在挪威外科患者中,生活的意义与人格障碍:一个横截面研究
Aryan Aghdami1, Geir Pedersen2, Elfrida Hartveit Kvarstein2,3
1Østre Agder County Outpatient Psychiatric Unit, Sørlandet Hospital, Postbox 416, Grimstad, Norway. Aryan.aghdami@SSHF.no.
在人格障碍 (PD) 患者中,生活意义 (MIL) 显著下降. 虽然MIL没有缓冲PDs对功能的影响,但其水平与PD严重程度密切相关.
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
- 心理健康研究 心理健康研究
背景情况:
- 生活中的意义 (MIL) 与更好的健康有关,但在边缘性人格障碍 (PD) 中通常很低.
- 以前的研究表明,MIL缓冲抑郁症和边缘特征,如自我伤害.
- 这项研究是第一个探索避开性PD中的MIL及其与PD严重程度和心理社会功能之间的关系.
研究的目的:
- 调查避免性PD患者的生活意义 (MIL),并将其与边缘性PD进行比较.
- 检查PD的严重程度如何影响MIL.
- 确定MIL是否可以缓冲PD对心理社会功能的影响.
主要方法:
- 1708名挪威PD门诊患者被评估为MIL,抑郁症,焦虑症和心理社会功能.
- 用相关性分析和小组比较分析了数据,用于sub-threshold,边界,回避和双重PDs.
- 适度分析用于测试MIL对抑郁症和心理社会功能之间的关系的缓冲效应.
主要成果:
- 在MIL和精神疾病症状之间发现了负相关性.
- 在一般社区样本中,MIL是最高的,其次是小于值的PD,单一的PD (边界/避免),以及双重PD的最低值.
- 只有在低于值的PD患者中观察到MIL的缓冲作用,而不是在被诊断为PD患者中观察到的缓冲作用.
结论:
- 被诊断出的人格障碍与生命意义 (MIL) 的显著减少有关.
- 在边界PD和避开PD之间没有发现平均MIL的显著差异.
- 人格障碍的严重程度与MIL水平相关,支持PD的维度视图.
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