Psychosocial Laboratory, Aix-Marseille and Nîmes Universities, Nîmes, France.
Nîmes University, Nîmes, France.
J Clin Psychol. 2021 Jul;77(7):1732-1744. doi: 10.1002/jclp.23129. Epub 2021 Apr 6.
Impulsivity impacts life domains and in a psychiatric context is often associated with disorders severity and stigmatization. Borderline personality disorder's (BPD), Schizophrenic disorder's (SZD), and obsessional compulsive disorder's (OCD) impulsivity issues relate to worse prognosis. This study aims to compare these disorders assessing their proneness to impulsivity and urgency.
We recruited 90 patients among them OCD (n = 25), SZD (n = 23), and BPD (n = 50), and 24 healthy control participants (HC). We assessed the diagnosis according and measured the impulsivity level.
Our results showed that BPD was significantly more impulsive than HC, SZD, and OCD. HC, SZD, and OCD being equivalent on their global Urgency-Premeditation-Perseverance-Sensation seeking scores. For urgency, BPD was also superior to others, OCD was superior to HC, but SZD and HC were equivalent. The urgency was correlated to SZD's scale for SZD, no link appeared between borderline personality questionnaire and Yale-Brown Obsessive-Compulsive Scale's score.
These results question the existent literature relating impulsivity and SZD.
冲动会影响生活的各个方面,在精神科领域,它常与疾病严重程度和污名化有关。边缘型人格障碍(BPD)、精神分裂症(SZD)和强迫症(OCD)的冲动问题与预后较差有关。本研究旨在比较这些疾病,评估它们的冲动和紧迫感倾向。
我们招募了 90 名患者,其中强迫症(n=25)、精神分裂症(n=23)和边缘型人格障碍(n=50),以及 24 名健康对照组参与者(HC)。我们根据诊断进行评估,并测量了冲动水平。
我们的结果表明,BPD 比 HC、SZD 和 OCD 更冲动。HC、SZD 和 OCD 在总体紧迫感-计划性-坚持性-感觉寻求评分上是相当的。对于紧迫性,BPD 也优于其他疾病,OCD 优于 HC,但 SZD 和 HC 则相当。紧迫性与 SZD 量表相关,而边缘型人格问卷与耶鲁-布朗强迫症量表的评分之间没有联系。
这些结果对冲动与 SZD 相关的现有文献提出了质疑。