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首页> 外文期刊>Personality disorders: theory, research, and treatment >Dynamic Associations Between Borderline Personality Disorder and Stressful Life Events Over Five Years in Older Adults
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Dynamic Associations Between Borderline Personality Disorder and Stressful Life Events Over Five Years in Older Adults

机译：在五年内，边界人格障碍与压力大的生活事件之间的动态关联

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摘要

The time course of borderline personality disorder (BPD) is far more variable than traditionally assumed. Shifting environmental conditions are theorized to account, at least in part, for fluctuations in symptom presentation over time. In the present study, we evaluated the reciprocal influences of stressful life events and borderline pathology in a representative community sample of 1.630 older adults assessed 3 times over 5 years. An autoregressive cross-lagged model revealed strong, but imperfect, stability in symptoms of BPD over the study time frame. After adjusting for this continuity in BPD, the prospective effect of life stress on borderline pathology was virtually nil, contrary to expectations. On the other hand. borderline pathology was prospectively related to subsequent dependent event (i.e., stressors to which individuals may have contributed), but not independent event (i.e., fateful stressors), exposure. This pattern of associations was consistent with a stress generation effect. We conclude that stressful life events do not substantially redirect the trajectory of BPD in older adults, possibly owing to inertia of borderline pathology at this developmental stage. Instead, symptoms of BPD seem to promote stress exposure, thereby setting the stage for continued social impairment and comorbid psychiatric problems.
机译：边界人格障碍（BPD）的时间过程比传统上假设的变化要多得多。理论上将转移环境条件转移至少部分地考虑了随着时间的推移症状表现的波动。在本研究中，我们评估了在5年内评估的1.630名老年人的代表性社区样本中，压力性生活事件和边缘性病理的相互影响。自回归的交叉滞后模型显示，在研究时间范围内，BPD症状的稳定性很强，但不完美。在调整了BPD中这种连续性之后，与期望相反，生命压力对边缘病理学的前瞻性影响实际上是零。另一方面。边缘病理学与随后的依赖事件（即，个人可能贡献的压力源），但无独立事件（即，命运压力源），暴露于暴露。这种关联模式与应力产生效应一致。我们得出的结论是，压力性的生活事件并未实质上重定向老年人的BPD轨迹，这可能是由于在这个发育阶段的边缘性病理惯性。取而代之的是，BPD的症状似乎促进了压力暴露，从而为持续的社会障碍和合并的精神病问题奠定了基础。

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