Symptoms of borderline personality and related pathologies behave as temporal and contemporaneous networks.

Haya Fatimah, Lance M Rappaport, Marina A Bornovalova
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引用次数: 1

Abstract

In contrast to latent variable models suggesting a common etiology, network theory proposes that symptoms of psychopathology co-occur because of direct, dynamic associations among them. We examined how symptoms associated with borderline personality disorder, depression, and anxiety mutually reinforce one another over time, forming a network. We further identified symptoms that drove the network by exerting the most influence on other symptoms. Participants were 37 undergraduate students aged 18 to 26. Following baseline assessment, participants were prompted to answer a Qualtrics-based survey of current symptoms of BPD, depression, and anxiety twice daily for 40 days. Multilevel time-series network analyses were conducted with (a) BPD symptoms alone and (b) BPD, depressive and anxiety symptoms. In the network of BPD symptoms, momentary interpersonal difficulties predicted later dissociation, which predicted later affective fluctuation at the within-person level. Dissociation exerted the strongest influence on the overall symptom network. When depressive and anxiety symptoms were included, the networks identified several cross-disorder connections, such as anhedonia and feeling tense, which highlight potential pathways that describe the comorbidity of BPD with anxiety and depressive syndromes. Overall, cognitive symptoms and dissociation were identified as the most influential symptoms across the networks. This study indicates that BPD, depression, and anxiety symptoms may mutually reinforce one another concurrently and over time. Cognitive symptoms exert the highest influence on the cross-disorder networks, such that they influence BPD, depressive, and anxiety symptoms. Our results support the need of targeting cognitions in the treatment of comorbid BPD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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边缘型人格的症状和相关病理表现为时间和同期网络。
与潜在变量模型提出的共同病因不同,网络理论认为,精神病理症状的共同发生是因为它们之间存在直接的、动态的联系。我们研究了与边缘型人格障碍、抑郁和焦虑相关的症状如何随着时间的推移相互加强,形成一个网络。我们进一步确定了通过对其他症状施加最大影响来驱动网络的症状。参与者是37名年龄在18至26岁之间的本科生。在基线评估之后,参与者被提示回答一项基于质量的BPD、抑郁和焦虑当前症状的调查,每天两次,持续40天。对(a)单独的BPD症状和(b) BPD、抑郁和焦虑症状进行多层次时间序列网络分析。在BPD症状网络中,短暂的人际关系困难预示着后来的解离,而解离又预示着后来在人际层面上的情感波动。解离对整个症状网络的影响最大。当抑郁和焦虑症状包括在内时,该网络确定了几种交叉障碍联系,如快感缺乏和感觉紧张,这突出了描述BPD与焦虑和抑郁综合征共病的潜在途径。总体而言,认知症状和分离被确定为跨网络最具影响力的症状。这项研究表明,BPD、抑郁和焦虑症状可能同时相互加强,并随着时间的推移。认知症状对跨障碍网络的影响最大,例如它们影响BPD、抑郁和焦虑症状。我们的结果支持有针对性的认知在治疗共病BPD的需要。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
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