的关系。
采用横断面自我报告调查方法，我们对120名非精神病性、非痴呆、无躯体疾病或认知障碍的精神科住院患者进行了检查，这些患者在位于中西部一个中等规模城市的城市社区医院（便利样本）接受治疗，以评估其医疗自我破坏行为（作者编制的调查问卷）和边缘型人格障碍。边缘型人格障碍通过以下3种测量方法进行评估：人格诊断问卷-4（PDQ-4）的边缘型人格量表、自我伤害量表（SHI）以及麦克莱恩边缘型人格障碍筛查量表（MSI-BPD）。数据收集时间为2006年5月至2007年11月。
在报告至少有1种医疗自我破坏行为的76名受访者（63.3%）中，不同医疗自我破坏行为的平均数量为4.11（标准差=3.93）。关于最常认可的行为，约四分之一的参与者承认故意自我伤害并寻求治疗；尽管需要治疗但故意不去治疗以伤害自己；不服 prescribed 药物以伤害自己；以及倾向于危险情况希望身体受到伤害。正如假设的那样，自我报告的医疗自我破坏行为数量越多，与PDQ-4（r = 0.28，p <.01）、SHI（r = 0.55，p <.001）和MSI-BPD（r = 0.41，p <.001）的得分越高相关。
边缘型人格障碍的精神科住院患者中常见医疗自我破坏行为。
