Faculty of Psychology, Vita-Salute San Raffaele University, Milano, Italy.
Attach Hum Dev. 2011 Nov;13(6):563-78. doi: 10.1080/14616734.2011.608993.
The aim of this study was to assess whether mindfulness mediates the association between attachment dimensions and features of Borderline Personality Disorder (BPD) in a sample of 501 Italian high-school students. Low scores on Confidence and high scores on Need for Approval and Preoccupation with Relationships attachment scales was significantly related to the number of BPD features (adjusted R(2) = .2, p < .001). Further, mindfulness scores were negatively associated with Need for Approval and Relationships as Secondary attachment scales (adjusted R(2) = .14, p < .001). Finally, mindfulness scores were negatively associated with the number of BPD features (adjusted R(2) = .15, p < .001). Mediation analyses showed that the relationship between Need for Approval and BPD was completely mediated by the mindfulness effects. Our results in non-clinical adolescents are consistent with Bateman and Fonagy's (2004) hypothesis that the link between attachment disturbances and BPD features may be mediated by deficits in mentalization, at least as these are operationalized by low mindfulness.
本研究旨在评估在一个由 501 名意大利高中生组成的样本中，正念是否在依恋维度与边缘型人格障碍（BPD）特征之间起中介作用。信心得分较低，而对认可的需求和对关系的关注得分较高，与 BPD 特征的数量显著相关（调整后的 R²=0.2，p<0.001）。此外，正念得分与次要依恋量表中的对认可的需求和关系呈负相关（调整后的 R²=0.14，p<0.001）。最后，正念得分与 BPD 特征的数量呈负相关（调整后的 R²=0.15，p<0.001）。中介分析表明，对认可的需求与 BPD 之间的关系完全是由正念的影响介导的。我们在非临床青少年中的研究结果与 Bateman 和 Fonagy（2004）的假设一致，即依恋障碍与 BPD 特征之间的联系可能是由心理化缺陷介导的，至少可以通过较低的正念来操作化。
