Centre of Excellence on Personality Disorder, Psychiatric Research Unit, Slagelse Psychiatric Hospital, Faelledvej 6, 4200 Slagelse, Denmark.
Center for BPD Treatment and Research, Indiana University School of Medicine, Indiana University-Purdue University, Indianapolis, USA.
Psychiatry Res. 2018 Jan;259:323-329. doi: 10.1016/j.psychres.2017.10.039. Epub 2017 Nov 5.
In this study we investigated how early maladaptive schemas and schema modes uniquely characterize Borderline Personality Disorder (BPD) patients versus comparison groups. BPD patients (n = 101) were systematically matched with personality disordered patients without BPD (n = 101) and healthy controls (n = 101). Differences were investigated using one-way ANOVA and multinomial logistic regression analyses. Results indicated that schemas of Mistrust/Abuse and Defectiveness/Shame along with modes of Angry Child, Impulsive Child, and (low) Happy Child uniquely differentiated BPD patients from patients with other personality disorders. Likewise, schemas of Mistrust/Abuse, Defectiveness/Shame, and Insufficient Self-Control along with modes of Vulnerable Child, Enraged Child, and (low) Happy Child, uniquely differentiated BPD patients from healthy controls. The results are overall consistent with propositions in the schema therapy literature as well as previous findings, and suggest that underlying schemas of Mistrust/Abuse and Defectiveness/Shame as well as manifest modes of Angry/Enraged Child, Impulsive Child, and (low) Happy Child comprise key features of BPD. Consequently, these features may be important foci in the conceptualization and treatment of BPD.
在这项研究中，我们调查了早期适应不良模式和模式如何独特地描述边缘型人格障碍（BPD）患者与对照组的特征。BPD 患者（n=101）与无 BPD 的人格障碍患者（n=101）和健康对照组（n=101）进行了系统匹配。使用单因素方差分析和多项逻辑回归分析来研究差异。结果表明，不信任/虐待和缺陷/羞耻的模式以及愤怒儿童、冲动儿童和（低）快乐儿童的模式独特地将 BPD 患者与其他人格障碍患者区分开来。同样，不信任/虐待、缺陷/羞耻和自我控制不足的模式以及脆弱儿童、愤怒儿童和（低）快乐儿童的模式将 BPD 患者与健康对照组区分开来。结果总体上与图式治疗文献以及先前的研究结果一致，表明不信任/虐待和缺陷/羞耻的潜在模式以及愤怒/愤怒儿童、冲动儿童和（低）快乐儿童的明显模式构成了 BPD 的关键特征。因此，这些特征可能是 BPD 概念化和治疗的重要焦点。
