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反社会型人格障碍和精神病态特征在耐痛中的独特作用。

Unique roles of antisocial personality disorder and psychopathic traits in distress tolerance.

机构信息

Department of Psychology, University of Maryland, College Park, MD 20742, USA.

出版信息

J Abnorm Psychol. 2011 Nov;120(4):987-92. doi: 10.1037/a0024161. Epub 2011 Jun 13.

Abstract

Previous research indicates that individuals with antisocial personality disorder (ASPD) evidence low distress tolerance, which signifies impaired ability to persist in goal-directed behavior during an aversive situation, and is associated with a variety of poor interpersonal and drug use outcomes. Based on theory and research indicating that psychopathic traits are associated with hypo-reactivity in emotional responding, a unique hypothesis emerges where psychopathic traits should have the opposite effect of ASPD and be related to high levels of distress tolerance. In a sample of 107 substance-dependent patients in an inner-city substance use residential treatment facility, this hypothesis was supported. ASPD was related to lower distress tolerance, while psychopathic traits were related to higher distress tolerance, with each contributing unique variance. Findings are discussed in relation to different presentations of distress tolerance as a function of psychopathic traits among those with an ASPD diagnosis.

摘要

先前的研究表明,反社会人格障碍(ASPD)患者的痛苦耐受力较低,这意味着他们在面对不愉快的情况时,坚持目标导向行为的能力受损,并且与各种不良的人际关系和药物使用结果有关。基于理论和研究表明,精神病态特征与情绪反应的低反应性有关,因此出现了一个独特的假设,即精神病态特征应该与 ASPD 的作用相反,与高水平的痛苦耐受力有关。在一个位于市中心的药物使用住院治疗机构的 107 名药物依赖患者样本中,该假设得到了支持。ASPD 与较低的痛苦耐受力有关,而精神病态特征与较高的痛苦耐受力有关,两者都有独特的差异。研究结果与 ASPD 诊断人群中精神病态特征作为痛苦耐受力的不同表现进行了讨论。

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