본 연구는 경계성 성격장애 환자에서 자살을 시도한 군과 시도하지 않은 군 사이에 심리적 특성의 차이를 알아보고자 한 연구이다. 경계성 성격장애로 진단된 환자 125명을 대상으로 하였으며, 이들 중 자살 시도군은 42명, 자살 비시도군 은 83명이었다. 이들 중 자살 시도를 한 환자는 여성인 경우, MMPI-2 검사 결과에서 비전형 후반부 척도, 부인 척도가 상승되어 있는 경우와 분열 등의 미성숙한 MMPI-2 검사 결과에서 비전형 후반부 척도, 부인 척도가 상승되어 있는 경우와 분열 등의 미성숙한 방어기제를 많이 사용하였다. 본 연구는 후향적 연구이며, 자기 보고식 검사를 사용하고, 외래에 내원한 환자를 대상으로 했다는 점에서 제한점이 있으나 많은 수의 환자를 대상으로 임상 양상, 심리적 특성과 방어기제를 포함한 정신역동적 측면까지 함께 살펴봄으로써 경계성 성격장애 환자들 중 자살 시도 환자들의 심리적 특성을 이해하는데 도움을 준다는 점에서 그 의의를 찾을 수 있다.
본 연구는 경계성 성격장애 환자에서 자살을 시도한 군과 시도하지 않은 군 사이에 심리적 특성의 차이를 알아보고자 한 연구이다. 경계성 성격장애로 진단된 환자 125명을 대상으로 하였으며, 이들 중 자살 시도군은 42명, 자살 비시도군 은 83명이었다. 이들 중 자살 시도를 한 환자는 여성인 경우, MMPI-2 검사 결과에서 비전형 후반부 척도, 부인 척도가 상승되어 있는 경우와 분열 등의 미성숙한 방어기제를 많이 사용하였다. 본 연구는 후향적 연구이며, 자기 보고식 검사를 사용하고, 외래에 내원한 환자를 대상으로 했다는 점에서 제한점이 있으나 많은 수의 환자를 대상으로 임상 양상, 심리적 특성과 방어기제를 포함한 정신역동적 측면까지 함께 살펴봄으로써 경계성 성격장애 환자들 중 자살 시도 환자들의 심리적 특성을 이해하는데 도움을 준다는 점에서 그 의의를 찾을 수 있다.
The purpose of this study was to investigate the differences inpersonality, symptomatic, and psychological characteristics, including defense mechanisms, between those who attempted suicide and those who did not attempt suicide in borderline personality disorder. We enrolled 125 patients with bo...
The purpose of this study was to investigate the differences inpersonality, symptomatic, and psychological characteristics, including defense mechanisms, between those who attempted suicide and those who did not attempt suicide in borderline personality disorder. We enrolled 125 patients with borderline personality disorder based on diagnostic criteria of the Diagnosis and Statistics Manual of Mental Disorders-IV-text revision. 42 patients had a history of one or more suicide attempts and83 patients did not have a history of suicide attempt. We collate the differences in clinical and psychological characteristics between the two groups by using the Symptom Checklist-90-Revised (SCL-90-R), the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), the Personality Disorder Questionnaire-4+(PDQ-4+), and the Defense Style Questionnaire (DSQ). In SCL-90-R, the subscale of hostility was more highly recorded in the patients who had a history of suicide attempt(s). And the Infrequency (F), Back Infrequency [F(B)], Lie (L),Masculinity-femininity (Mf), Paranoia (Pa), Psychasthenia (Pt), Schizophrenia (Sc)scales of the MMPI was recorded higher by the patients who had a history of suicide attempt(s). The incidence of paranoid and antisocial personality disorders (as assessed by the PDQ criteria) was elevated in those patients with histories of suicide attempt(s). In DSQ, maladaptive, self-sacrificingdefense style, splitting of other’s image and affiliation were also higher in those with histories of suicide attempt(s). It is suggested that impulsive psychiatric features and maladaptive defense style could be related to suicidal risk in patients with borderline personality disorder. Therefore, our findings might be valuable in clinical practice, for estimating the suicidal risk of borderline personality disorder patients.
The purpose of this study was to investigate the differences inpersonality, symptomatic, and psychological characteristics, including defense mechanisms, between those who attempted suicide and those who did not attempt suicide in borderline personality disorder. We enrolled 125 patients with borderline personality disorder based on diagnostic criteria of the Diagnosis and Statistics Manual of Mental Disorders-IV-text revision. 42 patients had a history of one or more suicide attempts and83 patients did not have a history of suicide attempt. We collate the differences in clinical and psychological characteristics between the two groups by using the Symptom Checklist-90-Revised (SCL-90-R), the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), the Personality Disorder Questionnaire-4+(PDQ-4+), and the Defense Style Questionnaire (DSQ). In SCL-90-R, the subscale of hostility was more highly recorded in the patients who had a history of suicide attempt(s). And the Infrequency (F), Back Infrequency [F(B)], Lie (L),Masculinity-femininity (Mf), Paranoia (Pa), Psychasthenia (Pt), Schizophrenia (Sc)scales of the MMPI was recorded higher by the patients who had a history of suicide attempt(s). The incidence of paranoid and antisocial personality disorders (as assessed by the PDQ criteria) was elevated in those patients with histories of suicide attempt(s). In DSQ, maladaptive, self-sacrificingdefense style, splitting of other’s image and affiliation were also higher in those with histories of suicide attempt(s). It is suggested that impulsive psychiatric features and maladaptive defense style could be related to suicidal risk in patients with borderline personality disorder. Therefore, our findings might be valuable in clinical practice, for estimating the suicidal risk of borderline personality disorder patients.
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