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边缘型人格障碍的神经解剖学和功能相关性:一项叙述性综述。

Neuroanatomical and functional correlates in borderline personality disorder: A narrative review.

作者信息

Perrotta Giulio

机构信息

Psychology and Psychotherapy Istituto per lo Studio delle Psicoterapie (I.S.P.) Rome Lazio Italy.

出版信息

Ibrain. 2024 Dec 20;11(1):19-31. doi: 10.1002/ibra.12190. eCollection 2025 Spring.

DOI:10.1002/ibra.12190
PMID:40103701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11911109/
Abstract

Borderline personality disorder (BPD) is a dysfunctional, stable, and pervasive alteration in personality functioning with the inability to adapt to the environment, mental rigidity, and ego-syntonic. High suicidality in BPD patients underlines the significance of research into its pathology. While extensive research on the psychological and behavioral manifestations of BPD can be found in literature, the neuropsychological aspects of the disorder are still partially unknown, although the roles of certain brain structures in the manifestation of the pathology, such as the amygdala, hippocampus, insula, medial prefrontal and cingulate cortices, nucleus accumbens, and temporo-occipital areas, have already been clarified. This review aims to synthesize current knowledge of the neuroanatomical and functional correlates of BPD, providing insights that may inform future research and therapeutic strategies.

摘要

边缘型人格障碍(BPD)是一种人格功能失调、稳定且普遍存在的改变,表现为无法适应环境、心理僵化且与自我观念一致。BPD患者的高自杀率凸显了对其病理学进行研究的重要性。虽然在文献中可以找到关于BPD心理和行为表现的大量研究,但该障碍的神经心理学方面仍部分未知,尽管某些脑结构在病理学表现中的作用,如杏仁核、海马体、脑岛、内侧前额叶和扣带回皮质、伏隔核以及颞枕叶区域,已经得到阐明。本综述旨在综合当前关于BPD神经解剖学和功能相关性的知识,提供可能为未来研究和治疗策略提供参考的见解。

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本文引用的文献

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Perrotta Integrative Clinical Interviews-3 (PICI-3): Development, regulation, updation, and validation of the psychometric instrument for the identification of functional and dysfunctional personality traits and diagnosis of psychopathological disorders, for children (8-10 years), preadolescents (11-13 years), adolescents (14-18 years), adults (19-69 years), and elders (70-90 years).佩罗塔综合临床访谈-3(PICI-3):用于识别儿童(8至10岁)、青春期前儿童(11至13岁)、青少年(14至18岁)、成年人(19至69岁)和老年人(70至90岁)的功能性和功能失调性人格特质以及诊断精神病理障碍的心理测量工具的开发、规范、更新和验证。
Ibrain. 2024 Feb 13;10(2):146-163. doi: 10.1002/ibra.12148. eCollection 2024 Summer.
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Neuroanatomical and functional correlates in post-traumatic stress disorder: A narrative review.创伤后应激障碍的神经解剖学和功能相关性:一项叙述性综述。
Ibrain. 2024 Jan 19;10(1):46-58. doi: 10.1002/ibra.12147. eCollection 2024 Spring.
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Neural correlates of social exclusion and overinclusion in patients with borderline personality disorder: an fMRI study.边缘型人格障碍患者社交排斥和过度包容的神经关联:一项功能磁共振成像研究
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Resting-state functional magnetic resonance imaging alterations in borderline personality disorder: A systematic review.边缘型人格障碍的静息态功能磁共振成像改变:系统评价。
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Rejection Distress Suppresses Medial Prefrontal Cortex in Borderline Personality Disorder.边缘型人格障碍的排斥困扰抑制了前额叶内侧皮层。
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