人际关系问题和社会功能障碍：检查有回避和边缘型人格障碍症状的患者。
Interpersonal problems and social dysfunction: Examining patients with avoidant and borderline personality disorder symptoms.
机构信息
Counselling Psychology Program, University of British Columbia, Vancouver, British Columbia, Canada.
Département de Psychologie, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
出版信息
J Clin Psychol. 2021 Jan;77(1):329-339. doi: 10.1002/jclp.23033. Epub 2020 Aug 1.
OBJECTIVE(S): Interpersonal problems are one of the most persistent difficulties facing those with personality disorders (PDs) and are linked with dysfunction across numerous social domains. Using an interpersonal model of PDs, we examined the indirect effects of Avoidant PD (AvPD) symptoms and social dysfunction through interpersonal problems, as well as Borderline PD (BPD) symptoms and social dysfunction.
METHODS
Participants were 226 adults taking part in an outpatient treatment program.
RESULTS
Using cross-sectional data from self-reported measures, we found that cold (b = 0.10, 95% confidence interval (CI) [0.038, 0.176]) and overly nurturant (b = 0.04, 95% CI [0.001, 0.090]) interpersonal problems showed an indirect association between AvPD symptoms and social dysfunction. The only significant indirect association between BPD symptoms and social dysfunction was overly nurturant (b = 0.05, 95% CI [0.001, 0.120]).
CONCLUSIONS
Results may aid in the development of more individualized treatments for AvPD and BPD symptoms.
目的
人际问题是人格障碍（PD）患者面临的最持久的困难之一，与众多社交领域的功能障碍有关。我们使用 PD 的人际模型，通过人际问题检验了回避型 PD（AvPD）症状和社交功能障碍的间接影响，以及边缘型 PD（BPD）症状和社交功能障碍。
方法
参与者是参加门诊治疗计划的 226 名成年人。
结果
使用来自自我报告测量的横截面数据，我们发现冷漠（b=0.10，95%置信区间（CI）[0.038，0.176]）和过度养育（b=0.04，95%CI[0.001，0.090]）人际问题显示出 AvPD 症状和社交功能障碍之间的间接关联。BPD 症状与社交功能障碍之间唯一显著的间接关联是过度养育（b=0.05，95%CI[0.001，0.120]）。
结论
结果可能有助于为 AvPD 和 BPD 症状制定更个性化的治疗方法。
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