一般精神病理学因素与边缘型人格障碍:来自两项美国成年人全国代表性调查的大量重叠证据。

General psychopathology factor and borderline personality disorder: Evidence for substantial overlap from two nationally representative surveys of U.S. adults.

作者信息

Gluschkoff Kia, Jokela Markus, Rosenström Tom

机构信息

Department of Psychology and Logopedics.

出版信息

Personal Disord. 2021 Jan;12(1):86-92. doi: 10.1037/per0000405. Epub 2020 Jun 25.

Abstract

A general psychopathology factor reflects an underlying liability for a wide range of mental disorders. There is suggestive evidence that borderline personality disorder (BPD) may be strongly associated with the general psychopathology factor, but there are no detailed data on the degree of overlap between the general psychopathology factor and BPD or its individual symptoms. This study examined the overlap between the general psychopathology factor and BPD using cross-sectional survey data from two nationally representative samples of U.S. adults, the National Comorbidity Survey Replication ( = 5,692) and the National Comorbidity Survey follow-up ( = 5,001). Structural equation modeling was used to fit a bifactor general psychopathology model and to examine the general psychopathology factor's associations with (a) a series of Clusters A, B, and C personality disorder symptoms including BPD symptoms and (b) a latent BPD. Results showed that the shared variance between the general psychopathology factor and a latent BPD was 56% in the National Comorbidity Survey Replication and 71% in the National Comorbidity Survey follow-up. The correlation between the general factor and BPD could be set to unity without worsening model fit, suggesting that BPD closely reflects a general liability to psychopathology. The affective features of BPD were particularly strongly associated with the general psychopathology factor. Findings are discussed with respect to the nosology of BPD and the treatment of mental disorders. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

一个一般精神病理学因素反映了对广泛精神障碍的潜在易感性。有提示性证据表明边缘型人格障碍(BPD)可能与一般精神病理学因素密切相关,但关于一般精神病理学因素与BPD或其个体症状之间重叠程度的详细数据却没有。本研究使用来自美国成年人的两个具有全国代表性样本(即全国共病调查复制版(=5692)和全国共病调查随访版(=5001))的横断面调查数据,检验了一般精神病理学因素与BPD之间的重叠情况。采用结构方程模型来拟合一个双因素一般精神病理学模型,并检验一般精神病理学因素与(a)一系列包括BPD症状在内的A、B和C类人格障碍症状以及(b)一个潜在BPD之间的关联。结果显示,在全国共病调查复制版中,一般精神病理学因素与潜在BPD之间的共享方差为56%,在全国共病调查随访版中为71%。一般因素与BPD之间的相关性可以设定为1而不会使模型拟合变差,这表明BPD紧密反映了对精神病理学的一般易感性。BPD的情感特征与一般精神病理学因素的关联尤为强烈。针对BPD的分类学和精神障碍的治疗对研究结果进行了讨论。(PsycInfo数据库记录(c)2021美国心理学会,保留所有权利)

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