边界性人格障碍和性行为:分裂性症状的原因和后果
Rose Gholami Mazinan1, Christina Dudek2, Hannah Warkentin1
1Social and Emotional Neuroscience Group, Department of Psychiatry and Psychotherapy, Center of Psychosocial Medicine, University Medical Center Hamburg- Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Borderline personality disorder and emotion dysregulation
|March 19, 2024
概括
患有边缘性人格障碍 (BPD) 的患者在性行为时会出现更多的分离性症状,这与更高的性风险行为有关. 在BPD治疗中解决这些特定的离散症状可能会减少有风险的性行为.
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
- 创伤研究 创伤研究
背景情况:
- 边缘性人格障碍 (BPD) 中的性风险行为与创伤和分离有关,但研究有限.
- 性创伤的高患病率和患者痛苦的担忧阻碍了这一领域的研究.
研究的目的:
- 为了研究与健康对照组相比,BPD患者在性情况下的分离性症状 (脱离现实,脱人格化,转换).
- 为了检查性创伤,PTSD,分离和性风险行为在BPD之间的关系.
主要方法:
- 在114名BPD患者和114名匹配的健康对照者之间,在性情中比较解离性症状.
- 在BPD患者和对照组的亚组中,在暴露于色情叙事后评估解离性症状.
- 使用回归分析来探索创伤,PTSD,分离和性风险之间的关联.
主要成果:
- BPD患者在性情情况下报告了比对照组更高的回顾性和实验室评估的分离性症状.
- 脱个性化和转化与BPD严重程度有关;脱个性化与PTSD有关.
- 在BPD中,更高的冲动和不承诺的性行为是由脱落解释的,与转换的反向关联.
结论:
- 性情境中的明显分离性症状在BPD治疗中至关重要.
- 针对这些离散症状可能有助于减少BPD患者的性风险行为.
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