节点文献

反社会型人格障碍共病边缘型人格障碍特质的影响因素

Influencing factors in characteristics of antisocial personality disorder comorbid borderline personality disorder

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 葛未央周华斌胡明慧张文瑄吕晓丹张敏柳娜张宁

【Author】 GE Wei-yang;ZHOU Hua-bin;HU Ming-hui;ZHANG Wen-xuan;LYU Xiao-dan;ZHANG Min;LIU Na;ZHANG Ning;the First Affiliated Hospital of Nanjing Medical University,Jiangsu Province Hospital;

【通讯作者】 柳娜;

【机构】 南京医科大学附属第一医院/江苏省人民医院江苏科技大学苏州理工学院南京工业大学东南大学附属中大医院南京医科大学南京医科大学附属脑科医院

【摘要】 目的:探讨反社会型人格障碍(ASPD)共病边缘型人格障碍(BPD)的人口学及心理环境影响因素。方法:对1 804名服刑人员使用人格障碍诊断问卷(PDQ-4)进行评估,筛选出反社会型、边缘型及共病人群,采用自编一般资料问卷、患者健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)、儿童期虐待量表(CTQ-SF)、冲动性量表(BIS-11)、自杀意念量表(SIOSS)进行问卷调查。结果:ASPD共病BPD组在冲动性、儿童期虐待、焦虑、抑郁、自杀意念各个维度和因子的得分均高于ASPD组和BPD组,除儿童虐待中躯体虐待和性虐待外,其他维度和因子均存在显著差异(P<0.05或P<0.01)。Logstic回归显示,情感忽视、抑郁、绝望对ASPD形成共病人格产生影响。结论:童年期情感忽视和情绪问题可能是ASPD患者发展成ASPD共病BPD患者的影响因素。

【Abstract】 Objective: To explore the demographic and psychological factors in antisocial personality disorder(ASPD) comorbid borderline personality disorder(BPD). Method:A total of 1 804 criminals were conducted with the questionnaire of Personality Diagnostic Questionnaire(PDQ-4) to screen three groups, including the ASPD group, the BPD group and the ASPD comorbid BPD group.They were all assessed by self-designed questionnaire in general information, Patient Health Questionnaire(PHQ-9),Generalized Anxiety Disorder Scale(GAD-7),Childhood Trauma Questionaire-28 item Short Form(CTQ-SF),Barratt Impulsiveness Scale(BIS-11) and Self-rating Idea of Suicide Scale(SIOSS). Results:The scores of impulsivity, childhood abuse, anxiety, depression and suicidal ideation in the ASPD comorbid BPD group were higher than those in the ASPD or BPD groups.There were significant differences in other dimensions and factors except physical abuse and sexual abuse(P<0.05 or P<0.01).Logistic regression showed that emotional neglect, depression and despair had an impact on the formation of comorbid personality. Conclusion:Childhood emotional neglect and emotional problems may be the influencing factor why ASPD patients develop into ASPD comorbid BPD patients.

  • 【文献出处】 临床精神医学杂志 ,Journal of Clinical Psychiatry , 编辑部邮箱 ,2021年03期
  • 【分类号】R749.91
  • 【下载频次】252
节点文献中: 

本文链接的文献网络图示:

本文的引文网络