Department of Psychiatry, University Hospital Olomouc, Faculty of Medicine, Palacky University in Olomouc, Czech Republic.
Jessenia Inc., Rehabilitation Hospital Beroun, Akeso Holding, MINDWALK, Czech Republic.
Neuro Endocrinol Lett. 2023 Jul 28;44(5):321-331.
Individuals with borderline personality disorder (BPD) suffer from an excessive fear of abandonment, leading to tense moments in their intimate relationships. These struggles translate into lower marital satisfaction perceived by both intimate partners. However, this connection is bidirectional, since conflicts with a romantic partner are the most common precipitating factors of decompensation in BPD patients.
This narrative review was performed using PubMed, Web of Science, and Scopus databases with keywords "borderline personality disorder", "partnership", marital problems", and "marital conflicts". Articles, books, and book chapters published within January 1980 - December 2020 were extracted and analysed. Additional sources were found while reviewing references of relevant articles. The total of 131 papers met the inclusion criteria.
Patients with BPD struggle with reaching marital satisfaction. They often find themselves in disharmonic and unfulfilling relationships. The association between the relationship issues and BPD may partly come from misunderstanding one or both partners' behaviour. Individuals with BPD tend to misinterpret their partner's behaviour, struggle with communication, and sometimes be verbally and physically aggressive. They often do not recognize that their intrapersonal processes influence their interpersonal struggles. Understanding the role of the maladaptive personality traits in the relationship and their management could be beneficial for both partners.
Individuals with BPD often report dysfunctional romantic relationships characterized by insecure attachment, maladaptive communication, and lower relationship satisfaction. Future studies should focus on finding effective strategies of couples´ therapy working with this population.
边缘型人格障碍（BPD）患者过度害怕被抛弃，导致其亲密关系中出现紧张时刻。这种挣扎表现为亲密伴侣双方都感受到的较低婚姻满意度。然而，这种联系是双向的，因为与浪漫伴侣的冲突是 BPD 患者病情恶化最常见的诱发因素。
本叙述性综述使用了 PubMed、Web of Science 和 Scopus 数据库，使用了“边缘型人格障碍”、“伴侣关系”、“婚姻问题”和“婚姻冲突”等关键词。提取并分析了 1980 年 1 月至 2020 年 12 月发表的文章、书籍和章节。在审查相关文章的参考文献时发现了其他来源。共有 131 篇论文符合纳入标准。
BPD 患者难以达到婚姻满意度。他们往往发现自己处于不和谐和不满足的关系中。关系问题与 BPD 之间的关联部分可能源于对一方或双方伴侣行为的误解。BPD 患者倾向于误解他们伴侣的行为，难以沟通，有时还会言语和身体上的攻击。他们往往没有意识到自己的内在过程会影响他们的人际关系斗争。理解适应不良的人格特质在人际关系中的作用及其管理对双方都可能有益。
BPD 患者经常报告存在功能失调的浪漫关系，其特征为不安全的依恋、适应不良的沟通和较低的关系满意度。未来的研究应集中于寻找有效的夫妻治疗策略，以治疗这一人群。
