Somma Antonella, Ferrara Mauro, Terrinoni Arianna, Frau Claudia, Ardizzone Ignazio, Sharp Carla, Fossati Andrea
1Faculty of Psychology, Vita-Salute San Raffaele University, via Stamira d'Ancona 20, 20127 Milan, Italy.
2Department of Human Neurosciences, Sapienza University of Rome, Via dei Sabelli, 108, 00185 Rome, Italy.
Borderline Personal Disord Emot Dysregul. 2019 Apr 10;6:5. doi: 10.1186/s40479-019-0104-5. eCollection 2019.
Extant literature indicates that Borderline Personality Disorder (BPD) may be reliably assessed in adolescence. Sharp and colleagues' (2011) suggested that mentalization could be an important early target for intervention in BPD adolescents and showed that hypermentalizing may represent an important marker to distinguish emerging BPD from adolescent turmoil. We aimed at testing if both dimensionally-assessed and categorically-diagnosed BPD was selectively associated with hypermentalizing errors on the Movie for the Assessment of Social Cognition (MASC) task in Italian adolescent inpatients and community adolescents.
The sample was composed of 58 Italian adolescents who were consecutively admitted to an adolescent psychiatry unit in Rome, Italy. BPD was assessed using the Structured Clinical Interview for Personality Disorders (SCID-5-PD); the MASC task was used to assess mentalizing. Findings supported the hypothesis of a specific link between BPD features and hypermentalizing in adolescent inpatients. Both dimensionally-assessed and categorically-assessed BPD showed significant and non-negligible associations with hypermentalizing. The overall performance on the MASC task significantly discriminated BPD adolescents from Italian community-dwelling adolescents.
Our findings supported the hypothesis that specific deficits in mentalization-namely, hypermentalizing-may play a crucial role in the developmental pathway leading to emerging BPD in adolescence.
现有文献表明，边缘型人格障碍（BPD）在青少年时期可能得到可靠评估。夏普及其同事（2011年）提出，心理化可能是BPD青少年早期干预的一个重要目标，并表明过度心理化可能是区分新兴BPD与青少年动荡的一个重要标志。我们旨在测试在意大利青少年住院患者和社区青少年中，维度评估和分类诊断的BPD是否与用于社会认知评估的电影（MASC）任务中的过度心理化错误存在选择性关联。
样本由58名意大利青少年组成，他们连续入住意大利罗马的一个青少年精神病科病房。使用《精神障碍诊断与统计手册》第五版人格障碍结构化临床访谈（SCID-5-PD）评估BPD；使用MASC任务评估心理化。研究结果支持了青少年住院患者中BPD特征与过度心理化之间存在特定联系的假设。维度评估和分类评估的BPD均与过度心理化表现出显著且不可忽视的关联。MASC任务的整体表现显著区分了BPD青少年与意大利社区青少年。
我们的研究结果支持了以下假设，即心理化方面的特定缺陷——即过度心理化——可能在导致青少年时期新兴BPD的发展途径中起关键作用。
