关注青少年心理健康，为预防和治疗青少年边缘型人格特征和抑郁症状提供科学依据

Bidirectional relationship between borderline personality features and depressive symptoms in early adolescence: A school-based cohort study

青春期早期边缘型人格特征与抑郁症状的双向关系:一项基于学校的队列研究

Author: Shaojie Wang, Lulu Fang, Yuan Li, Leilei Cao, Gengfu Wang, Juan Chen, Puyu Su

Source: J Psychiatr Res. 

DOI: 10.1016/j.jpsychires.2024.02.021

Abstract

Depressive symptoms is a public health concern worldwide, and adolescents may experience more depressive symptoms. Although the relationship between borderline personality features (BPFs) disorder and depressive symptoms has been established, it is unclear whether the longitudinal relationship between them is unidirectional or bidirectional and whether these symptoms are different between boys and girls. In this study, Chinese adolescents (1608 total and separately 972 for boys and 636 girls) were enrolled between September 2019 and September 2021, and we analyzed the data using a cross-lagged model. The results suggested a bidirectional relationship between BPFs and depressive symptoms in boys (β = 0.191 and 0.117, P < 0.001). However, in girls, depressive symptoms were predicted based on BPFs (β = 0.225, P < 0.001), whereas BPFs were not predicted based on depressive symptoms (β = 0.035, P = 0.535). The findings suggest that borderline personality traits and depressive symptoms are only bilaterally associated in girls, which also provides important evidence for the treatment and prevention of adolescent BPFs and depressive symptoms.

Keywords: Depressive Symptoms; Borderline Personality Disorder; Adolescents; Sex Difference; Bidirectional Relationship

摘要

抑郁症状是全球关注的公共健康问题，而青少年可能会出现更多的抑郁症状。虽然边缘型人格特征（BPFs）障碍与抑郁症状之间的关系已经确立，但它们之间的纵向关系是单向还是双向，以及这些症状在男生和女生之间是否存在差异还尚不清楚。在本研究中，我们在2019年9月至2021年9月期间对中国青少年（共1608人，其中男生972人，女生636人）进行了登记，并采用交叉滞后模型对数据进行了分析。结果表明，男生的 BPFs 与抑郁症状之间存在双向关系（β = 0.191 和 0.117，P < 0.001）。然而，在女生中，抑郁症状是根据 BPFs 预测的（β = 0.225，P < 0.001），而 BPFs 不是根据抑郁症状预测的（β = 0.035，P = 0.535）。研究结果表明，边缘型人格特征和抑郁症状仅在女孩中存在双侧关联，这也为治疗和预防青少年边缘型人格特征和抑郁症状提供了重要证据。