| 摘要: |
| 目的 描述和分析具有边缘型人格障碍（BPD）特质的大学生心理危机的影响因素。方法 采用自编一般情况调查表、人格评定问卷-边缘性特征问卷（PAI-BOR）、简版情绪调节困难量表（DERS-16）、简式UPPS-P冲动行为量表（S-UPPS-P）、患者健康问卷（PHQ-9）及心理危机筛查问卷对方便抽样选取的上海市340名高校大学生进行调查。根据PAI-BOR得分将研究对象分为BPD特质组与非BPD特质组，分析两组心理危机的发生风险及影响因素。结果 回收有效问卷323份。研究对象年龄为（21.39±2.98）岁，男164名、女159名，BPD特质检出率19.20%（62/323）。BPD特质组与非BPD特质组大学生在家庭关系、遭遇重大变故、情绪调节困难、冲动、抑郁等方面差异均有统计学意义（均P＜0.05）。BPD特质组的轻度心理危机、重度心理危机检出率均高于非BPD特质组（均P＜0.001）。无序多分类logistic逐步回归分析显示，感觉寻求、情绪调节困难是BPD特质组轻度心理危机的危险因素（均P＜0.05），感觉寻求、近亲心理疾病史是BPD特质组重度心理危机的危险因素（均P＜0.05）。结论 大学生BPD特质与心理危机的发生风险相关。感觉寻求、情绪调节困难及近亲心理疾病史会增加BPD特质大学生的心理危机发生风险。高校应重点关注具有BPD特质学生的心理健康，并制定针对性的防范措施。 |
| 关键词: 大学生 边缘型人格障碍 心理危机 人格特质 危险因素 |
| DOI：10.16781/j.CN31-2187/R.20240340 |
| 投稿时间：2024-05-21修订日期：2024-08-26 |
| 基金项目:“十四五”网信规划重点项目（145AWX200020011X），国家社会科学基金高校思政课研究专项（22VSZ171），院所科研协作项目（2023-TQ-LC-013）． |
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| Influencing factors of psychological crisis among college students with borderline personality disorder traits |
| SHU Tong1,XU Huijing1,LIU Shidong2,DU Ping3,LIU Taosheng1* |
(1. Department of Psychiatry, Faculty of Psychology, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. No. 92228 Troop of Chinese PLA, Beijing 100072, China;
3. Department of Political Theory, College of Basic Medical Sciences, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To describe and analyze the influencing factors of psychological crisis among college students with borderline personality disorder (BPD) traits. Methods Self-compiled general information questionnaire, personality assessment inventory-borderline features scale (PAI-BOR), brief version of the difficulties in emotion regulation scale (DERS-16), short version of the UPPS-P impulsive behavior scale (S-UPPS-P), patient health questionnaire-9 (PHQ-9), and psychological crisis screening questionnaire were used to survey 340 college students in Shanghai selected by convenience sampling. Participants were assigned to BPD trait or non-BPD trait groups based on PAI-BOR scores. The risk of psychological crisis and influencing factors of the 2 groups were analyzed. Results A total of 323 valid questionnaires were collected. The average age of the participants was (21.39±2.98) years old, and 164 participants were male and 159 were female. The detection rate of borderline personality disorder traits was 19.20% (62/323). There were significant differences in family relationship, experiences of major changes, difficulties in emotion regulation, impulsivity and depression between the 2 groups (all P＜0.05). The detection rates of mild psychological crisis and severe psychological crisis were significantly higher in the BPD trait group than in the non-BPD trait group (both P＜0.001). Stepwise multinomial logistic regression analysis showed that sensation seeking and difficulties in emotion regulation were risk factors for mild psychological crisis in the BPD trait group (both P＜0.05), and sensation seeking and history of mental disorders in close relatives were risk factors for severe psychological crisis in the BPD trait group (both P＜0.05). Conclusion BPD traits in college students are associated with the risk of psychological crisis. Sensation seeking, difficulties in emotion regulation, and history of mental disorders in close relatives are risk factors of psychological crisis among students with BPD traits. Colleges and universities should put more emphasis on the mental health of students with BPD traits, and formulate targeted preventive measures. |
| Key words: college students borderline personality disorder psychological crisis personality traits risk factors |
