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边缘型人格障碍中对个人相关词汇的注意偏向与共病的创伤后应激障碍密切相关。

Attentional bias to personally relevant words in borderline personality disorder is strongly related to comorbid posttraumatic stress disorder.

作者信息

Wingenfeld Katja, Mensebach Christoph, Rullkoetter Nina, Schlosser Nicole, Schaffrath Camille, Woermann Friedrich G, Driessen Martin, Beblo Thomas

机构信息

University Medical Center Hamburg-Eppendorf, Department of Psychosomatic Medicine & Psychotherapie, Hamburg, Germany.

出版信息

J Pers Disord. 2009 Apr;23(2):141-55. doi: 10.1521/pedi.2009.23.2.141.

Abstract

Current research indicates altered inhibitory functioning in borderline personality disorder (BPD). The emotional stroop task is a widely used method for investigating inhibition of interference. In the present study we used an individualized version of the emotional stroop task to investigate inhibitory functioning in BPD with respect not only to valence but also to personal relevance of the stimuli. Thirty-one BPD patients and 49 healthy controls performed the individual emotional stroop task that consisted of (1) words related to personal negative life events that were currently relevant (2) words related to personal negative life events that were not currently relevant, (3) negative words that were not personally relevant, and (4) neutral words. BPD patients showed greater interference only for words related to personal negative life events with current relevance. A comparison between BPD patients with and without posttraumatic stress disorder (PTSD) revealed reduced inhibitory functioning only in BPD patients with PTSD. Inhibition of interference in BPD patients seems not to be altered in general but is exclusively disturbed in those with comorbid PTSD when highly relevant personal factors are the focus of attention.

摘要

当前研究表明边缘型人格障碍(BPD)患者存在抑制功能改变。情绪Stroop任务是一种广泛用于研究干扰抑制的方法。在本研究中,我们使用了情绪Stroop任务的个体化版本,不仅从效价方面,还从刺激的个人相关性方面来研究BPD患者的抑制功能。31名BPD患者和49名健康对照者完成了个体化情绪Stroop任务,该任务包括:(1)与当前相关的个人负面生活事件相关的词语;(2)与当前不相关的个人负面生活事件相关的词语;(3)与个人无关的负面词语;(4)中性词语。BPD患者仅在与当前相关的个人负面生活事件相关的词语上表现出更大的干扰。对有创伤后应激障碍(PTSD)和无PTSD的BPD患者进行比较发现,只有伴有PTSD的BPD患者抑制功能降低。BPD患者的干扰抑制总体上似乎没有改变,但当高度相关的个人因素成为关注焦点时,共病PTSD的患者的干扰抑制会受到专门干扰。

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