Martin Sylvia, Del-Monte Jonathan
Center for Research and Bioethics, Uppsala University, Sweden.
Nîmes University, Department of Clinical Psychology, France; Psychosocial Laboratory, Aix-Marseille University, France.
J Psychiatr Res. 2023 Apr;160:225-231. doi: 10.1016/j.jpsychires.2023.02.023. Epub 2023 Feb 23.
Metacognition and Insight are related to hard-to-treat disorders and among them is Borderline Personality Disorder (BPD). We recruited 190 BPD patients and measured Insight, Metacognition, Impulsivity, and BPD traits. Results showed BPD's significant links with Insight and Metacognition. Metacognition significantly correlated with two Impulsivity dimensions, whereas Insight significantly correlated with most of them. Regressions analysis revealed a significant relationship between Insight and Metacognition on Impulsivity and Borderline traits. Mediation analysis proved the indirect effect of Metacognition/Insight on Borderline traits through Impulsivity at a significative level. Both seem relevant for research and therapeutic application in BPD following different dynamics even if the limitation of our study stands in its gender ratio and possible comorbidity issues. Urgency appears as a critical factor to assess, notably with Positive emotion-based impulsivity.
元认知和洞察力与难治性疾病有关，其中包括边缘性人格障碍（BPD）。我们招募了190名BPD患者，并测量了洞察力、元认知、冲动性和BPD特质。结果显示BPD与洞察力和元认知之间存在显著联系。元认知与两个冲动性维度显著相关，而洞察力与其中大多数维度显著相关。回归分析揭示了洞察力和元认知在冲动性和边缘性特质方面的显著关系。中介分析证明了元认知/洞察力通过冲动性对边缘性特质产生的间接效应具有显著意义。即使我们研究的局限性在于其性别比例和可能的共病问题，但两者似乎都因不同动态过程而与BPD的研究和治疗应用相关。紧迫性似乎是一个关键的评估因素，尤其是基于积极情绪的冲动性。
