The Role of Hopelessness in Patients With Borderline Personality Disorder.

IF 1.3 4区医学 Q3 PSYCHIATRY Journal of Psychiatric Practice Pub Date : 2024-09-01 DOI:10.1097/PRA.0000000000000813

Andrea Aguglia, Daniele Cioci, Matteo Meinero, Valeria Placenti, Edoardo Verrina, Davide Bianchi, Laura Fusar-Poli, Alessandra Costanza, Irene Schiavetti, Andrea Amerio, Mario Amore, Gianluca Serafini

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Abstract

Background: The goal of this study was to evaluate specific characteristics associated with hopelessness, potentially correlated with coping strategies, sensory profile, and alexithymia in patients with borderline personality disorder (BPD).

Materials and methods: Two hundred twenty-four (N=224) inpatients completed a clinical interview with administration of the Beck Hopelessness Scale (BHS), the Adolescent/Adult Sensory Profile (AASP), the Coping Orientation to Problems Experienced Inventory (COPE), and the Toronto Alexithymia Scale (TAS).

Results: Hopelessness was significantly associated with female gender, more hospitalizations, current suicidal ideation, number of suicide attempts, current and lifetime medication abuse, and alcohol misuse. Furthermore, patients with BHS ≥ 9 had higher scores in low registration, sensory sensitivity and sensation avoiding in AASP, higher rate of alexithymia, and the use of maladaptive coping strategies.

Conclusions: Hopelessness in BPD was associated with higher severity of illness, alternative process sensory input from the environment, reduced ability to cope with stressful events, and alexithymia. Therefore, a routine assessment of hopelessness in patients with BPD could lead to better and more specific therapeutic strategies.

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无望感在边缘型人格障碍患者中的作用。

背景：本研究的目的是评估边缘型人格障碍（BPD）患者与无望感相关的具体特征，这些特征可能与应对策略、感官特征和情感障碍相关：224 名住院病人（N=224）完成了临床访谈，并接受了贝克无望感量表（Beck Hopelessness Scale，BHS）、青少年/成人感官特征量表（Adolescent/Adult Sensory Profile，AASP）、问题应对取向量表（COPE）和多伦多亚历山大量表（Toronto Alexithymia Scale，TAS）的测试：无望感与女性性别、住院次数、当前自杀意念、自杀未遂次数、当前和终生药物滥用以及酗酒有明显关联。此外，BHS≥9分的患者在低注册、AASP中的感觉敏感和感觉回避方面得分较高，有较高的情感障碍率，并使用适应不良的应对策略：结论：BPD患者的无望感与疾病的严重程度、对来自环境的感觉输入的替代处理、应对压力事件的能力下降以及情感淡漠有关。因此，对BPD患者的无望感进行常规评估，可以制定出更好、更有针对性的治疗策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychiatric Practice PSYCHIATRY-

CiteScore

2.30

自引率

10.50%

发文量

159

审稿时长

>12 weeks

期刊介绍： Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.