Institute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg.
Department of General Psychiatry, Center for Psychosocial Medicine, University of Heidelberg.
Personal Disord. 2017 Oct;8(4):349-356. doi: 10.1037/per0000208. Epub 2016 Aug 8.
Persistent loneliness is often reported by patients with borderline personality disorder (BPD). However, empirical studies investigating this aspect of BPD psychopathology are sparse. Studies from social psychology revealed that social isolation and low social functioning contribute to loneliness, that is, the subjective feeling of being alone. The aim of the present study was to contribute to the understanding of loneliness in BPD by investigating its relation to social isolation and functioning in different domains of life. Subjective experience of loneliness was measured in 80 women (40 BPD patients, 40 healthy controls) with the UCLA Loneliness Scale. Social isolation and social functioning were assessed with the Social Network Inventory and the Social Functioning Scale. In addition, we assessed global functioning with the Global Assessment of Functioning. BPD patients reported stronger feelings of loneliness compared to healthy participants. In general, the level of loneliness was linked to network size, social engagement, and prosocial behavior. Diversity of social networks and functioning in the domain of interpersonal communication were associated with the level of loneliness only in BPD. A reduced variety of roles in social life together with impairments in interpersonal communication were particularly relevant for the experience of loneliness in BPD, suggesting an indirect path to target this psychopathological feature in therapeutic interventions. However, both social isolation and social functioning were not sufficient to explain the severely increased loneliness experienced by these patients, stressing the need for further investigation of determinants of loneliness in this clinical population. (PsycINFO Database Record
持续性孤独感常常被边缘型人格障碍(BPD)患者报告。然而,实证研究对此种 BPD 病理心理方面的研究较为匮乏。社会心理学的研究表明,社会隔离和社交功能低下会导致孤独感,即个体独处时的主观感受。本研究旨在通过调查 BPD 患者社会隔离和不同生活领域的社交功能与其孤独感的关系,进一步了解 BPD 患者的孤独感。采用 UCLA 孤独量表对 80 名女性(40 名 BPD 患者,40 名健康对照者)的孤独感进行了主观评估。采用社会网络清单和社交功能量表评估社会隔离和社交功能。此外,我们还采用功能总体评估量表评估了总体功能。与健康参与者相比,BPD 患者报告了更强烈的孤独感。一般来说,孤独感的程度与网络规模、社交参与度和亲社会行为有关。社会网络的多样性和人际沟通领域的社交功能仅与 BPD 患者的孤独感水平相关。社会生活中角色的减少以及人际沟通方面的障碍与 BPD 患者的孤独感体验特别相关,这表明在治疗干预中针对这种病理心理特征,间接途径是有效的。然而,社会隔离和社交功能都不足以解释这些患者严重增加的孤独感,这强调了在该临床人群中进一步研究孤独感决定因素的必要性。