孤独与较低的自我和临床医生评估的个性功能水平有关
Julia I Kunz1, Anna Frey1, Katja Bertsch2
1Department of Psychiatry and Psychotherapy, University Hospital Munich, Ludwig-Maximilians-University Munich, Munich, Germany.
Journal of personality disorders
|December 1, 2023
概括
有个性障碍的个体经历了更大的孤独和个性功能障碍. 孤独,不仅仅是社交网络的大小,与人格功能不佳有关,这表明需要有针对性的心理治疗.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 社会心理学 社会心理学
背景情况:
- 人格障碍 (PD) 的特点是人际关系困难,社会隔离和孤独.
- 人格障碍 (AMPD) 的DSM-5替代模型为评估人格功能提供了一个维度方法.
研究的目的:
- 检查孤独,社交网络规模和精神病医院住院患者的个性功能之间的关系.
- 为了使用AMPD框架来比较患有PD和没有PD的患者之间的这些因素.
主要方法:
- 80名精神病医院住院患者完成了自我报告和临床医生评估措施.
- 主要工具包括人格功能半结构面试,人格功能水平量表 (LPFS),UCLA孤独量表和社交网络指数.
主要成果:
- 与没有PD的患者相比,PD患者报告的孤独感和人格功能障碍水平显著更高.
- 孤独与人格功能之间的负相关性比社交网络的大小更强.
- 患者群体之间的社交网络规模没有差异.
结论:
- 孤独是个性功能受损的重要相关因子,特别是在AMPD框架内.
- 孤独和AMPD领域的缺陷可能是导致心理社会功能不佳的跨诊断因素.
- 识别孤独对于将心理治疗定制为危险患者至关重要,包括那些没有正式PD诊断的患者.
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