Moore Kelly E, Tull Matthew T, Gratz Kim L
Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, 2500 N. State St., Jackson, MS 39216, United States.
Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, 2500 N. State St., Jackson, MS 39216, United States.
Compr Psychiatry. 2017 Jul;76:26-35. doi: 10.1016/j.comppsych.2017.03.008. Epub 2017 Mar 15.
Borderline personality disorder (BPD) is associated with elevated risk for a variety of risky behaviors, including criminal behaviors. Yet, limited research has examined the relation of BPD to criminal justice (CJ) involvement, or the mechanisms underlying this relation.
This study examined the role of two mechanisms, emotion-driven difficulties controlling impulsive behaviors and physical aggression, in the relation between BPD symptom severity and CJ involvement among 118 patients in residential substance abuse treatment (76% male; 62% African-American). Participants completed measures of BPD symptom severity, CJ contact, diversity of CJ charges, emotion-driven impulse control difficulties, physical aggression, and covariates (substance use severity and antisocial personality disorder symptoms).
BPD symptom severity was associated with CJ contact through emotion-driven difficulties controlling impulsive behaviors, and with diversity of CJ charges through emotion-driven difficulties controlling impulsive behaviors and physical aggression; however, the indirect relations to diversity of CJ charges became non-significant when covariates were included.
Results highlight the important role of emotion-driven difficulties controlling impulsive behaviors in criminal behaviors among individuals with BPD symptoms, as well as the potential clinical utility of targeting this mechanism to prevent CJ involvement and/or recidivism.
边缘型人格障碍(BPD)与包括犯罪行为在内的多种危险行为风险升高相关。然而,对BPD与刑事司法(CJ)参与之间的关系或这种关系背后的机制进行研究的却很有限。
本研究考察了情绪驱动的控制冲动行为困难和身体攻击这两种机制在118名住院药物滥用治疗患者(76%为男性;62%为非裔美国人)的BPD症状严重程度与CJ参与之间关系中的作用。参与者完成了BPD症状严重程度、CJ接触、CJ指控多样性、情绪驱动的冲动控制困难、身体攻击以及协变量(药物使用严重程度和反社会人格障碍症状)的测量。
BPD症状严重程度通过情绪驱动的控制冲动行为困难与CJ接触相关,并且通过情绪驱动的控制冲动行为困难和身体攻击与CJ指控多样性相关;然而,当纳入协变量时,与CJ指控多样性的间接关系变得不显著。
结果凸显了情绪驱动的控制冲动行为困难在有BPD症状个体的犯罪行为中的重要作用,以及针对这一机制预防CJ参与和/或再犯的潜在临床效用。