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适应不良的人格特质与内化和外化问题:边缘型和自恋型特征在青少年时期的作用。

Maladaptive Personality Traits and Internalizing and Externalizing Problems: The Role of Borderline and Narcissistic Features in Adolescence.

作者信息

Benzi Ilaria Maria Antonietta, Fontana Andrea, Di Pierro Rossella

机构信息

Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.

Department of Human Science, LUMSA University, Rome, Italy.

出版信息

Clin Neuropsychiatry. 2023 Jun;20(3):161-172. doi: 10.36131/cnfioritieditore20230301.

Abstract

OBJECTIVE

Research has shown the importance of delving into the variables associated with externalizing and internalizing behaviors in adolescence, highlighting gender-related differences in their presentations. This two-wave longitudinal study aims to address gaps in understanding the concurrent contribution of borderline and narcissistic personality traits to the presence and maintenance of internalizing and externalizing problems in adolescence.

METHOD

We recruited 705 adolescents (65% females; age range 13-19 years old; Mage = 15.84, SD = 1.31) to self-report on behavioral problems (YSR-112), borderline (BPFSC-11) and narcissistic traits (PNI) at baseline and again on behavioral problems after 12 months.

RESULTS

Data highlighted significant differences between males and females for all variables except externalizing problems. Hierarchical regression models showed that borderline traits are a prominent risk factor for all behavioral problems in males and females at baseline and after 12 months. Moreover, regardless of gender, higher grandiose narcissism contributes to lower internalizing problems only when the direct contribution of vulnerable presentations of narcissism is considered. Grandiose narcissism is also a risk factor for externalizing problems after 12 months in females, whereas vulnerable narcissism significantly increases the likelihood of internalizing trajectories improving over 12 months.

CONCLUSIONS

This study provides more evidence of the associations between maladaptive personality traits and adolescent internalizing and externalizing problems: (1) confirming that borderline traits are crucial beyond gender, (2) stressing the importance of considering both grandiose and vulnerable narcissistic traits, and (3) highlighting the adaptive value of narcissistic vulnerability in capturing the adolescent crisis. The implications for clinical practice and intervention are also discussed.

摘要

目的

研究表明深入探究与青少年外化和内化行为相关的变量非常重要,凸显了这些行为表现中的性别差异。这项两阶段纵向研究旨在填补在理解边缘型和自恋型人格特质对青少年内化和外化问题的存在及维持的共同作用方面的空白。

方法

我们招募了705名青少年(65%为女性;年龄范围13 - 19岁;平均年龄 = 15.84,标准差 = 1.31),让他们在基线时自我报告行为问题(YSR - 112)、边缘型特质(BPFSC - 11)和自恋型特质(PNI),并在12个月后再次报告行为问题。

结果

数据显示,除外化问题外,所有变量在男性和女性之间均存在显著差异。分层回归模型表明,边缘型特质在基线时以及12个月后都是男性和女性所有行为问题的突出风险因素。此外,无论性别如何,只有在考虑自恋脆弱表现的直接作用时,较高的夸大自恋才会导致较低的内化问题。夸大自恋在12个月后也是女性外化问题的一个风险因素,而脆弱自恋显著增加了内化轨迹在12个月内改善的可能性。

结论

本研究为适应不良人格特质与青少年内化和外化问题之间的关联提供了更多证据:(1)证实边缘型特质超越性别至关重要;(2)强调同时考虑夸大和脆弱自恋特质的重要性;(3)凸显自恋脆弱性在捕捉青少年危机方面的适应性价值。还讨论了对临床实践和干预的启示。

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