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污名、情绪评估和家庭环境对符合边缘型人格障碍诊断标准的个体的亲属的照顾者负担的预测作用。

Stigma, Emotion Appraisal, and the Family Environment as Predictors of Carer Burden for Relatives of Individuals Who Meet the Diagnostic Criteria for Borderline Personality Disorder.

机构信息

University of Liverpool, Liverpool, United Kingdom.

North West Boroughs Healthcare, Equality Diversity and Inclusion Department, Winwick, Warrington, United Kingdom.

出版信息

J Pers Disord. 2019 Aug;33(4):497-514. doi: 10.1521/pedi_2018_32_355. Epub 2018 Oct 11.

Abstract

There is some research exploring carers' experiences within the National Health Service in the UK, but only one has focused on carers of individuals with borderline personality disorder (BPD). Ninety-eight carers completed a questionnaire-based study; 57 carers of individuals who meet the diagnostic criteria for BPD were compared to 41 carers of individuals with other mental health problems. The study aimed to investigate whether perceived stigma, perceived threat of strong emotions, and expressed emotion (EE) within the family environment predicted carer burden. The results showed that carers of those who met the diagnosis for BPD experienced higher levels of carer burden, stigma, EE, emotional over involvement (EOI), criticism (CC), and perceived threat of strong emotions than carers of individuals with other mental health difficulties. EOI, CC, carer group (BPD and mental health), and gender of participant were predictors of carer burden, with EOI explaining the most variance of burden.

摘要

有一些研究探索了英国国民保健服务体系中照顾者的体验,但只有一项研究关注的是边缘型人格障碍(BPD)患者的照顾者。98 名照顾者完成了一项基于问卷的研究;将 57 名符合 BPD 诊断标准的个体的照顾者与 41 名患有其他心理健康问题的个体的照顾者进行了比较。该研究旨在调查家庭环境中感知到的污名、对强烈情绪的感知威胁以及表达的情绪(EE)是否预测照顾者负担。结果表明,与患有其他心理健康障碍的个体的照顾者相比,符合 BPD 诊断的个体的照顾者经历了更高水平的照顾者负担、污名、EE、情感过度卷入(EOI)、批评(CC)和对强烈情绪的感知威胁。EOI、CC、照顾者群体(BPD 和心理健康)以及参与者的性别是照顾者负担的预测因素,EOI 解释了负担的最大差异。

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