Department of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, 560029, India.
Department of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, 560029, India.
Asian J Psychiatr. 2018 Mar;33:105-112. doi: 10.1016/j.ajp.2018.03.010. Epub 2018 Mar 7.
Social cognition deficits have been implicated in the affect regulation and interpersonal difficulties seen in borderline personality disorder (BPD). The study examined patterns of social cognition abilities, using self-report and task-based measures, among individuals diagnosed with BPD.
The sample included a clinical group of 20 patients diagnosed with BPD and 20 age and gender-matched control group participants from the community with no psychiatric diagnosis. The measures included the Mentalization Questionnaire, the Reading the Mind in the Eyes Test and the Social Cognition Rating Tool in Indian Setting.
Results indicated that the clinical group had lower self-reported mentalizing ability. Facial emotion recognition ability was significantly lower for the clinical group, particularly for photographs of the eye region with positive and neutral valences. The clinical group had significantly higher personalizing bias, and greater difficulties in social perception. The two groups did not differ on first and second order theory of mind, recognition of faux pas and externalizing bias.
The results point to the links between social cognition deficits and interpersonal difficulties among persons with BPD. Implications include the need for pre-therapy assessment of the magnitude and patterns of social cognition difficulties in BPD, the development of culturally and ecologically valid assessments and the evaluation of interventions for social cognition vulnerabilities among individuals with BPD.
社会认知缺陷与边缘型人格障碍（BPD）患者的情感调节和人际困难有关。本研究使用基于自我报告和任务的测量方法，检查了 BPD 患者的社会认知能力模式。
该样本包括 20 名被诊断患有 BPD 的临床组患者和 20 名来自社区、无精神诊断且年龄和性别匹配的对照组参与者。测量工具包括心理化问卷、“读心测试”和印度情境下的社会认知评估工具。
结果表明，临床组的自我报告心理化能力较低。临床组对面部情绪识别能力明显较低，尤其是对具有积极和中性效价的眼部区域的照片。临床组的个性化偏见更高，社会知觉困难更大。两组在第一和第二顺序心理理论、识别失礼和外化偏见方面没有差异。
研究结果表明，BPD 患者的社会认知缺陷与人际困难之间存在关联。这意味着需要在治疗前评估 BPD 患者社会认知困难的程度和模式，开发具有文化和生态有效性的评估工具，并评估针对 BPD 患者社会认知脆弱性的干预措施。
