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Social role dysfunction and coping in borderline personality disorder.
Personality and Mental Health ( IF 2.0 ) Pub Date : 2020-02-13 , DOI: 10.1002/pmh.1476
Emma M Carlson 1 , Daniel W Cox 1 , David Kealy 2 , Alexander L Chapman 3 , John S Ogrodniczuk 2
Affiliation  

Individuals with borderline personality disorder (BPD) often experience deficits in social role functioning, which encompasses the ability to adhere to socially defined rules and norms of behaviour. Additionally, research suggests that coping styles influence the way individuals with BPD manage stress and that symptom presentation and functioning in individuals with BPD vary across genders. This study sought to explore these variables via moderated mediation, investigating the mediating influence of coping styles on the association between BPD symptoms and social role dysfunction and if these associations were further moderated by gender. Participants (N = 233) were outpatients attending a programme for personality dysfunction. Participants completed measures of BPD symptoms, coping styles and social role dysfunction. Moderated mediation indicated that for women, emotion‐oriented coping and social diversion‐oriented coping mediated the association between BPD symptoms and social dysfunction. While BPD symptoms were positively associated with emotion coping, which was positively associated with social role dysfunction, BPD symptoms were negatively associated with social diversion coping, which was negatively associated with social role dysfunction. For men, coping did not mediate the association between BPD symptoms and social role dysfunction. Our findings may indicate that social support and a healthy social network may play an important part in the ongoing social role functioning of women with BPD. From this, potential early therapeutic interventions targeting safe social engagement in times of stress may decrease the pervasive and persistent nature of social dysfunction in BPD. © 2020 John Wiley & Sons, Ltd.

中文翻译:

交际型人格障碍中的社会角色功能障碍和应对。

患有边缘性人格障碍(BPD)的个人经常会在社交角色运作中遇到缺陷,这包括遵守社会定义的行为规则和规范的能力。此外,研究表明,应对方式会影响BPD个体应对压力的方式,并且BPD个体的症状表现和功能因性别而异。这项研究试图通过中度调解来探讨这些变量,调查应对方式对BPD症状与社会角色功能障碍之间的关联的调解影响,以及是否通过性别进一步调解这些关联。参加人数 = 233)是参加人格障碍计划的门诊病人。参与者完成了BPD症状,应对方式和社会角色功能障碍的测量。适度的调解表明,对于女性而言,情绪导向的应对和社交转移导向的应对介导了BPD症状与社会功能障碍之间的关联。BPD症状与情绪应对呈正相关,与社交角色功能障碍呈正相关,而BPD症状与社交转移应对负相关,与社交角色功能障碍呈负相关。对于男性而言,应对并没有调解BPD症状与社会角色功能障碍之间的关联。我们的发现可能表明,社会支持和健康的社交网络可能在BPD妇女持续的社会角色运作中发挥重要作用。由此看来,针对压力时安全的社会参与的潜在早期治疗干预措施可能会降低BPD中社会功能障碍的普遍性和持续性。分级为4 +©2020 John Wiley&Sons,Ltd.
更新日期:2020-02-13
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