School of Social Work, University of Pittsburgh, Pittsburgh, PA 15260, USA.
J Pers Disord. 2009 Dec;23(6):541-54. doi: 10.1521/pedi.2009.23.6.541.
Little is known about the nature and prevalence of interpersonal violence among individuals with borderline personality disorder (BPD). Employing a longitudinal, multi-site sample, this study examined the degree to which BPD constitutes a risk marker for future violent behavior, and describes the characteristics of violent individuals with BPD and the nature of their violence. Findings showed that 73% of BPD subjects engaged in violence during the one-year study period, and frequently exhibited co-morbid antisocial personality disorder (ASPD) and psychopathic characteristics. Reported violence was mostly characterized by disputes with acquaintances or significant others. Results also suggest that the shared variance among ASPD, psychopathy, and BPD served to diminish the independent predictive effect of BPD on violence. These findings point to violence as a serious and prevalent problem among individuals with BPD, for whom targeted violence reduction strategies that take into account ASPD and psychopathic co-morbidity must be developed.
边缘型人格障碍（BPD）患者的人际暴力的性质和流行程度鲜为人知。本研究采用纵向、多地点样本，考察了 BPD 是否构成未来暴力行为的风险标志物，并描述了具有 BPD 的暴力个体的特征及其暴力性质。研究结果表明，在为期一年的研究期间，73%的 BPD 患者发生了暴力行为，并且经常表现出共患的反社会人格障碍（ASPD）和精神病态特征。报告的暴力行为大多表现为与熟人或重要他人的争执。研究结果还表明，ASPD、精神病态和 BPD 之间的共同方差有助于降低 BPD 对暴力行为的独立预测效应。这些发现表明，暴力行为是 BPD 患者中一个严重且普遍存在的问题，必须针对这些患者制定考虑到 ASPD 和精神病态共病的针对性减少暴力策略。
