PDF(Pubmed)
Abstract：
UNASSIGNED: Borderline Personality Disorder (BPD) traits play a crucial role in the prognosis of psychiatric disorders, as well as in assessing risks associated with negativity and impulsivity. However, there is a lack of data regarding the distribution characteristics of BPD traits and symptoms within clinical populations.
UNASSIGNED: A total of 3015 participants (1321 males, 1694 females) were consecutively sampled from outpatients at the psychiatric and psycho-counseling clinics at the Shanghai Mental Health Center. BPD symptoms were assessed using a self-reported personality diagnostic questionnaire. Having BPD traits is defined as having five or more positive items in self-reported BPD characteristics. Participants were stratified into male and female groups, age groups, and diagnostic groups (schizophrenia, mood disorders, anxiety disorders). Exploratory factor analysis using principal components analysis was conducted. Three factors were identified: \"F1: Affective Instability and Impulsivity\", \"F2: Interpersonal Unstable and Extreme Reactions\", and \"F3: Identity Disturbance\".
UNASSIGNED: Among 3015 participants, 45.9% of the patients self-reported BPD traits. Comparing of male and female patients, there was no statistically significant difference in the occurrence rate of BPD traits (χ2 = 1.835, p=0.176). However, in terms of symptoms, female patients reported more symptoms than male patients. Female patients also exhibited more pronounced features on F2 compared to male patients (t =-1.972, p=0.049). There is a general decrease in BPD traits, symptoms, and factors with increasing age. Specifically, the proportion of positive BPD traits is approximately halved before the age of 30 and decreases to around one-third after the age of 30. BPD traits were most common in the Mood Disorders group at 55.7%, followed by the Anxiety Disorders group at 44.4%, and Schizophrenia group at 41.5% (χ2 = 38.084, p<0.001).
UNASSIGNED: Our study revealed the pervasive presence of BPD traits and symptoms among psychiatric outpatients, exhibiting distinctive distributions across gender, age, and diagnostic categories. These findings emphasize the significance of identifying and addressing BPD pathology in the clinical care of psychiatric outpatients.
UNASSIGNED: A total of 3015 participants (1321 males, 1694 females) were consecutively sampled from outpatients at the psychiatric and psycho-counseling clinics at the Shanghai Mental Health Center. BPD symptoms were assessed using a self-reported personality diagnostic questionnaire. Having BPD traits is defined as having five or more positive items in self-reported BPD characteristics. Participants were stratified into male and female groups, age groups, and diagnostic groups (schizophrenia, mood disorders, anxiety disorders). Exploratory factor analysis using principal components analysis was conducted. Three factors were identified: \"F1: Affective Instability and Impulsivity\", \"F2: Interpersonal Unstable and Extreme Reactions\", and \"F3: Identity Disturbance\".
UNASSIGNED: Among 3015 participants, 45.9% of the patients self-reported BPD traits. Comparing of male and female patients, there was no statistically significant difference in the occurrence rate of BPD traits (χ2 = 1.835, p=0.176). However, in terms of symptoms, female patients reported more symptoms than male patients. Female patients also exhibited more pronounced features on F2 compared to male patients (t =-1.972, p=0.049). There is a general decrease in BPD traits, symptoms, and factors with increasing age. Specifically, the proportion of positive BPD traits is approximately halved before the age of 30 and decreases to around one-third after the age of 30. BPD traits were most common in the Mood Disorders group at 55.7%, followed by the Anxiety Disorders group at 44.4%, and Schizophrenia group at 41.5% (χ2 = 38.084, p<0.001).
UNASSIGNED: Our study revealed the pervasive presence of BPD traits and symptoms among psychiatric outpatients, exhibiting distinctive distributions across gender, age, and diagnostic categories. These findings emphasize the significance of identifying and addressing BPD pathology in the clinical care of psychiatric outpatients.
摘要：
■边缘性人格障碍（BPD）特征在精神疾病的预后中起着至关重要的作用，以及评估与消极和冲动性相关的风险。然而,缺乏关于临床人群中BPD性状和症状的分布特征的数据.
■总共3015名参与者（1321名男性，1694名女性）从上海精神卫生中心的精神病和心理咨询诊所的门诊患者中连续采样。使用自我报告的人格诊断问卷评估BPD症状。具有BPD性状被定义为在自我报告的BPD特征中具有五个或更多个阳性项目。参与者被分为男性和女性组，年龄组,和诊断组(精神分裂症，情绪障碍,焦虑症）。采用主成分分析进行探索性因子分析。确定了三个因素：“F1：情感不稳定和冲动性”，\“F2：人际不稳定和极端反应\”，和“F3：身份干扰”。
■在3015名参与者中，45.9%的患者自我报告BPD特征。男性和女性患者的比较，BPD性状发生率差异无统计学意义(χ2=1.835,p=0.176)。然而,就症状而言，女性患者报告的症状多于男性患者。与男性患者相比，女性患者在F2上也表现出更明显的特征（t=-1.972，p=0.049）。BPD性状普遍下降，症状,以及年龄增长的因素。具体来说,阳性BPD性状的比例在30岁之前大约减半，在30岁之后下降到约三分之一。BPD特征在情绪障碍组中最常见，占55.7％，其次是焦虑症组，占44.4%，精神分裂症组为41.5%(χ2=38.084,p<0.001)。
■我们的研究揭示了精神病门诊患者中BPD特征和症状的普遍存在，表现出不同性别的独特分布，年龄,和诊断类别。这些发现强调了在精神病门诊患者的临床护理中识别和解决BPD病理学的重要性。
■总共3015名参与者（1321名男性，1694名女性）从上海精神卫生中心的精神病和心理咨询诊所的门诊患者中连续采样。使用自我报告的人格诊断问卷评估BPD症状。具有BPD性状被定义为在自我报告的BPD特征中具有五个或更多个阳性项目。参与者被分为男性和女性组，年龄组,和诊断组(精神分裂症，情绪障碍,焦虑症）。采用主成分分析进行探索性因子分析。确定了三个因素：“F1：情感不稳定和冲动性”，\“F2：人际不稳定和极端反应\”，和“F3：身份干扰”。
■在3015名参与者中，45.9%的患者自我报告BPD特征。男性和女性患者的比较，BPD性状发生率差异无统计学意义(χ2=1.835,p=0.176)。然而,就症状而言，女性患者报告的症状多于男性患者。与男性患者相比，女性患者在F2上也表现出更明显的特征（t=-1.972，p=0.049）。BPD性状普遍下降，症状,以及年龄增长的因素。具体来说,阳性BPD性状的比例在30岁之前大约减半，在30岁之后下降到约三分之一。BPD特征在情绪障碍组中最常见，占55.7％，其次是焦虑症组，占44.4%，精神分裂症组为41.5%(χ2=38.084,p<0.001)。
■我们的研究揭示了精神病门诊患者中BPD特征和症状的普遍存在，表现出不同性别的独特分布，年龄,和诊断类别。这些发现强调了在精神病门诊患者的临床护理中识别和解决BPD病理学的重要性。
