Symptom domains and psychosocial functioning in borderline personality disorder.

Ines Culina, Setareh Ranjbar, Pauline Maillard, Chantal Martin-Soelch, Sylvie Berney, Stéphane Kolly, Jérémie André, Philippe Conus, Ueli Kramer
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Abstract

Background: Borderline personality disorder (BPD) is often characterized by severe functional impairment, even after a decrease in symptoms. A comprehensive understanding of psychosocial functioning in BPD is necessary to tailor treatment offer, which should address relevant aspects of daily life. The aims of the present study are to (1) conduct a cross-sectional comparison of functioning of a group with BPD and a non-BPD clinical comparison group at service entry, and to (2) assess the relationship between intensity of BPD symptom domains and psychosocial functioning.

Methods: The sample consists of N = 65 participants with BPD and N = 57 participants from the clinical comparison group without BPD (non-BPD group). The Revised Borderline Follow-up Interview (BFI-R) was used to evaluate psychosocial functioning and the Revised Diagnostic Interview for Borderlines (DIB-R) to assess BPD symptoms. Linear, logistic, and multinomial regression models were run separately for each aspect of functioning as a function of BPD status or BPD symptom domains.

Results: Only 23% of participants in the BPD group fulfilled criteria for good overall psychosocial functioning, compared to 53% in the non-BPD group. Furthermore, participants in the BPD group were less likely to have completed a high number of years of education, to work consistently, to be financially independent, to be in a cohabiting relationship and have a good relationship with parents. In addition, various links were identified between BPD symptom domains and functional impairments.

Conclusions: Consistent with prior research, the main impairments in functioning in the BPD group are found in the educational and vocational domains. Though some domains show impairment, others, like friendships, may act as potential resources. Further investigation on the relationships with symptom domains is required.

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边缘型人格障碍的症状领域和社会心理功能。
背景:边缘型人格障碍(BPD边缘型人格障碍(BPD)通常表现为严重的功能障碍,即使在症状减轻之后也是如此。全面了解边缘型人格障碍患者的社会心理功能,对于量身定制治疗方案非常必要,因为治疗方案应涉及日常生活的相关方面。本研究的目的是:(1) 对一组 BPD 患者和一组非 BPD 临床对比患者在接受服务时的功能进行横断面对比;(2) 评估 BPD 症状领域的强度与心理社会功能之间的关系:样本包括 N = 65 名 BPD 患者和 N = 57 名非 BPD 临床对比组(非 BPD 组)患者。修订版边缘人群随访访谈(BFI-R)用于评估心理社会功能,修订版边缘人群诊断访谈(DIB-R)用于评估BPD症状。分别针对各方面功能与 BPD 状态或 BPD 症状域的函数关系运行线性、逻辑和多项式回归模型:结果:在 BPD 组中,只有 23% 的参与者符合良好整体心理社会功能的标准,而在非 BPD 组中,这一比例为 53%。此外,BPD 组的参与者不太可能完成较高年限的教育、持续工作、经济独立、同居以及与父母关系融洽。此外,研究还发现了BPD症状领域与功能障碍之间的各种联系:与之前的研究一致,BPD 群体的主要功能障碍出现在教育和职业领域。虽然某些领域出现了功能障碍,但其他领域,如友谊,可能是潜在的资源。还需要进一步调查与症状领域之间的关系。
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来源期刊
CiteScore
6.00
自引率
9.80%
发文量
30
审稿时长
28 weeks
期刊介绍: Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.
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