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反映能力与边缘性人格特征:述情障碍的中介效应
作者:鲍婷婷  潘辰  唐秋萍 
单位:中南大学湘雅三医院临床心理科  长沙 410013 
关键词:反映能力 边缘性人格特征 述情障碍 中介效应 
分类号:R395.2
出版年,卷(期):页码:2018,26(2):309-312
摘要:

目的:研究反映能力和边缘性人格特征的关系,以及述情障碍在二者之间的中介作用。方法:采用反映能力问卷中文版、米氏边缘人格检测量表、多伦多述情障碍量表对206名心理科门诊就诊患者进行测量。结果:①边缘性人格障碍倾向组的反映能力显著低于非边缘性人格障碍倾向组,反映能力与边缘性人格特征呈显著负相关(r=-0.300,P<0.01);②反映能力对边缘性人格特征不仅具有直接效应,还可通过述情障碍间接作用于边缘性人格特征,述情障碍的中介效应占总效应的40.3%。结论:边缘性人格倾向患者存在心智化功能的缺损,且述情障碍在反映能力和边缘性人格特征关系中存在部分中介作用。

Objective:To examine the relationship between reflective function and Borderline personality disorder (BPD) traits, and to explore the mediating role of alexithymia in the relation between reflective function and BPD traits among counseling patients. Methods:206 counseling patients completed the Chinese Version of Reflective Function Ques-tionnaire(RFQ-C), the McLean Screening Instrument for Borderline Personality Disorder(MSI-BPD) and 20-item Toronto Alexithymia Scale(TAS-20). Results:①Patients with BPD traits had significantly lower total scores of RFQ than patients without BPD traits. Reflective function was negatively correlated with BPD traits(r=-0.300, P<0.01); ②The relation be-tween reflective function and BPD traits was partially mediated by alexithymia, accounting for 40.3% of the reflective func-tion to BPD traits. Conclusion:This study confirms previous studies indicating impairments of reflective function in pa-tients with BPD traits and support the notion that reflective function exerts its influence on BPD traits through the mediating role of alexithymia.

基金项目:
作者简介:
参考文献:

1 Bateman A, Fonagy P. Psychotherapy for borderline personality disorder:Mentalization-based treatment. Oxford University Press, 2004
2 Moriguchi Y, Ohnishi T, Lane RD, et al. Impaired selfawareness and theory of mind:an fMRI study of mentalizing in alexithymia. Neuroimage, 2006, 32(3):1472-1482
3 Allen JG, Fonagy P. Handbook of mentalization-based treatments. UK:John Wiley & Sons, 2006
4 Katznelson H. Reflective functioning:a review. Clin Psychol Rev, 2014, 34(2):107-117
5 Fonagy P, Bateman A, Bateman A. The widening scope of mentalizing:a discussion. Psychology and Psychotherapy:Theory, Research and Practice, 2011, 84:98-110
6 Gunderson JG. Disturbed relationships as a phenotype for borderline personality disorder. Am J Psychiatry, 2007, 164:1637-1640
7 Skodol AE, Siever LJ, Livesley WJ, et al. The borderline diagnosis Ⅱ:biology, genetics, and clinical course. Biol Psychiatry, 2002,51:951-963
8 Fonagy P, Leigh T, Steele M, et al. The relation of attachment status, psychiatric classfication, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 1996, 64:22-31
9 Fischer-Kern M, Buchheim A, Hörz S, et al. The relationship between personality organizati——on, reflective functioning, and psychiatric classfication in borderline personality disorder. Psychoanalytic Psychology, 2010, 27(4):395-409
10 Gullestad FS, Johansen MS, Høglend P, et al. Mentalization as a moderator of treatment effects:Findings from a randomized clinical trial for personality disorders. Psychotherapy Research, 2013, 23(6):674-89
11 Petersen R, Brakoulias V, Langdon R. An experimental investigation of mentalization ability in borderline personality disorder. Comprehensive Psychiatry, 2016, 64:12-21
12 Ha C, Sharp C, Ensink K, et al. The measurement of reflective function in adolescents with and without borderline traits. Journal of Adolescence, 2013, 36(6):1215-1223
13 Griffith JL. Disorders of affect regulation:alexithymia in medical and psychiatric illness. Psychosomatics, 1998, 39 (6):554-555
14 Badoud D, Luyten P, Fonseca-Pedrero E, et al. The French version of the reflective functioning questionnaire:validity data for adolescents and adult and its association with nonsuicidal self-injury. PLoS One, 2015, 10(12):e0145892
15 Mathiesen BB, Pedersen SH, Sandros C, et al. Psychodynamic profile and reflective functioning in patients with bulimia nervosa.Comprehensive Psychiatry, 2015, 62:20-26
16 New AS, Rot M, Ripoll LH, et al. Empathy and alexithymia in borderline personality disorder:clinical and laboratory measures. Journal of Personality Disorders, 2012, 26(5):660-675
17 Loas G, Speranza M, Pham-Scottez A, et al. Alexithymia in adolescents with borderline personality disorder. Journal of Psychosomatic Research, 2012, 72(2):147-152
18 Lang S, Stopsack M, Kotchoubey B, et al. Cortical inhibition in alexithymic patients with borderline personality disorder. Biological Psychology, 2011, 88(2):227-232
19 唐秋萍, 许荣, 莫小恩, 等. 反映能力问卷中文版的信效度研究. 中国临床心理学杂志, 2017, 25(2):280-284
20 Zanarini MC, Vujanovic AA, Parachini EA, et al. A screening measure for BPD:The Mc Lean screening instrument for borderline personality disorder(MSI -BPD). Journal of Personality Disorders, 2003, 17(6):568-573
21 Chanen AM, Jovev M, Djaja D, et al. Screening for borderline personality diorder in outpatient youth. Journal of Personality Disorders, 2008, 22:353-364
22 陈浩, 钟杰, 刘一星, 等. 米氏边缘性人格障碍检测表在国内精神科临床样本中的信效度分析. 中国临床心理学杂志, 2011, 19(5):595-597
23 蚁金瑶, 姚树桥, 朱熊兆. TAS-20中文版的信度、效度分析. 中国心理卫生杂志, 2003, 17(11):763-767
24 Sharp C, Pane H, Ha C, et al. Theory of mind and emotion regulation difficulties in adolescents with borderline traits. Journal of the American Academy of Child & Adolescent Psychiatry, 2011, 50(6):563-573
25 Bateman A, Fonagy P. 8-years follow-up of patients treated for borderline personality disorder:mentalization-based treatment versus treatment as usual. Am J Psychiatry, 2008, 165:631-638

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