边缘性人格障碍的先例和风险因素:基于多层次元分析的病原性模型
Marco Cavicchioli1, Andrea Scalabrini2, Benedetta Vai3
1Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology SAPIENZA University of Rome, Italy; Faculty of Psychology, Sigmund Freud University, Ripa di Porta Ticinese 77, Milan, Italy.
Journal of affective disorders
|September 7, 2024
概括
早期内化/外化精神病理,无效的经历和情绪调节困难与边缘性人格障碍 (BPD) 发展暂时相关. 这些因素在整个发展过程中动态相互作用,支持BPD出现的交易模型.
科学领域:
- 发展性精神病理学
- 临床心理学 临床心理学
- 纵向研究是指长度研究.
背景情况:
- 边界性人格障碍 (BPD) 的出现涉及心理病理,无效经验和情绪/行为调节问题.
- 以前的研究还没有从数量上总结这些领域在BPD发展中的时间关联.
研究的目的:
- 量化总结关键发育领域和BPD特征的出现之间的时间关联.
- 调查心理病理责任,无效经验和BPD从青春期到成年期发展中的监管机制的相互作用.
主要方法:
- 进行了多层次的元分析.
- 包括106项研究,共86,871名参与者.
- 评估了 BPD 的先例和风险因素.
主要成果:
- 中等效果大小表明早期内化/外化精神病理,无效的经验和情绪/行为调节与晚期BPD特征之间的时间关联.
- 这些领域的效应大小在统计学上并没有彼此不同.
- 研究结果表明,BPD的交易性发展途径.
结论:
- 有证据支持边缘性人格障碍 (BPD) 的交易性发展模型.
- BPD的出现是心理病理责任和无效的经历之间的动态相互作用的结果.
- 这些相互作用在整个发育过程中被改变的情绪和行为调节机制所加强.
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