| 袁珍,王丽丽.边缘型人格障碍患者感知婚姻冲突、生命意义感与自杀意念的关系[J].四川精神卫生杂志,2021,34(5):454-458.Yuan Zhen,Wang Lili,Correlation among perception of interparental conflict， meaning in life and suicidal ideation in patients with borderline personality disorder[J].SICHUAN MENTAL HEALTH,2021,34(5):454-458 |
| 边缘型人格障碍患者感知婚姻冲突、生命意义感与自杀意念的关系 |
| Correlation among perception of interparental conflict， meaning in life and suicidal ideation in patients with borderline personality disorder |
| 投稿时间：2021-06-01 |
| DOI：10.11886/scjsws20210601001 |
| 中文关键词: 自杀意念 边缘型人格障碍 感知婚姻冲突 生命意义感 |
| 英文关键词:Suicidal ideation Borderline personality disorder Perception of interparental conflict Meaning in life |
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| 中文摘要: |
| 目的 探讨边缘型人格障碍患者感知婚姻冲突、生命意义感与自杀意念的关系。方法 于2017年6月-2020年12月在临沂市第四人民医院精神科和心理咨询门诊连续入组符合《精神障碍诊断与统计手册（第5版）》（DSM-5）诊断标准的边缘型人格障碍患者90例作为研究组，连续入组某高校大一到大三学生90人作为对照组，研究组和对照组均接受儿童感知婚姻冲突量表（CPIC）和生命意义感量表中文修订版（MLQ-C）评定，研究组同时接受自杀意念自评量表（SIOSS）评定。结果 研究组CPIC各因子评分及总评分均高于对照组，差异均有统计学意义（t=-2.863~3.728，P<0.05或0.01），MLQ-C各因子评分及总评分均低于对照组，差异均有统计学意义（t=-2.981~4.197，P<0.05或0.01）。研究组CPIC各因子评分及总评分与SIOSS各因子评分及总评分均呈正相关（r=0.513~0.972，P均<0.01）；MLQ-C各因子评分及总评分与SIOSS因子评分及总评分均呈负相关（r=-0.594~-0.237，P<0.05或0.01）。CPIC冲突特征、威胁认知因子及MLQ-C拥有意义因子对自杀意念有预测作用（P均<0.05），可解释方差变异的59.0%。生命意义感在感知婚姻冲突和自杀意念之间起部分中介作用（β=0.124，P<0.01），中介效应占总效应的25.11%。结论 感知婚姻冲突、生命意义感是边缘型人格障碍患者自杀意念的预测因子，感知婚姻冲突可通过生命意义感间接影响自杀意念。 |
| 英文摘要: |
| Objective To explore the relationship among the perception of interparental conflict， meaning in life and suicidal ideation in patients with borderline personality disorder.Methods A total of 90 borderline personality disorder patients who visited the Psychiatry or Psychological Counseling Department of the Fourth People’s Hospital of Linyi from June 2017 to December 2020 were enrolled as study group. All patients met diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders， fifth edition， （DSM-5）. Meantime， another 90 freshmen， sophomores and juniors from a university were set as control group. All selected individuals were assessed using Children's Perception of Interparental Conflict Scale （CPIC） and Meaning in Life Questionnaire Chinese Version （MLQ-C）， then Self-rating Idea of Suicide Scale （SIOSS） was utilized in study group to evaluate the suicidal ideation.Results Compared with control group， study group had significantly higher total score and each dimension score of CPIC （t=-2.863~4.728， P<0.05 or 0.01） and lower total score and each dimension score of MLQ-C （t=-2.981~3.197， P<0.05 or 0.01）. The total score and each dimension score of CPIC in study group were positively correlated with the total score and each dimension score of SIOSS （r=0.513～0.972， P<0.01）， and total score and each dimension score of MLQ-C were negatively correlated with total score and each dimension score of SIOSS （r=-0.594~-0.237， P<0.05 or 0.01）. The conflict properties and threat items in CPIC and presence of meaning in MLQ-C had predictive value for suicidal ideation （P<0.05）， which accounted for 59.0% of the total variance altogether. Meaning in life played a partial mediating role between perception of interparental conflict and suicidal ideation（β=0.124， P<0.01）， accounting for 25.11% of the total effect.Conclusion Perception of interparental conflict and meaning in life are predictors of suicidal ideation in patients with borderline personality disorder， and the perception of interparental conflict may indirectly affect suicidal ideation through meaning in life. |
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