Dukalski Bibiana, Quirin Markus, Kersting Anette, Suslow Thomas, Donges Uta-Susan
Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Leipzig, Germany.
Department of Psychology, University of Osnabrück, Osnabrück, Germany.
Riv Psichiatr. 2017 Mar-Apr;52(2):83-89. doi: 10.1708/2679.27444.
It has been argued that borderline personality disorder (BPD) is related to an enhanced affective reactivity. According to findings from research based on self-report, individuals with BPD develop and feel more negative and less positive affect than healthy individuals. Implicit affectivity, which can be measured using indirect assessment methods, relates to processes of the impulsive, intuitive system. In the present study, implicit and explicit affectivity was examined in patients suffering from BPD compared to healthy persons.
Thirty-five women with BPD and 35 healthy women participated in the study. Implicit affectivity was assessed using the Implicit Positive and Negative Affect Test (IPANAT). Measures of explicit state and trait affectivity were also administered.
BPD women had lower explicit positive state and trait affect scores and higher negative state and trait affect scores than healthy women. They had also lower implicit positive affect but they did not differ from healthy women regarding implicit negative affect. Total number of comorbid disorders was correlated with both implicit positive and implicit negative affect.
According to our data, BPD patients exhibit reduced implicit positive affect as well as reduced explicit positive affect compared to healthy persons. According to our IPANAT data, BPD patients are characterized by a normal disposition to develop negative affective reactions which is in line with a number of findings from psycho-physiological research on BPD. Self-reports of negative affectivity in BPD could be biased by negative distortion.
有人认为边缘型人格障碍(BPD)与增强的情感反应性有关。根据基于自我报告的研究结果,与健康个体相比,BPD患者产生并感受到更多的消极情绪和更少的积极情绪。内隐情感性可以通过间接评估方法来测量,它与冲动、直觉系统的过程有关。在本研究中,对BPD患者与健康个体的内隐和外显情感性进行了检查。
35名患有BPD的女性和35名健康女性参与了该研究。使用内隐积极和消极情感测试(IPANAT)评估内隐情感性。还进行了外显状态和特质情感性的测量。
与健康女性相比,BPD女性的外显积极状态和特质情感得分较低,消极状态和特质情感得分较高。她们的内隐积极情感也较低,但在内隐消极情感方面与健康女性没有差异。共病障碍的总数与内隐积极情感和内隐消极情感均相关。
根据我们的数据,与健康个体相比,BPD患者表现出内隐积极情感和外显积极情感的降低。根据我们的IPANAT数据,BPD患者的特征是具有产生消极情感反应的正常倾向,这与关于BPD的心理生理学研究的一些发现一致。BPD中消极情感性的自我报告可能因消极扭曲而有偏差。