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[使用国际情感图片系统研究精神障碍中的情感调节障碍]

[The use of the International Affective Picture System for the study of affective dysregulation in mental disorders].

作者信息

Jayaro C, de la Vega I, Díaz-Marsá M, Montes A, Carrasco J L

机构信息

Servicio de Psiquiatría, Hospital Clínico San Carlos, Madrid.

出版信息

Actas Esp Psiquiatr. 2008 May-Jun;36(3):177-82.

PMID:18478458
Abstract

INTRODUCTION

The International Affective Picture System (IAPS) uses a series of emotional, normative and internationally accessible pictorial stimuli and is considered to be the most reliable and valid system in the experimental study of emotions. The IAPS has been used in research on mental disorders such as schizophrenia, major depression, anxiety or psychopathic personality traits. Furthermore, it is frequently used as independent variable in neuroimaging studies. Some of the approaches to borderline personality disorder consider that the fundamental psychopathological element in these subjects is affective dysregulation, from which the principal symptoms such as intolerance to frustration, reactivity or dysphoria are derived. This review paper has aimed to gather and analyze the information on the study of emotional regulation and the use of the IAPS in the different mental disorders.

METHODS

A review is made of the different data bases of the studies published in the general population and in the clinical populations as well as of the internal characteristics of the test.

RESULTS

In agreement with the results described in the studies reviewed, the IAPS seems capable of defining specific responses to stimuli in different mental disorders, including mood disorders and schizophrenia.

CONCLUSIONS

In conclusion, the use of the IAPS in the study of borderline personality disorder could be of interest for the understanding and treatment of borderline personality disorder in which emotional dysregulation is a principal factor.

摘要

引言

国际情绪图片系统(IAPS)使用一系列具有情感性、规范性且国际通用的图片刺激,被认为是情绪实验研究中最可靠、有效的系统。IAPS已被用于精神分裂症、重度抑郁症、焦虑症或精神病态人格特质等精神障碍的研究。此外,它还经常在神经影像学研究中用作自变量。一些关于边缘型人格障碍的研究方法认为,这些患者的基本心理病理因素是情感失调,由此衍生出诸如不耐受挫折、反应性或烦躁不安等主要症状。这篇综述旨在收集和分析关于情绪调节研究以及IAPS在不同精神障碍中的应用的信息。

方法

对在普通人群和临床人群中发表的研究的不同数据库以及该测试的内部特征进行综述。

结果

与所综述研究中描述的结果一致,IAPS似乎能够界定不同精神障碍(包括情绪障碍和精神分裂症)对刺激的特定反应。

结论

总之,IAPS在边缘型人格障碍研究中的应用对于理解和治疗以情感失调为主要因素的边缘型人格障碍可能具有重要意义。

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