Salzer Simone, Streeck Ulrich, Jaeger Ulrich, Masuhr Oliver, Warwas Jasmin, Leichsenring Falk, Leibing Eric
Department of Psychosomatic Medicine and Psychotherapy, University of Goettingen, Germany.
J Nerv Ment Dis. 2013 Feb;201(2):94-8. doi: 10.1097/NMD.0b013e3182532b59.
Borderline personality disorder (BPD) is characterized by a wide variety of interpersonal problems. We examined whether there are different characteristic interpersonal patterns in BPD and how these patterns are related to symptom distress and therapeutic alliance. In 228 inpatients with diagnoses of BPD, interpersonal subtypes based on the Inventory of Interpersonal Problems (Horowitz et al., Inventar zur Erfassung Interpersonaler Probleme, 2000) were examined through cluster analyses. The global symptom severity and therapeutic alliance were also assessed. We identified five characteristic interpersonal patterns, which we labeled as follows: Cluster 1, "Vindictive"; Cluster 2, "Moderate Submissive"; Cluster 3, "Nonassertive"; Cluster 4, "Exploitable"; and Cluster 5, "Socially Avoidant." The clusters differed significantly in terms of interpersonal distress, interpersonal differentiation, and severity of global symptoms. The ratings of the therapeutic alliance by therapists during treatment significantly differed between the interpersonal subtypes, and the lowest ratings for patients were in the "Socially Avoidant" cluster. Our results stress the impact of interpersonal style on the appearance and treatment of BPD.
边缘型人格障碍（BPD）的特征是存在各种各样的人际问题。我们研究了BPD中是否存在不同的特征性人际模式，以及这些模式如何与症状困扰和治疗联盟相关。在228名被诊断为BPD的住院患者中，通过聚类分析，基于人际问题清单（霍洛维茨等人，《人际问题评估量表》，2000年）对人际亚型进行了研究。还评估了总体症状严重程度和治疗联盟情况。我们确定了五种特征性人际模式，分别标记如下：第1组，“报复性的”；第2组，“适度顺从的”；第3组，“不坚定的”；第4组，“易被利用的”；第5组，“社交回避型的”。这些组在人际困扰、人际区分和总体症状严重程度方面存在显著差异。治疗期间治疗师对治疗联盟的评分在人际亚型之间存在显著差异，患者评分最低的是“社交回避型”组。我们的结果强调了人际风格对BPD的表现和治疗的影响。
