Asztalos Lilla, Senra Hugo, O'Driscoll Ciarán, Feigenbaum Janet, Griem Julia, King-Casas Brooks, Nolte Tobias, Pratt Richard, Vaziri Farzad, Montague Read, Fonagy Peter
School of Health and Social Care, University of Essex, Colchester, UK; Tavistock Adult and Forensic Services, The Tavistock and Portman NHS Foundation Trust, London, UK.
School of Health and Social Care, University of Essex, Colchester, UK; Institute of Electronics and Informatics Engineering of Aveiro (IEETA), University of Aveiro, Portugal.
J Affect Disord. 2025 Apr 1;374:225-234. doi: 10.1016/j.jad.2025.01.031. Epub 2025 Jan 9.
The mentalization-based perspective of Borderline Personality Disorder (BPD) underscores fluctuating interpersonal functionality, believed to arise from suboptimal mentalization modes, including hyper- and hypomentalizing. The connection between ineffective mentalizing and specific BPD challenges remains ambiguous. Network theory offers a unique means to investigate the hypothesis that distinct yet interconnected mental challenges ('symptoms') construct 'disorders' through their continuous mutual interactions. This study aimed to probe the pairwise interrelations between ineffective mentalizing and BPD challenges and to distinguish these relations between individuals with (clinical group) and without (community group) a BPD diagnosis using a network analysis approach.
Through a cross-sectional secondary data analysis, a moderated Mixed Graphical Model was employed on data from 575 individuals (350 clinical, 225 community). The study evaluated associations between ineffective mentalization modes (hypermentalization, hypomentalization, and no mentalization) gauged by the MASC and self-reported BPD-associated challenges, using BPD diagnosis as the moderating variable.
The analysis confirmed the presence of significant links between ineffective mentalizing and specific interpersonal BPD challenges, which were moderated by BPD diagnosis. It implied that hypermentalization and hypomentalization might simultaneously shape BPD-associated challenges.
The results offer fresh insights into the interplay between hypermentalization, hypomentalization, and BPD-related difficulties.
边缘型人格障碍（BPD）基于心理化的观点强调人际功能的波动，认为这源于次优的心理化模式，包括过度心理化和心理化不足。无效心理化与特定的BPD挑战之间的联系仍不明确。网络理论提供了一种独特的方法来研究这样一种假设，即不同但相互关联的心理挑战（“症状”）通过持续的相互作用构建“障碍”。本研究旨在探讨无效心理化与BPD挑战之间的两两相互关系，并使用网络分析方法区分有BPD诊断的个体（临床组）和无BPD诊断的个体（社区组）之间的这些关系。
通过横断面二次数据分析，对来自575名个体（350名临床患者，225名社区成员）的数据采用了一种调节混合图形模型。该研究以BPD诊断作为调节变量，评估了由MASC测量的无效心理化模式（过度心理化、心理化不足和无心理化）与自我报告的BPD相关挑战之间的关联。
分析证实了无效心理化与特定的人际BPD挑战之间存在显著联系，且这些联系受BPD诊断的调节。这意味着过度心理化和心理化不足可能同时塑造与BPD相关的挑战。
这些结果为过度心理化、心理化不足和BPD相关困难之间的相互作用提供了新的见解。
