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Modeling Heterogeneity in Momentary Interpersonal and Affective Dynamic Processes in Borderline Personality Disorder

机译:边缘人格障碍瞬间人际和情感动态过程中的异质性建模

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摘要

Borderline personality disorder (BPD) is a diagnosis defined by impairments in several dynamic processes (e.g., interpersonal relating, affect regulation, behavioral control). Theories of BPD emphasize that these impairments appear in specific contexts, and emerging results confirm this view. At the same time, BPD is a complex construct that encompasses individuals with heterogeneous pathology. These features—dynamic processes, situational specificity, and individual heterogeneity—pose significant assessment challenges. In the current study, we demonstrate assessment and analytic methods that capture both between-person differences and within-person changes over time. Twenty-five participants diagnosed with BPD completed event-contingent, ambulatory assessment protocols over 21 days. We used p-technique factor analyses to identify person-specific psychological structures consistent with clinical theories of personality. Five exemplar cases are selected and presented in detail to showcase the potential utility of these methods. The presented cases' factor structures reflect not only heterogeneity but also suggest points of convergence. The factors also demonstrated significant associations with important clinical targets (self-harm, interpersonal violence).
机译:交际型人格障碍(BPD)是一种由多个动态过程中的障碍定义的诊断(例如,人际关系,影响调节,行为控制)。 BPD的理论强调,这些障碍出现在特定的情况下,新出现的结果证实了这一观点。同时,BPD是一个复杂的构建体,涵盖了具有异质病理的个体。这些功能-动态过程,情境特异性和个体异质性-构成了重大的评估挑战。在当前的研究中,我们展示了评估和分析方法,这些方法和方法可以捕捉人际差异和人际变化随时间的变化。 25名被诊断出患有BPD的参与者在21天之内完成了事件偶然性的门诊评估方案。我们使用p技术因素分析来识别与人格临床理论相符的特定于人的心理结构。选择并详细介绍了五个示例案例,以展示这些方法的潜在实用性。提出的案例的因素结构不仅反映了异质性,而且还提出了趋同点。这些因素还表明与重要的临床目标(自我伤害,人际暴力)之间存在显着关联。

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