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边缘型人格障碍中与拒绝和愤怒相关的解释偏差的实证检验

An Empirical Test of Rejection- and Anger-Related Interpretation Bias in Borderline Personality Disorder.

作者信息

Lobbestael Jill, McNally Richard J

机构信息

Department of Clinical Psychological Science, Maastricht University, Maastricht, The Netherlands.

Department of Psychology, Harvard University, Cambridge, Massachusetts.

出版信息

J Pers Disord. 2016 Jun;30(3):307-19. doi: 10.1521/pedi_2015_29_194. Epub 2015 Apr 20.

Abstract

The authors tested whether borderline personality disorder (BPD) is characterized by interpretation bias for disambiguating stimuli in favor of threatening interpretations, especially concerning abuse, abandonment, rejection, and anger-core emotional triggers for BPD patients. A mixed sample of 106 patients with marked BPD traits and nonpatients were assessed with SCID I and II and were presented with vignettes depicting ambiguous social interactions. Interpretations of these vignettes were assessed both in a closed and an open answer format. Results showed that BPD traits were related to a rejection- (closed and open answer formats) and an anger-related interpretation bias (closed answer option only). Cluster C traits were associated with self-blame interpretations. Aside from further validating the cognitive model of BPD, these findings denote interpretation bias as a key feature in patients with BPD that might contribute to their emotional hyperreactivity and interpersonal problems. These findings also highlight the importance of therapeutically normalizing interpretative bias in BPD and cluster C patients.

摘要

作者们测试了边缘性人格障碍(BPD)是否具有对消除歧义的刺激产生解释偏差的特征,这种偏差倾向于威胁性解释,尤其是涉及虐待、抛弃、拒绝和愤怒——这些是BPD患者的核心情绪触发因素。对106名具有明显BPD特质的患者和非患者的混合样本进行了《精神疾病诊断与统计手册》第一版和第二版的评估,并向他们展示了描绘模糊社交互动的短文。这些短文的解释通过封闭式和开放式回答格式进行评估。结果显示,BPD特质与拒绝相关(封闭式和开放式回答格式)以及愤怒相关的解释偏差(仅封闭式回答选项)有关。C类人格特质与自责性解释相关。除了进一步验证BPD的认知模型外,这些发现表明解释偏差是BPD患者的一个关键特征,这可能导致他们的情绪过度反应和人际问题。这些发现还凸显了在治疗中使BPD和C类人格障碍患者的解释偏差正常化的重要性。

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