Florida State Hospital, 100 N. Main Street, Chattahoochee, FL, USA.
J Pers Disord. 2010 Jun;24(3):312-26. doi: 10.1521/pedi.2010.24.3.312.
Linehan's biosocial theory of borderline personality disorder (BPD) was tested in a sample of 1,044 female college students. Relationships between self-reported BPD symptoms, two personality traits (negative emotionality and constraint), and three key variables from the biosocial theory (emotional vulnerability, invalidation, and emotional dysregulation) were examined using structural equation modeling. Consistent with the biosocial theory, the best fitting model indicated that emotional vulnerability and emotional dysregulation were uniquely related to BPD symptoms after controlling for personality traits, and that dysregulation mediated the relationship between emotional vulnerability and BPD. However, invalidation was not significantly associated with BPD and could be dropped from that model. The full model with Linehan's constructs and personality traits explained 58% of the variance in BPD and, as expected, explained considerably less variance in symptoms of other Cluster B PDs. The present results highlight the incremental value of the Linehan's theory and its specificity to BPD.
林汉的边缘型人格障碍(BPD)的生物社会理论在 1044 名女大学生样本中进行了测试。采用结构方程模型,考察了自我报告的 BPD 症状、两个人格特质(负性情绪和约束)与生物社会理论的三个关键变量(情绪脆弱性、否定和情绪调节障碍)之间的关系。与生物社会理论一致,在控制人格特质后,最佳拟合模型表明情绪脆弱性和情绪调节障碍与 BPD 症状有独特的关系,而调节障碍则介导了情绪脆弱性与 BPD 之间的关系。然而,否定与 BPD 没有显著相关,可以从该模型中删除。包含林汉的理论和人格特质的完整模型解释了 BPD 症状的 58%,并且正如预期的那样,对其他 B 群人格障碍症状的解释方差要小得多。本研究结果突出了林汉理论的增量价值及其对 BPD 的特异性。