Illawarra Health and Medical Research Institute and School of Psychology, University of Wollongong, Wollongong, New South Wales, Australia.
PLoS One. 2019 May 23;14(5):e0217350. doi: 10.1371/journal.pone.0217350. eCollection 2019.
BACKGROUND/OBJECTIVE: Intolerance of aloneness is considered a core feature of borderline personality disorder (BPD) that is clinically significant, yet under-researched. This study developed a measure of aloneness for individuals with BPD.
Interviews investigating the experience of aloneness for BPD participants (n = 12) formed the basis for the development of the measure. Pilot testing then occurred with BPD participants, control participants and qualified respondents. Validity, reliability and factor analysis of an Experience of Time Alone Scale (ETAS) was conducted with BPD participants (n = 112) and a comparison control group (n = 105).
A three factor structure was revealed: (a) Cannot Cope Alone (α = .92), (b) Need to Escape from Others (α = .90), and (c) Consumed in Intolerable Distress (α = .88). The measure correlated significantly (p < .01) with the Mental Health Inventory, the Aloneness and Evocative Memory Scale, and the Hurvich Experience Inventory- Revised. Comparisons revealed highly significant differences between the BPD sample and control group on all subscales and the total score (U = 75.5, p = < .001, r = -.85).
This study represents one of the first empirical examinations of a construct that has largely only been studied theoretically. This newly developed measure may contribute to diagnosis and therapy.
背景/目的:无法忍受孤独被认为是边缘型人格障碍(BPD)的核心特征之一,具有重要的临床意义,但研究不足。本研究开发了一种用于测量 BPD 患者孤独感的方法。
对 BPD 患者(n=12)进行访谈,以了解他们的孤独感体验,以此为基础开发了孤独感量表。然后对 BPD 患者、对照组患者和合格受访者进行了试点测试。对 BPD 患者(n=112)和对照组(n=105)进行了时间独处体验量表(ETAS)的有效性、信度和因子分析。
揭示了一个三因素结构:(a)无法独自应对(α=.92),(b)需要逃避他人(α=.90),(c)无法忍受的痛苦(α=.88)。该量表与心理健康量表、孤独感和唤起记忆量表、Hurvich 经验量表修订版显著相关(p<.01)。比较显示,BPD 组和对照组在所有子量表和总分上存在高度显著差异(U=75.5,p<.001,r= -.85)。
本研究是对一个主要从理论上研究的结构进行的首次实证检验之一。新开发的量表可能有助于诊断和治疗。