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边缘型人格障碍的人际评价偏差。

Interpersonal evaluation bias in borderline personality disorder.

机构信息

Department of Clinical Psychology and Psychotherapy, University of Heidelberg, Hauptstr. 47-51, Heidelberg 69117, Germany.

出版信息

Behav Res Ther. 2009 May;47(5):359-65. doi: 10.1016/j.brat.2009.02.003. Epub 2009 Feb 13.

Abstract

BACKGROUND

The cognitive theory of personality disorders hypothesizes that the emotional dysregulation and interpersonal problems in individuals with borderline personality disorder (BPD) are, at least partially, caused by dysfunctional cognitive schemas. These schemas lead to biased evaluation of environmental and interpersonal stimuli.

METHOD

This study examined the interpersonal evaluations of individuals with BPD, depressive and healthy control participants with the thin-slice judgments paradigm. Participants were asked to evaluate six persons in six film clips, which showed these persons for 10s, during which these persons entered a room and took a seat. Interpersonal style of the BPD group was investigated with the Inventory of Interpersonal Problems (IIP-C) questionnaire.

RESULTS

Individuals with BPD judged the persons as being more negative and aggressive and less positive than the healthy participants, and more aggressive than the depressive individuals. In addition, individuals with BPD reported more extreme interpersonal behavior relative to the controls.

CONCLUSIONS

The findings indicate an aggressivistic evaluation bias and elevated levels of interpersonal problems in individuals with BPD as suggested in the cognitive theory.

摘要

背景

人格障碍的认知理论假设,边缘型人格障碍(BPD)患者的情绪调节和人际关系问题至少部分是由功能失调的认知图式引起的。这些图式导致对环境和人际关系刺激的有偏差的评价。

方法

本研究使用薄片判断范式,考察了 BPD 患者、抑郁患者和健康对照组个体的人际关系评价。要求参与者观看六段时长为 10 秒的电影片段,在这期间,片中人物进入房间并坐下。使用人际关系问题清单(IIP-C)问卷来调查 BPD 组的人际关系风格。

结果

与健康对照组相比,BPD 患者认为片中人物更消极、更具攻击性、不那么积极,而且比抑郁患者更具攻击性。此外,BPD 患者报告的人际关系行为比对照组更为极端。

结论

这些发现表明,BPD 患者存在攻击性评价偏差和更高水平的人际关系问题,这与认知理论的假设一致。

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