Facultad de Psicologia, Ciencias de la Educación y el Deporte Blanquerna, University of Ramon-Llull, Barcelona, Spain; Consorci Sanitari del Maresme, Department of Psychiatry, Hospital of Mataró, Mataró, Spain.
Facultad de Psicologia, Ciencias de la Educación y el Deporte Blanquerna, University of Ramon-Llull, Barcelona, Spain; Consorci Sanitari del Maresme, Department of Psychiatry, Hospital of Mataró, Mataró, Spain.
Psychiatry Res. 2017 Dec;258:44-50. doi: 10.1016/j.psychres.2017.09.081. Epub 2017 Sep 28.
There is increasing research aimed at addressing whether patients with borderline personality disorder (BPD) may exhibit variations in symptomatology and functioning according to their chronological age. The current study consisted of 169 outpatients diagnosed with BPD, who were divided into four age groups as follows: 16-25 years (n = 41), 26-35 years (n = 43), 36-45 years (n = 45), and 46 and more years (n = 40). Age groups were compared for symptomatology, normal personality traits, psychiatric comorbidities, functioning, and treatment-related features. The younger group had significantly higher levels of physical/verbal aggression and suicide attempts relative to the older group. Conversely, the older group had significantly greater severity of somatization, depression, and anxiety symptoms. In addition, the older group showed significantly greater functional impairment overall and across physical/psychological domains, specifically when compared to the younger group. Overall, these findings may suggest that age-related symptoms should be considered when diagnosing BPD. Also, functional impairments should be the target interventions for older BPD patients.
越来越多的研究旨在探讨边缘型人格障碍（BPD）患者的症状学和功能是否会根据其实际年龄而有所变化。本研究纳入了 169 名被诊断为 BPD 的门诊患者，将他们分为以下四个年龄组：16-25 岁（n = 41）、26-35 岁（n = 43）、36-45 岁（n = 45）和 46 岁及以上（n = 40）。比较了各年龄组的症状学、正常人格特质、精神共病、功能和治疗相关特征。与年龄较大的组相比，年轻组的身体/言语攻击和自杀企图的水平明显更高。相反，年龄较大的组躯体化、抑郁和焦虑症状的严重程度明显更高。此外，与年轻组相比，年龄较大的组总体和在身体/心理领域的功能障碍更为明显。总的来说，这些发现可能表明，在诊断 BPD 时应考虑与年龄相关的症状。此外，功能障碍应成为老年 BPD 患者的干预目标。
