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非临床样本中早期适应不良模式与边缘型人格障碍特征:网络分析。

Early maladaptive schemas and borderline personality disorder features in a nonclinical sample: A network analysis.

机构信息

Department of Psychology and Educational Science, Shahid Beheshti University, Tehran, Iran.

Department of Experimental, Clinical and Health Psychology, Ghent University, Ghent, Belgium.

出版信息

Clin Psychol Psychother. 2019 May;26(3):388-398. doi: 10.1002/cpp.2360. Epub 2019 Mar 5.

Abstract

Borderline personality disorder (BPD) is a challenging problem. Early maladaptive schemas (EMSs) are considered as important vulnerability factors for the development and maintenance of BPD. Literature suggests a complex relationship between BPD and EMSs. The current study employed network analysis to model the complex associations between central BPD features (i.e., affective instability, identity problems, negative relations, and self-harm) and EMSs in 706 undergraduate students. The severity of BPD symptoms was assessed using the Personality Assessment Inventory-Borderline subscale; the Young Schema Questionnaire-Short Form was used to assess EMSs. Results suggest that specific EMSs show unique associations with different BPD features. Interestingly, affective instability showed no unique associations with EMSs. Identity problems were uniquely associated with abandonment, insufficient self-control, dependence/incompetence, and vulnerability to harm/illness schemas. Negative relations in BPD showed unique connections with mistrust/abuse and abandonment. Finally, BPD self-harm was connected to emotional deprivation and failure. These findings indicate potential pathways between EMSs and specific BPD features that could improve our understanding of BPD theoretically and clinically.

摘要

边缘型人格障碍(BPD)是一个具有挑战性的问题。早期适应不良模式(EMSs)被认为是 BPD 发展和维持的重要脆弱性因素。文献表明 BPD 和 EMSs 之间存在复杂的关系。本研究采用网络分析模型,对 706 名本科生中 BPD 的核心特征(即情感不稳定、身份问题、负面关系和自伤)与 EMSs 之间的复杂关系进行了研究。使用人格评估量表-边缘子量表评估 BPD 症状的严重程度;使用 Young 模式问卷-短式评估 EMSs。结果表明,特定的 EMSs 与不同的 BPD 特征有独特的关联。有趣的是,情感不稳定与 EMSs 没有独特的关联。身份问题与被抛弃、自我控制不足、依赖/无能和易受伤害/疾病模式有独特的联系。BPD 中的负面关系与不信任/虐待和被抛弃有独特的联系。最后,BPD 自伤与情感剥夺和失败有关。这些发现表明 EMSs 和特定 BPD 特征之间存在潜在的联系,这可能从理论和临床角度提高我们对 BPD 的理解。

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