Department of Psychological and Brain Sciences, Washington University in St. Louis.
Personal Disord. 2018 Jan;9(1):73-80. doi: 10.1037/per0000211. Epub 2016 Aug 15.
Borderline personality disorder (BPD) is associated with negative physical health outcomes. Clinical case studies suggest that employment status may buffer against the negative effects of BPD on physical health. The goal of the current study was to examine the interaction between BPD features and employment status in predicting subjective perceptions of physical health. We hypothesized that employment status would moderate the relationship between BPD features and physical health, such that individuals who are employed would exhibit a weaker negative relationship between BPD features and self- and informant ratings of physical health. We investigated this question using data from a community sample of 1,630 middle-aged to older adults participating in the St. Louis Personality and Aging Network, an ongoing study of personality, health, and aging. Results indicated that employment status and BPD features were significant predictors of both self- and informant ratings of physical health. Confirming our hypothesis, the interaction term contributed to a significant increase in the proportion of explained variance, suggesting that employment is associated with a weaker negative relationship between BPD features and physical health. These findings highlight the importance of examining occupational functioning in the long-term course of BPD and offer avenues for further research into moderators of the relationship between BPD features and physical health. (PsycINFO Database Record
边缘型人格障碍（BPD）与负面的身体健康结果有关。临床案例研究表明，就业状况可能有助于缓冲 BPD 对身体健康的负面影响。本研究的目的是检验 BPD 特征与就业状况之间的相互作用，以预测对身体健康的主观感知。我们假设就业状况会调节 BPD 特征与身体健康之间的关系，即就业者在 BPD 特征与自我和知情人对身体健康的评价之间的负性关系较弱。我们使用参与圣路易斯人格与衰老网络的 1630 名中年至老年成年人的社区样本数据来研究这个问题，这是一项关于人格、健康和衰老的持续研究。结果表明，就业状况和 BPD 特征是自我和知情人对身体健康评价的重要预测因素。证实了我们的假设，交互项对解释方差的比例有显著的贡献，表明就业与 BPD 特征与身体健康之间的负性关系较弱有关。这些发现强调了在 BPD 的长期病程中检查职业功能的重要性，并为进一步研究 BPD 特征与身体健康之间关系的调节因素提供了途径。
