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边缘型人格症状与精神病态是否与前监狱囚犯的饮酒动机存在差异?

Are Borderline Personality Symptoms and Psychopathy Differentially Related to Drinking Motives of Former Jail Inmates?

机构信息

George Mason University, Fairfax, Virginia.

出版信息

J Pers Disord. 2019 Dec;33(6):776-791. doi: 10.1521/pedi_2018_32_377. Epub 2018 Oct 24.

Abstract

This study assessed whether psychopathy and borderline personality disorder (BPD) symptoms are differentially related to three drinking motives: coping, enhancement, and social. Participants were 170 inmates (74% male) initially held on felony charges in a suburban jail. The Psychopathy Checklist: Screening Version (PCL:SV; Hart, Cox, & Hare, 1995) and Borderline Features scale of the Personality Assessment Inventory (PAI; Morey, 1991) were administered at the outset of incarceration. In a follow-up interview 4 to 6 years postincarceration, participants completed the Drinking Motives Questionnaire (DMQ; Cooper, Russell, Skinner, & Windle, 1992) assessing drinking motives. Controlling for drinking frequency, when compared to Factor 1 psychopathy, BPD symptoms had a stronger positive relationship with coping and enhancement drinking motives. No difference was observed for social motives for drinking. Individuals high in BPD symptoms may benefit from therapy emphasizing adaptive coping mechanisms and alternative means of seeking positive emotional states.

摘要

本研究评估了精神病态和边缘型人格障碍(BPD)症状是否与三种饮酒动机(应对、增强和社交)存在差异。参与者为 170 名被关押在郊区监狱的初犯重罪犯(74%为男性)。在入狱之初,参与者接受了精神病态检查表:筛查版(PCL:SV;Hart、Cox 和 Hare,1995)和人格评估量表(PAI;Morey,1991)的边缘特征量表的测试。在入狱后 4 到 6 年的随访访谈中,参与者完成了饮酒动机问卷(DMQ;Cooper、Russell、Skinner 和 Windle,1992),评估了饮酒动机。在控制饮酒频率的情况下,与因子 1 精神病态相比,BPD 症状与应对和增强饮酒动机呈更强的正相关。社交饮酒动机没有差异。BPD 症状严重的个体可能受益于强调适应性应对机制和寻求积极情绪状态的替代方法的治疗。

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