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  • 學位論文

年輕成人不同程度之邊緣性人格症狀其精神健康之差異

Differences in Mental Health Among Young Adults With Borderline Personality Symptoms of Various Severities

指導教授 : 顏正芳

摘要


研究目的:本研究探討具不同程度之邊緣性人格症狀的年輕成人其精神健康之差異。 研究方法:共五百位大學生參與此研究。以台灣版之Borderline Symptom List (BSL-23)評估受試者之邊緣性人格症狀,精神健康情形則使用Symptom Checklist-90-Revised Scale評估之,自殺傾向及行為問題則由Kiddie Schedule for Affective Disorders and Schizophrenia以及BSL-23之附錄評估。根據BSL-23分數之第25,50, 75百分位,受試者分為四組: 無/輕微, 中度, 嚴重, 極重。各組間之精神健康及行為問題之差異使用變異數分析及卡方檢定加以比較。 研究結果:四組之間其精神健康問題差異皆達到顯著。幾乎所有精神健康問題之嚴重程度隨著邊緣性人格症狀分數增加而加重。大多數行為問題之比例於四組之間也達顯著差異。其中,相較其他三組,極重組較多具有行為問題。 結論:年輕成人其邊緣性人格症狀嚴重程度越高,其精神健康及行為問題也越嚴重。

並列摘要


Purpose: This study examined the differences in mental health and behavioral problems among young adults with borderline personality symptoms of various severities. Method: 500 college students participated in this study. Borderline personality symptoms were evaluated using the Taiwanese version of the Borderline Symptom List (BSL-23). Mental health problems were assessed using the Symptom Checklist-90-Revised Scale. Suicidality and other behavioral problems were assessed using questions from the epidemiological version of the Kiddie Schedule for Affective Disorders and Schizophrenia and BSL-23 Supplement. According to the distribution of BSL-23 scores at the 25th, 50th, and 75th percentiles, the participants were divided into 4 groups: No/Mild, Moderate, Severe, and Profound. Analysis of variance and the chi-square test were used to compare mental health and behavioral problems among the 4 groups. Results: All mental health problems differed significantly among the 4 groups. The severity of nearly all mental health problems increased with that of borderline personality symptoms. The proportions of most behavioral problems differed significantly among the 4 groups. The Profound group was more likely to have behavioral problems than the other 3 groups. Conclusions: Young adults who had more severe borderline personality symptoms had more severe mental health and behavioral problems.

參考文獻


1.American Psychiatric Association. Diagnostic and statistical manual of mental disorders : DSM-5. 5th ed. Washington, D.C.: American Psychiatric Publishing; 2013.
2.Lenzenweger MF, Lane MC, Loranger AW, Kessler RC. DSM-IV personality disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007;62:553-64.
3.Tomko RL, Trull TJ, Wood PK, Sher KJ. Characteristics of borderline personality disorder in a community sample: comorbidity, treatment utilization, and general functioning. J Pers Disord. 2014;28:734-50.
4.Trull TJ, Jahng S, Tomko RL, Wood PK, Sher KJ. Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders. J Pers Disord. 2010;24:412-26.
5.Grant BF, Chou SP, Goldstein RB, Huang B, Stinson FS, Saha TD, et al. Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2008;69:533-45.

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