Department of Psychotherapy and Psychosomatic Medicine, University Hospital Carl Gustav Carus, Technische Universitat Dresden.
Personal Disord. 2023 Sep;14(5):555-566. doi: 10.1037/per0000624. Epub 2023 Aug 10.
This preliminary study aims at extending existing empirical evidence on subtypes of borderline personality disorders (BPDs) by identifying subtypes among patients with BPD, comparing their characteristics to the trait domains of the dimensional model of the International Classification of Diseases, 11th Revision (ICD-11; World Health Organization [WHO], 2022), and examining differences in sociodemographic, clinical, and therapeutic outcome variables. Data of = 109 patients were subjected to cluster analysis based on the International Personality Disorder Examination variables for BPD and analyzed regarding differences in clinical and therapeutic variables. Clustering suggested a three-cluster solution, namely, ( = 35), ( = 28), and subtype ( = 46). Subtypes showed differences in clinical variables and therapeutic outcomes with the showing more affective disorders and the subtype showing the lowest therapeutic change in borderline-specific symptoms. Together, the present results correspond to the model of the ICD-11 (WHO, 2022). Clinical and treatment implications are being discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
本初步研究旨在通过在 BPD 患者中识别亚型，将现有的关于边缘型人格障碍（BPD）亚型的实证证据扩展到亚型，将其特征与国际疾病分类第 11 版（ICD-11；世界卫生组织 [WHO]，2022 年）的维度模型的特质领域进行比较，并检查社会人口统计学、临床和治疗结果变量的差异。根据 BPD 的国际人格障碍检查变量，对 = 109 名患者的数据进行了聚类分析，并对临床和治疗变量的差异进行了分析。聚类提示了三种聚类解决方案，即 （=35）、 （=28）和 亚型（=46）。亚型在临床变量和治疗结果方面存在差异， 亚型表现出更多的情感障碍，而 亚型在边缘特有的症状的治疗变化中表现出最低。总之，目前的结果与 ICD-11 模型（WHO，2022 年）相符。正在讨论临床和治疗意义。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
