Rosenbach Charlotte, Renneberg Babette
Freie Universität Berlin, Department of Education and Psychology, Clinical Psychology and Psychotherapy, Habelschwerdter Allee 45, D-14195 Berlin, Germany.
Freie Universität Berlin, Department of Education and Psychology, Clinical Psychology and Psychotherapy, Habelschwerdter Allee 45, D-14195 Berlin, Germany.
J Behav Ther Exp Psychiatry. 2015 Mar;46:85-92. doi: 10.1016/j.jbtep.2014.09.002. Epub 2014 Sep 10.
High levels of rejection sensitivity are assumed to be the result of early and prolonged experiences of rejection. Aim of this study was to investigate autobiographical memories of rejection in clinical samples high in rejection sensitivity (Borderline Personality Disorder, BPD, and Major Depressive Disorder, MDD) and to identify group differences in the quality of the memories.
Memories of rejection were retrieved using an adapted version of the Autobiographical Memory Test (AMT; five positive cue words, five cue words referring to rejection). Specificity of memories and linguistic word usage was analyzed in 30 patients with BPD, 27 patients with MDD and 30 healthy controls.
Patients with BPD retrieved less specific memories compared to the healthy control group, whereas patients with MDD did not differ from controls in this regard. The group difference was no longer significant when controlling for rejection sensitivity. Linguistic analysis indicated that compared to both other groups, patients with BPD showed a higher self-focus, used more anger-related words, referred more frequently to social environments, and rated memories of rejection as more relevant for today's life.
Clinical symptoms were not assessed in the control group. Moreover, the written form of the AMT might reduce the total number of specific memories.
The level of rejection sensitivity influenced the specificity of the retrieved memories. Analysis of linguistic styles revealed specific linguistic patterns in BPD compared to non-clinical as well as depressed participants.
高水平的拒绝敏感性被认为是早期和长期经历拒绝的结果。本研究的目的是调查高拒绝敏感性临床样本（边缘性人格障碍、BPD，和重度抑郁症、MDD）中拒绝的自传体记忆，并确定记忆质量的组间差异。
使用自传体记忆测试（AMT）的改编版本（五个积极提示词、五个指拒绝的提示词）来检索拒绝记忆。对30名BPD患者、27名MDD患者和30名健康对照者的记忆特异性和语言词汇使用情况进行了分析。
与健康对照组相比，BPD患者检索到的特定记忆较少，而MDD患者在这方面与对照组没有差异。在控制拒绝敏感性后，组间差异不再显著。语言分析表明，与其他两组相比，BPD患者表现出更高的自我关注，使用更多与愤怒相关的词汇，更频繁地提及社会环境，并将拒绝记忆评为与当今生活更相关。
对照组未评估临床症状。此外，AMT的书面形式可能会减少特定记忆的总数。
拒绝敏感性水平影响了检索到的记忆的特异性。与非临床以及抑郁参与者相比，语言风格分析揭示了BPD患者的特定语言模式。
