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健康人群、边缘型人格障碍患者和注意缺陷多动障碍患者的冲动维度。

Dimensions of Impulsivity in Healthy People, Patients with Borderline Personality Disorder, and Patients with Attention-Deficit/Hyperactivity Disorder.

机构信息

Masaryk University, Brno, Czech Republic.

University Hospital Brno, Czech Republic.

出版信息

J Atten Disord. 2021 Feb;25(4):584-595. doi: 10.1177/1087054718822121. Epub 2019 Jan 10.

DOI:10.1177/1087054718822121
PMID:30628513
Abstract

Impulsivity, observed in patients with various psychiatric disorders, is a heterogeneous construct with different behavioral manifestations. Through confirmatory factor analysis (CFA), this study tests hypotheses about relationships between dimensions of impulsivity measured using personality questionnaires and behavioral tests. : The study included 200 healthy people, 40 patients with borderline personality disorder, and 26 patients with attention-deficit/hyperactivity disorder (ADHD) who underwent a comprehensive impulsivity test battery including the Barratt Impulsiveness Scale (BIS), UPPS-P Impulsive Behavior Scale, a Go-NoGo task, a stop-signal task, and a delay discounting task. : A CFA model comprising three self-reported and three behavioral latent variables reached a good fit. Both patient groups scored higher in the self-reported dimensions and impulsive choice; only the ADHD patients displayed impaired waiting and stopping impulsivity. : Using the developed CFA model, it is possible to describe relations between impulsivity dimensions and show different impulsivity patterns in patient populations.

摘要

冲动性在各种精神障碍患者中都有观察到,是一种具有不同行为表现的异质结构。本研究通过验证性因素分析(CFA)检验了使用人格问卷和行为测试测量的冲动性维度之间关系的假设。研究包括 200 名健康人、40 名边缘型人格障碍患者和 26 名注意力缺陷/多动障碍(ADHD)患者,他们接受了包括巴瑞特冲动量表(BIS)、UPPS-P 冲动行为量表、Go-NoGo 任务、停止信号任务和延迟折扣任务在内的综合冲动性测试。一个包含三个自我报告和三个行为潜在变量的 CFA 模型达到了较好的拟合。两个患者组在自我报告维度和冲动选择上的得分都较高;只有 ADHD 患者表现出等待和停止冲动性受损。使用所开发的 CFA 模型,可以描述冲动性维度之间的关系,并显示患者群体中不同的冲动性模式。

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