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Racial Differences Between African and White Americans in the Presentation of Borderline Personality Disorder

机译:非洲人和白人之间在人格边界障碍方面的种族差异

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Borderline personality disorder (BPD) is commonly thought of as a disorder of White females. Despite evidence indicating similar prevalence rates across races and genders, no study has examined the experience of BPD among ethnic minorities and how this differs from Whites. The affective and behavioral symptoms of BPD were studied in 17 African Americans and 27 White Americans with the disorder. Results indicated that African Americans experience greater affective intensity and emotional dysregulation, fewer self-harming behaviors, and more thoughts of interpersonal aggression than Whites. Differences in affective symptoms were accounted for by group differences in substance use and receipt of inpatient services, whereas differences in behavioral symptomatology persisted after adjusting for potential confounders. These findings suggest that not only is BPD not a disorder exclusive to White females, but that the experience of the disorder may differ substantially across races. Implications for future research and directions for developing culturally relevant treatments are discussed.
机译:边缘性人格障碍(BPD)通常被认为是白人女性的一种疾病。尽管有证据表明不同种族和性别的患病率相似,但尚无研究检查少数民族中BPD的经历以及与白人的区别。 BPD的情感和行为症状已在17名非裔美国人和27名患有这种疾病的白人中进行了研究。结果表明,与白人相比,非洲裔美国人的情感强度和情绪失调更大,自我伤害行为更少,人际交往的思想更多。情感症状的差异是由物质使用和住院服务的组差异引起的,而行为症状学的差异在调整了潜在的混杂因素后仍然存在。这些发现表明,不仅BPD并非白人女性独有的疾病,而且该疾病的经历在不同种族之间可能存在很大差异。讨论了对未来研究的意义以及开发与文化相关的治疗方法的方向。

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