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精神分裂症患者的痛苦容忍度水平似乎与边缘型人格障碍患者相当。

Levels of distress tolerance in schizophrenia appear equivalent to those found in borderline personality disorder.

机构信息

VISN 4 Mental Illness Research, Education, & Clinical Center (MIRECC), VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.

Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.

出版信息

J Clin Psychol. 2020 Sep;76(9):1668-1676. doi: 10.1002/jclp.22944. Epub 2020 Feb 18.

Abstract

OBJECTIVE

Distress tolerance is an important but understudied construct for those with schizophrenia-spectrum disorders. This study compared levels of distress tolerance between people diagnosed with schizophrenia and borderline personality disorder (BPD) to better characterize distress tolerance in schizophrenia-spectrum disorders.

METHOD

Using cross-sectional data, we examined group differences in distress tolerance in people with schizophrenia-spectrum disorders (n = 55) and BPD (n = 32) through mean comparison and equivalence analyses.

RESULTS

Our results indicate that, in our data, distress tolerance did not differ between those with schizophrenia and those with BPD, and was in fact statistically equivalent between groups. In contrast, those with BPD tended to report more difficulty on some aspects of emotion regulation.

CONCLUSION

Findings from this study suggest that increased focus on distress tolerance is called for in research on schizophrenia. Furthermore, people with schizophrenia-spectrum disorders may benefit from interventions targeting distress tolerance.

摘要

目的

对于患有精神分裂谱系障碍的人来说,痛苦耐受力是一个重要但研究不足的概念。本研究比较了精神分裂谱系障碍患者和边缘型人格障碍(BPD)患者之间的痛苦耐受力水平,以更好地描述精神分裂谱系障碍患者的痛苦耐受力。

方法

使用横断面数据,我们通过均值比较和等效性分析,检查了精神分裂谱系障碍患者(n=55)和 BPD 患者(n=32)之间痛苦耐受力的组间差异。

结果

我们的结果表明,在我们的数据中,精神分裂症患者和 BPD 患者之间的痛苦耐受力没有差异,实际上两组之间在统计学上是等效的。相比之下,BPD 患者在情绪调节的某些方面往往报告更困难。

结论

本研究的结果表明,在精神分裂症的研究中需要更加关注痛苦耐受力。此外,精神分裂谱系障碍患者可能会受益于针对痛苦耐受力的干预措施。

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本文引用的文献

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Affective empathy in schizophrenia: a meta-analysis.精神分裂症中的情感共情:一项荟萃分析。
Schizophr Res. 2016 Aug;175(1-3):109-117. doi: 10.1016/j.schres.2016.03.037. Epub 2016 Apr 17.
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Structure and correlates of self-reported empathy in schizophrenia.精神分裂症中自我报告的共情的结构及其相关因素
J Psychiatr Res. 2015 Jul-Aug;66-67:60-6. doi: 10.1016/j.jpsychires.2015.04.016. Epub 2015 Apr 30.

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