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边缘型人格障碍中的冲动性与情绪调节障碍

Impulsivity and emotion dysregulation in Borderline Personality Disorder.

作者信息

Chapman Alexander L, Leung Debbie W, Lynch Thomas R

机构信息

Department of Psychology, Simon Fraser University, Burnaby, BC, Canada.

出版信息

J Pers Disord. 2008 Apr;22(2):148-64. doi: 10.1521/pedi.2008.22.2.148.

Abstract

This study examined the association of borderline personality disorder (BPD) and negative emotional states with impulsivity in the laboratory. Undergraduate participants who were high in BPD features (high-BPD; n = 39) and controls who were low in BPD features (low-BPD; n = 56) completed measures of negative emotional state before a laboratory measure of impulsivity--a passive avoidance learning task. Controlling for psychopathology, high-BPD participants committed a greater number of impulsive responses than did low-BPD participants. Negative emotional state moderated the effect of BPD on impulsive responses. High-BPD participants who were in a negative emotional state committed fewer impulsive responses than high-BPD participants who were low in negative emotional state. Fear, nervousness, and shame negatively correlated with impulsivity among high-BPD participants but not among low-BPD participants. In addition, high-BPD participants reported greater emotion dysregulation in a variety of domains, compared with low-BPD participants.

摘要

本研究在实验室环境中考察了边缘型人格障碍(BPD)及负面情绪状态与冲动性之间的关联。具有高BPD特征的本科参与者(高BPD组;n = 39)和具有低BPD特征的对照组(低BPD组;n = 56)在一项冲动性的实验室测量——被动回避学习任务之前,完成了负面情绪状态的测量。在控制精神病理学因素后,高BPD参与者比低BPD参与者做出了更多的冲动反应。负面情绪状态调节了BPD对冲动反应的影响。处于负面情绪状态的高BPD参与者比处于低负面情绪状态的高BPD参与者做出的冲动反应更少。在高BPD参与者中,恐惧、紧张和羞耻与冲动性呈负相关,但在低BPD参与者中并非如此。此外,与低BPD参与者相比,高BPD参与者在多个领域报告了更严重的情绪失调。

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