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Seven-Year Course of Borderline Personality Disorder Features: Borderline Pathology Is as Unstable as Depression during Adolescence

机译:边缘性人格障碍的七年历程:边缘性病理学与青春期抑郁症一样不稳定

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摘要

Borderline personality disorder (PD) historically is construed as an unremitting condition with poor prognosis. The present study takes a new approach to examining stability and change in borderline PD by explaining symptom expression in terms of an unchanging foundation—termed borderline proneness—on one hand, and transitory influences on the other. We monitored borderline PD symptoms annually in a large sample of high-risk adolescent girls (N = 2,450) from ages 14 to 20. Trait-state-occasion modeling revealed that just over half (52–57%) of borderline PD symptom variation was attributable to fixed borderline proneness, whereas the remainder was subject to change across yearly measurement occasions. This degree of stability was no larger than the corresponding estimate for depression, a condition known for its variable course. Our results indicate that, contrary to its reputation, borderline pathology is not set in stone, and it fluctuates in response to situational influences.
机译:边缘性人格障碍(PD)历史上被认为是病情不佳的预后不良者。本研究采用一种新的方法来检查边界PD的稳定性和变化,方法是一方面以不变的基础(称为边界倾向)来解释症状表达,另一方面以暂时的影响来解释症状的表达。我们每年从一大批14至20岁的高危青春期女孩(N = 2,450)中监测临界PD症状。特质状态情景模型显示,临界PD症状变化的一半以上(52–57%)是归因于固定的边界倾向,而其余部分则可能在每年的测量场合中发生变化。这种稳定性程度不大于抑郁症的相应估计值,抑郁症的病程因其可变的过程而闻名。我们的结果表明,与它的声誉相反,边界病理学不是一成不变的,它会根据情况的影响而波动。

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