Department of Clinical Psychological Science, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands.
Behav Res Ther. 2010 Feb;48(2):116-24. doi: 10.1016/j.brat.2009.09.015. Epub 2009 Oct 7.
Childhood abuse is an important precursor of borderline personality disorder (BPD) and antisocial personality disorder (ASPD). The current study compared the emotional reactivity to abuse-related stress of these patients on a direct and an indirect level. Changes in self-reported affect and schema modes, psychophysiology and reaction time based cognitive associations were assessed following confrontation with an abuse-related film fragment in patients with BPD (n=45), ASPD (n=21), Cluster C personality disorder (n=46) and non-patient controls (n=36). Results indicated a hyperresponsivity of BPD-patients on self-reported negative affect and schema modes, on some psychophysiological indices and on implicit cognitive associations. The ASPD-group was comparable to the BPD group on implicit cognitions but did not show self-reported and physiological hyper-reactivity. These findings suggest that BPD and ASPD-patients are alike in their implicit cognitive abuse-related stress reactivity, but can be differentiated in their self-reported and physiological response patterns.
童年虐待是边缘型人格障碍（BPD）和反社会型人格障碍（ASPD）的重要前兆。本研究从直接和间接两个层面比较了这些患者对与虐待相关的压力的情绪反应。在 BPD 患者（n=45）、ASPD 患者（n=21）、聚类 C 型人格障碍患者（n=46）和非患者对照组（n=36）中，评估了与虐待相关的电影片段后，自我报告的情感和图式模式、心理生理学和基于反应时间的认知关联的变化。结果表明，BPD 患者在自我报告的负面情绪和图式模式、一些心理生理学指标和内隐认知关联上表现出过度反应。ASPD 组与 BPD 组在内隐认知上相当，但没有表现出自报告和生理过度反应。这些发现表明，BPD 和 ASPD 患者在与虐待相关的内隐认知应激反应方面相似，但可以在自我报告和生理反应模式上进行区分。
