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当一方患有边缘型人格障碍时,夫妻关系的质量和稳定性。

Relationship quality and stability in couples when one partner suffers from borderline personality disorder.

机构信息

Institut Universitaire en Santé Mentale de Québec, Centre de Traitement Le Faubourg Saint-Jean, Québec, Québec, Canada.

出版信息

J Marital Fam Ther. 2009 Oct;35(4):446-55. doi: 10.1111/j.1752-0606.2009.00151.x.

Abstract

The main goal of the present study was to examine and compare the psychosocial functioning of 35 couples including a woman diagnosed with borderline personality disorder (BPD) to that of a nonclinical control sample of 35 couples. The BPD status of women from the clinical group and the prevalence of personality disorder in their partner were ascertained through the SCID-II. Participants completed self-report measures of couple functioning. A majority of couples in which the woman suffered from BPD (68.7%) evidenced frequent episodes of breakups and reconciliations and, over an 18-month period, nearly 30% of these couples dissolved their relationship. Nearly half of the men involved in a romantic relationship with a woman suffering from BPD met criteria for one personality disorder or more. As compared with nonclinical couples, clinical couples showed lower marital satisfaction, higher attachment insecurity, more demand/withdraw communication problems, and higher levels of violence.

摘要

本研究的主要目的是考察和比较 35 对夫妇的心理社会功能,其中包括 35 对夫妇中的一名被诊断为边缘型人格障碍(BPD)的女性和一组非临床对照样本。通过 SCID-II 确定临床组中女性的 BPD 状况和其伴侣中人格障碍的患病率。参与者完成了关于夫妻功能的自我报告测量。在大多数女性患有 BPD(68.7%)的夫妇中,经常出现分手和和解的情况,在 18 个月的时间里,这些夫妇中近 30%的关系破裂。在与患有 BPD 的女性有浪漫关系的男性中,近一半的人符合一种或多种人格障碍的标准。与非临床夫妇相比,临床夫妇的婚姻满意度较低,依恋不安全感较高,需求/回避沟通问题较多,暴力水平较高。

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