Mesh : Female Adolescent Humans Young Adult Adult Borderline Personality Disorder / psychology Cross-Sectional Studies Symbiosis Psychopathology Phenotype

来  源:   DOI:10.1037/abn0000800   PDF(Pubmed)

Abstract:
Borderline personality disorder (BPD) is a serious mental illness characterized by instability in affective, cognitive, and interpersonal domains. BPD co-occurs with several mental disorders and has robust, positive associations with the general factors of psychopathology (p-factor) and personality disorders (g-PD). Consequently, some researchers have purported BPD to be a marker of p, such that the core features of BPD reflect a generalized liability to psychopathology. This assertion has largely stemmed from cross-sectional evidence and no research to date has explicated the developmental relationships between BPD and p. The present study aimed to investigate the development of BPD traits and the p-factor by examining predictions of two opposing frameworks: dynamic mutualism theory and the common cause theory. Competing theories were evaluated to determine which perspective best accounted for the relationship of BPD and p from adolescence into young adulthood. Data were drawn from the Pittsburgh Girls Study (PGS; N = 2,450) and included yearly self-assessments of BPD and other internalizing and externalizing indices from ages 14 to 21. Theories were examined using random-intercept cross-lagged panel models (RI-CLPMs) and network models. Results indicated that neither dynamic mutualism nor the common cause theory could fully explain the developmental relations between BPD and p. Instead, both frameworks were partially supported, with p found to strongly predict within-person change in BPD at several ages. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
摘要:
边缘性人格障碍(BPD)是一种严重的精神疾病,其特征是情感不稳定,认知,和人际领域。BPD与几种精神障碍同时发生,与精神病理学(p因子)和人格障碍(g-PD)的一般因素呈正相关。因此,一些研究人员声称BPD是p的标记,因此,BPD的核心特征反映了精神病理学的普遍责任。这一论断在很大程度上源于横断面证据,迄今为止没有研究阐明BPD和p之间的发育关系。本研究旨在通过研究两个相反框架的预测来调查BPD特征和p因子的发展:动态共生理论和共同原因理论。对竞争理论进行了评估,以确定哪种观点最能说明从青春期到成年的BPD和p的关系。数据来自匹兹堡女孩研究(PGS;N=2,450),包括14至21岁的BPD和其他内在化和外在化指数的年度自我评估。使用随机截距交叉滞后面板模型(RI-CLPM)和网络模型对理论进行了检验。结果表明,动态互惠主义和共同原因理论都不能完全解释BPD和p之间的发展关系。相反,这两个框架都得到了部分支持,发现p能强烈预测几个年龄段BPD的人内变化。(PsycInfo数据库记录(c)2023年APA,保留所有权利)。
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