意大利非临床青少年的冲动维度、情绪调节障碍和边缘型人格障碍特征。
Impulsivity dimensions, emotion dysregulation, and borderline personality disorder features among Italian nonclinical adolescents.
机构信息
Department of Human Studies, LUMSA University, Rome, Italy ; Servizio di Psicologia Clinica e Psicoterapia, San Raffaele Turro, via Stamira d'Ancona, 20, 20127 Milano, Italy.
Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS USA.
出版信息
Borderline Personal Disord Emot Dysregul. 2014 May 12;1:5. doi: 10.1186/2051-6673-1-5. eCollection 2014.
BACKGROUND
Contemporary theorists have suggested that impulsivity and emotion dysregulation are two of the core features of BPD. The aim of this study was to evaluate the relationships between Borderline Personality Disorder (BPD) features, impulsivity, and emotion dysregulation in adolescence.
METHODS
1,157 nonclinical adolescents were administered the Borderline Personality Inventory, following which three groups of adolescents with high (high-BPD; n = 29), average (average-BPD; n = 31), and low (low-BPD; n = 31) levels of BPD features were selected. Participants in these three groups were administered the UPPS-P Impulsive Behavior Scale (UPPS-P) and the Difficulties in Emotion Regulation Scale (DERS).
RESULTS
UPPS-P Negative and Positive Urgency scales, as well as the DERS total score, significantly discriminated high-BPD adolescents from both other groups. The differences in UPPS-P Negative and Positive Urgency between high-BPD adolescents and both control groups remained significant when partialing out the variance associated with the DERS; However, when partialing out the variance associated with Positive and Negative Urgency, high-BPD adolescents reported significantly higher DERS scores than only the low-BPD control group (and not the average-BPD group). Finally, although the differences in Positive Urgency between high-BPD adolescents and both control groups remained significant when partialing out the variance associated with Negative Urgency, the between group differences in Negative Urgency did not remain significant when controlling for the variance associated with Positive Urgency.
CONCLUSIONS
These findings highlight the relevance of both emotion dysregulation and two dimensions of impulsivity (negative and positive urgency) to BPD features in adolescence, providing evidence for a unique association between BPD features and Positive Urgency in particular. These findings add to the literature in this area, suggesting that the tendency to act rashly in the context of intense positive affect may have unique relevance to BPD features in adolescence.
背景
当代理论家认为，冲动和情绪调节障碍是边缘型人格障碍（BPD）的两个核心特征。本研究旨在评估青少年期 BPD 特征、冲动和情绪调节障碍之间的关系。
方法
1157 名非临床青少年接受了边缘型人格障碍量表（Borderline Personality Inventory）的测试，随后选择了三组具有高（高 BPD；n=29）、中（中 BPD；n=31）和低（低 BPD；n=31）BPD 特征水平的青少年。这些三组参与者接受了 UPPS-P 冲动行为量表（UPPS-P）和情绪调节困难量表（DERS）的测试。
结果
UPPS-P 负性和正性冲动量表以及 DERS 总分显著区分了高 BPD 青少年与其他两组。当控制 DERS 相关方差时，高 BPD 青少年与对照组之间的 UPPS-P 负性和正性冲动之间的差异仍然显著；然而，当控制正性和负性冲动相关方差时，高 BPD 青少年报告的 DERS 得分明显高于仅低 BPD 对照组（而不是中 BPD 组）。最后，虽然当控制负性冲动相关方差时，高 BPD 青少年与对照组之间的正性冲动差异仍然显著，但当控制正性冲动相关方差时，负性冲动的组间差异不再显著。
结论
这些发现强调了情绪调节障碍以及冲动的两个维度（负性和正性冲动）与青少年 BPD 特征的相关性，为 BPD 特征与正性冲动之间的独特关联提供了证据。这些发现为该领域的文献增添了新的内容，表明在强烈的积极情绪背景下轻率行事的倾向可能与青少年 BPD 特征具有独特的相关性。
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