Gustafsson Fredrik, Boström Adrian Desai, Wilczek Alexander, Naesström Matilda, Rajalin Mia, Åsberg Marie, Jokinen Jussi
Department of Clinical Sciences/Psychiatry, Umeå University, Umeå, Sweden.
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Front Psychiatry. 2025 Aug 28;16:1646158. doi: 10.3389/fpsyt.2025.1646158. eCollection 2025.
Patients with emotionally unstable personality disorder (EUPD) report increased use and exposure to interpersonal violence and experience significant interpersonal difficulties. The relationship between the type of self-reported interpersonal problems and interpersonal violence among individuals with EUPD remains unclear. This study investigates the association between interpersonal problems and the cumulative lifetime violence burden among suicidal women with EUPD.
The study included 103 women diagnosed with EUPD who had attempted suicide at least twice. The inventory of Interpersonal problems (IIP) and the Karolinska Interpersonal Violence Scale (KIVS) were used to assess interpersonal problems and lifetime violence load. The eight IIP subscales were grouped into two factors: Factor 1 (Domineering; Vindictive; Cold; Social avoidant) and Factor 2 (Nonassertive; Exploitable; Overly nurturant, and Intrusive).
The mean T-scores for IIP subscales ranged from 56 to 63, while the KIVS total score varied from 0 to 19, with a mean of 7.63. Cumulative lifetime violence burden was significantly associated with IIP Factor 1 (Spearman's rho=0.26, p=0.0081), but not with IIP Factor 2 (r=0.014, p=0.89). Linear regression analysis revealed that Factor 1 (t=2.99, =0.0039) and global assessment of functioning (GAF) (t=-2.26, =0.027) significantly predicted accumulated lifetime interpersonal violence. Further analysis showed that individuals with higher violence burdens exhibited significantly greater interpersonal problems in the three domains of Factor 1 - Domineering/Controlling, Vindictive/Self-centered, and Cold/Distant.
Specific Interpersonal problems and low functioning seem to be associated with cumulative lifetime violence burden among suicidal women with EUPD. These interpersonal traits may serve as key targets for treatment and prevention.
情绪不稳定人格障碍（EUPD）患者报告称遭受人际暴力的情况增多，且人际接触增多，同时经历严重的人际困难。EUPD患者自我报告的人际问题类型与人际暴力之间的关系仍不明确。本研究调查人际问题与有自杀行为的EUPD女性累积终身暴力负担之间的关联。
该研究纳入了103名被诊断为EUPD且至少有过两次自杀未遂经历的女性。使用人际问题量表（IIP）和卡罗林斯卡人际暴力量表（KIVS）来评估人际问题和终身暴力负荷。IIP的八个子量表分为两个因素：因素1（专横；报复性；冷漠；社交回避）和因素2（不坚定；易被利用；过度呵护和侵扰）。
IIP子量表的平均T分数在56至63之间，而KIVS总分在0至19之间，平均为7.63。累积终身暴力负担与IIP因素1显著相关（斯皮尔曼相关系数=0.26，p=0.0081），但与IIP因素2无关（r=0.014，p=0.89）。线性回归分析显示，因素1（t=2.99，p=0.0039）和功能总体评估（GAF）（t=-2.26，p==0.027）显著预测了累积终身人际暴力。进一步分析表明，暴力负担较高的个体在因素1的三个领域——专横/控制、报复性/以自我为中心和冷漠/疏远——中表现出明显更多的人际问题。
特定的人际问题和低功能似乎与有自杀行为的EUPD女性的累积终身暴力负担相关。这些人际特质可能是治疗和预防的关键目标。
