评估边缘型人格障碍中的图式模式和认知扭曲：一种混合方法。
Evaluating schema modes and cognitive distortions in borderline personality disorder: A mixed-method approach.
作者信息
Puri Priya, Kumar Devvarta, Muralidharan Kesavan, Kishore Madhavaran Thomas
机构信息
Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
出版信息
J Clin Psychol. 2021 Sep;77(9):1973-1984. doi: 10.1002/jclp.23126. Epub 2021 Feb 24.
OBJECTIVES
Cognitive processes, such as schema modes and cognitive distortions, may play a role in the genesis and maintenance of affective, interpersonal, and behavioral difficulties in individuals with Borderline Personality Disorder (BPD). This study aimed at exploring the schema modes and cognitive distortions in individuals with BPD.
METHODS
Using a mixed-method approach, 30 individuals with BPD and 30 healthy participants were assessed on the Borderline Personality Questionnaire, the Schema Mode Inventory, the Cognitive Distortions Scale, and a semi-structured interview schedule.
RESULTS
The BPD group had higher scores than the control group on all the maladaptive schema modes and cognitive distortions subscales. The child modes were the commonest and were also the strongest correlate of BPD symptomatology. Qualitative analysis of the content of the semi-structured interview also corroborated these findings.
CONCLUSIONS
There could be many schema modes and cognitive distortions operating behind the diverse psychopathology seen in BPD.
目的
认知过程，如图式模式和认知歪曲，可能在边缘型人格障碍（BPD）患者的情感、人际和行为问题的发生及维持中起作用。本研究旨在探索BPD患者的图式模式和认知歪曲。
方法
采用混合方法，对30名BPD患者和30名健康参与者进行了边缘型人格问卷、图式模式量表、认知歪曲量表以及半结构化访谈的评估。
结果
BPD组在所有适应不良图式模式和认知歪曲分量表上的得分均高于对照组。儿童模式最为常见，也是与BPD症状最密切相关的模式。对半结构化访谈内容的定性分析也证实了这些发现。
结论
在BPD患者所表现出的多种精神病理学现象背后，可能存在多种图式模式和认知歪曲。
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