Department of Psychosomatic Medicine, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University.
Department of Psychological Sciences, University of Missouri-Columbia.
Personal Disord. 2016 Oct;7(4):384-393. doi: 10.1037/per0000175. Epub 2016 Feb 22.
Past studies identify Five Factor Model (FFM) domains that are characteristic of borderline personality disorder (BPD), including those associated with specific BPD symptoms, at a between-person level. The present study replicated these between-person associations and extended past research by assessing whether the FFM explains within-person variance in the manifestation of momentary BPD symptoms in the presence or absence of close social contact (CSC). We measured CSC and the BPD core symptoms negative affectivity, impulsivity, and interpersonal problems in 74 BPD patients and in a clinical control group of 40 depressed patients over the course of 28 days, 6 times a day. The FFM domains showed specificity in predicting momentary BPD symptoms and interacted with CSC in doing so. In particular, for BPD individuals only, momentary impulsivity and interpersonal problems were associated with higher neuroticism and extraversion and lower agreeableness, and these associations were especially strong in situations involving CSC. Negative affectivity was predicted by neuroticism for both groups of individuals, and this association was generally unaffected by CSC. Overall, experiencing CSC was positively associated with momentary BPD symptoms. Thus, both the FFM and CSC were associated with BPD patients' experience of symptoms in everyday life. Furthermore, specific FFM trait domains were particularly impactful in contexts where BPD symptoms are more likely to be manifested, providing further evidence that person-by-situation interactions are important for understanding BPD symptoms in the moment. (PsycINFO Database Record
过去的研究确定了五因素模型（FFM）的领域，这些领域与边缘型人格障碍（BPD）的特征有关，包括与特定的 BPD 症状相关的领域，在个体之间的水平上。本研究复制了这些个体间的关联，并通过评估 FFM 是否解释了在有或没有亲密社交接触（CSC）的情况下，个体瞬间 BPD 症状表现的个体内变异性，扩展了过去的研究。我们在 28 天的时间里，每天 6 次，对 74 名 BPD 患者和 40 名抑郁患者的临床对照组测量了 CSC 和 BPD 的核心症状：负面情感、冲动和人际问题。FFM 领域在预测瞬间 BPD 症状方面具有特异性，并与 CSC 相互作用。特别是，对于 BPD 个体来说，瞬间冲动和人际问题与更高的神经质和外向性以及更低的宜人性有关，而这些关联在涉及 CSC 的情况下尤为强烈。对于两组个体来说，负面情感都由神经质来预测，而这种关联通常不受 CSC 的影响。总体而言，体验 CSC 与个体瞬间的 BPD 症状呈正相关。因此，FFM 和 CSC 都与 BPD 患者在日常生活中的症状体验有关。此外，特定的 FFM 特质领域在 BPD 症状更有可能表现出来的情况下具有特别大的影响，进一步证明了人与情境的相互作用对于理解瞬间的 BPD 症状很重要。
