[边缘型人格障碍患者的述情障碍与自我伤害]

[Alexithymia and self-harm in people with borderline personality disorder].

作者信息

Chizhova O A, Iuzbashian P G

机构信息

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2024;124(1):102-108. doi: 10.17116/jnevro2024124011102.

DOI:10.17116/jnevro2024124011102

PMID:38261291

Abstract

OBJECTIVE

To estimate the prevalence of alexithymia and self-harm in patients with borderline personality disorder (BPD). To assess the role of alexithymia in the emergence of self-harm in patients with BPD.

MATERIAL AND METHODS

We studied 104 patients (85 women, 19 men aged 21 to 25 years (64.4%)), including 54 patients with and 50 patients without BPD. Most of them had incomplete higher education (55%). We used the Russian version of the 20-item Toronto Alexithymia Scale (TAS-20) to reveal alexithymia and SCIDII to diagnose BPD. The presence of self-harm behavior was confirmed by the subjects' anamnesis data.

RESULTS

The prevalence of alexithymia in patients with BPD was 83.3%, in the control group it was 52% (=0.001). The prevalence of self-aggression was 70.3% (=38) in patients with BPD, and 12% (=6) in people without BPD. Self-harm among persons with alexithymia was noted in 62.5% (=45). During the analysis, a connection between auto-aggression and alexithymia was found at the level of a statistical trend (=0.051).

CONCLUSION

Alexithymia and self-harm are more common in patients with BPD than in healthy people. This type of emotional dysregulation mediates self-harm in patients with BPD.

摘要

目的

评估边缘型人格障碍（BPD）患者述情障碍及自我伤害行为的发生率。评估述情障碍在BPD患者自我伤害行为发生过程中的作用。

材料与方法

我们研究了104例患者（85名女性，19名男性，年龄21至25岁（64.4%）），其中包括54例BPD患者和50例非BPD患者。他们大多数接受过不完全高等教育（55%）。我们使用俄语版20项多伦多述情障碍量表（TAS-20）来揭示述情障碍，并使用SCIDII来诊断BPD。自我伤害行为的存在通过受试者的既往病史数据得到证实。

结果

BPD患者中述情障碍的发生率为83.3%，对照组为52%（P = 0.001）。BPD患者中自我攻击行为的发生率为70.3%（n = 38），非BPD者为12%（n = 6）。述情障碍患者中自我伤害行为的发生率为62.5%（n = 45）。分析过程中，发现自我攻击与述情障碍之间在统计学趋势水平存在关联（P = 0.051）。