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边缘型人格、认知情绪调节与人际问题对双相障碍患者自杀意念的影响

The Effects of Borderline Personality, Cognitive Emotion Regulation and Interpersonal Problems on Suicidal Ideation in Patients with Bipolar Disorder

心理咨询理论与实践 / 2024,6(4)：123-130 / 2024-05-07 229 215

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• 作者： 杨红¹      ²      罗岚¹      胡茂荣¹      ²      王姣姣¹      ²      梁思敏¹      袁新¹      罗诗萍¹     
• 单位：

  1. 江西中医药大学人文学院，南昌；
  2. 南昌大学第一附属医院心身医学科，南昌

• 关键词： 边缘型人格；认知情绪调节；人际问题；自杀意念；双相障碍
• Marginal personality; Cognitive emotion egulation; Interpersonal issues; Suicidal ideation; Bipolar disorder
• 摘要： 目的：探讨边缘型人格对双相障碍抑郁发作患者自杀意念的影响及其内部心理机制作用。方法：采用贝克抑郁量表第2版（BDI-II）、人格诊断问卷（PDQ-4+）、贝克自杀意念量表（BSI-CV）、认知情绪调节问卷（CERQ）和人际问题量表（IIP-32）对南昌市某医院274名双相障碍患者进行问卷调查。采用SPSS软件和PROCESS插件进行数据分析处理。结果：边缘型人格、认知情绪非适应性调节、人际问题与自杀意念呈正相关（r=0.537、0.454、0.432，p<0.001），边缘型人格与认知情绪非适应性调节、人际问题呈正相关（r=0.523、0.520，p<0.001），认知情绪非适应性调节与人际问题呈正相关（r=0.523，p<0.001）；认知情绪非适应性调节与人际问题在边缘型人格与自杀意念之间分别起单独中介作用（效应值分别为0.661、0.312），认知情绪非适应性调节和人际问题在边缘型人格与自杀意念之间起链式中介作用（效应值为0.161）。结论：边缘型人格不仅可以直接影响双相障碍抑郁发作患者自杀意念，还可以通过认知情绪非适应性调节和人际问题的单独中介作用与链式中介作用影响双相障碍抑郁发作患者自杀意念。
• Objective: To explore the effect of borderline personality on suicidal ideation in patients with bipolar depression and its internal psychological mechanism. Methods: A total of 274 patients with bipolar disorder in a hospital in Nanchang were investigated by Beck Depression Inventory-II (BDI-II), Personality Diagnostic Questionnaire (PDQ-4+), Beck Scale for Suicide Ideation (BSI-CV), Cognitive Emotion Regulation Questionnaire (CERQ) and Interpersonal Problem Scale (IIP-32). SPSS soffware and PROCESS plug-in were used for data analysis and processing. Results: Borderline personality, cognitive emotional maladaptive regulation and interpersonal problems were positively correlated with suicidal ideation (r=0.537, 0.454, 0.432, p<0.001). Borderline personality was positively correlated with cognitive emotional maladaptive regulation and interpersonal problems (r=0.523, 0.520, p<0.001). Cognitive emotional maladaptive regulation was positively correlated with interpersonal problems (r=0.523, p<0.001). Cognitive emotional maladaptive regulation and interpersonal problems played a separate mediating role between borderline personality and suicidal ideation (effect values were 0.661 and 0.312). Cognitive emotional maladaptive regulation and interpersonal problems played a chain mediating role between borderline personality and suicidal ideation (effect value was 0.161). Conclusion: Borderline personality can not only directly affect suicidal ideation in patients with bipolar depressive episodes, but also affect suicidal ideation in patients with bipolar depressive episodes through the individual mediating role and chain mediating role of cognitive emotional maladaptive regulation and interpersonal problems.
• DOI： https://doi.org/10.35534/tppc.0604016
• 引用： 杨红，罗岚，胡茂荣，等．边缘型人格、认知情绪调节与人际问题对双相障碍患者自杀意念的影响［J］．心理咨询理论与实践．2024．6（4）：123-130.