Centre for Mental Health, Swinburne University, Melbourne, Australia (S. L. R.).
Centre for Complex Interventions, Centre for Addictions and Mental Health, University of Toronto, Toronto, Canada.
J Pers Disord. 2022 Aug;36(4):413-430. doi: 10.1521/pedi.2022.36.4.413.
Hallucinations and delusions in borderline personality disorder (BPD) are understudied. The authors explore the phenomenology of multisensory hallucinations and delusions in individuals with BPD and compare them to those in individuals with schizophrenia spectrum disorders (SSD). Clinical psychopathology was also explored. Eighty-nine adults participated and were categorized into four groups: BPD with voices, BPD without voices, SSD with high BPD traits, and SSD with low BPD traits. Among individuals with BPD, 81% reported visual and tactile hallucinations, 75% reported olfactory hallucinations, and 94% experienced delusions. When comparing BPD with and without voices, there were no significant differences in nonpsychotic psychopathology. Slight differences were found when hallucinations in BPD were compared with hallucinations in SSD, but overall the experiences were similar across diagnoses. The BPD group also reported significantly higher rates of paranoia/suspiciousness and delusions of guilt than the SSD group. Multisensory hallucinations and delusions occur in BPD and should be explored when treating people with BPD.
边缘型人格障碍（BPD）中的幻觉和妄想研究不足。作者探索了 BPD 个体中多感官幻觉和妄想的现象学，并将其与精神分裂症谱系障碍（SSD）个体进行了比较。还探讨了临床精神病学。89 名成年人参与了研究，并被分为四组：有幻听的 BPD 患者、无幻听的 BPD 患者、高 BPD 特质的 SSD 患者和低 BPD 特质的 SSD 患者。在 BPD 患者中，81%报告了视觉和触觉幻觉，75%报告了嗅觉幻觉，94%经历了妄想。当比较有幻听和无幻听的 BPD 患者时，非精神病性精神病学没有显著差异。当将 BPD 中的幻觉与 SSD 中的幻觉进行比较时，发现了一些细微的差异，但总体而言，两种诊断的体验相似。BPD 组还报告了明显更高的偏执/怀疑和内疚妄想率，高于 SSD 组。多感官幻觉和妄想发生在 BPD 中，在治疗 BPD 患者时应加以探索。
