Blay Martin, Hasler Roland, Nicastro Rosetta, Pham Eléonore, Weibel Sébastien, Debbané Martin, Perroud Nader
ADDIPSY, Outpatient Addictology and Psychiatry Center, Santé Basque Développement Group, Lyon, France.
Claude Bernard University Lyon 1, Lyon, France.
Borderline Personal Disord Emot Dysregul. 2023 Mar 2;10(1):7. doi: 10.1186/s40479-023-00213-4.
Borderline Personality Disorder (BPD) is a potentially severe personality disorder, characterized by difficulties in emotion regulation and control of behaviors. It is often associated with non-suicidal self-injury (NSSI). Borderline personality features have also been linked to body modifications (BMs). However, the prevalence of BMs, the link between BMs and NSSI, and between BMs and several psychopathology dimensions (e.g. borderline severity, emotion regulation, impulsivity …) remains understudied in patients with BPD. This study aims to fill this gap, and to provide further evidence on the link between NSSI and BMs.
We used data from a psychiatric outpatient center located in Switzerland (n = 116), specialized in the assessment and treatment of BPD patients. Patients underwent several semi-structured interviews and self-report psychometric scales at the arrival, and the data were retrospectively analyzed.
We found that 70.69% of the patients had one piercing or more, and 69.83% were tattooed. The total score of body modifications and the total number of piercings score of piercings were significantly positively associated with NSSI and the SCID BPD total score. The association with the SCID score was mainly driven by the "suicide and self-damaging behaviors" item and the "chronic feeling of emptiness" item. A significant association was found between total number of piercings and emotion dysregulation. On the other hand, the self-reported percentage of body covered by tattoos score was specifically associated with the sensation seeking subscale of the UPPS-P.
This study provides evidence on the prevalence of BMs in BPD patients, and on the link between BMs and NSSI in this population, suggesting a role of emotion regulation in the link between both constructs. These results also suggests that tattoos and piercings may be differentially linked to specific underlying psychological mechanisms. This calls for further considerations of body modifications in the assessment and care of BPD patients.
边缘型人格障碍（BPD）是一种潜在的严重人格障碍，其特征在于情绪调节和行为控制方面存在困难。它通常与非自杀性自伤（NSSI）相关。边缘型人格特征也与身体改造（BMs）有关。然而，BPD患者中身体改造的患病率、身体改造与非自杀性自伤之间的联系以及身体改造与几种精神病理学维度（如边缘型严重程度、情绪调节、冲动性……）之间的联系仍未得到充分研究。本研究旨在填补这一空白，并为非自杀性自伤与身体改造之间的联系提供进一步证据。
我们使用了来自瑞士一家专门评估和治疗BPD患者的精神科门诊中心的数据（n = 116）。患者在初诊时接受了几次半结构化访谈和自我报告心理测量量表评估，并对数据进行了回顾性分析。
我们发现70.69%的患者有一处或多处穿孔，69.83%的患者有纹身。身体改造总分和穿孔总数得分与非自杀性自伤及SCID BPD总分显著正相关。与SCID评分的关联主要由“自杀和自我伤害行为”项目以及“长期空虚感”项目驱动。穿孔总数与情绪失调之间存在显著关联。另一方面，自我报告的纹身覆盖身体百分比得分与UPPS-P的寻求刺激分量表特别相关。
本研究提供了BPD患者身体改造患病率以及该人群中身体改造与非自杀性自伤之间联系的证据，表明情绪调节在这两种构念之间的联系中起作用。这些结果还表明纹身和穿孔可能与特定的潜在心理机制存在不同的联系。这就要求在BPD患者的评估和护理中进一步考虑身体改造问题。
