Psychotic Experiences and Daily Functioning in Borderline Personality Disorder and Schizophrenia.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY Journal of Nervous and Mental Disease Pub Date : 2024-03-01 DOI:10.1097/NMD.0000000000001755

Stefan Tschöke, Yvonne Knauer, Erich Flammer, Paula Usemann, Carmen Uhlmann

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Abstract

Abstract: Psychotic experiences have been shown to be comparable in borderline personality disorder (BPD) and schizophrenia. Preliminary evidence suggests differences in the impact of psychotic experiences on daily functioning. Therefore, in this study, we aimed to investigate the role of psychotic experiences in daily functioning in BPD compared with schizophrenia. We performed post hoc analyses on data from 23 inpatients with BPD and 21 inpatients with schizophrenia, for whom results from the Psychotic Symptom Rating Scales were available. No differences were found in frequency, intensity, and disruption of life in relation to auditory verbal hallucinations and the amount of preoccupation and conviction with regard to delusions. Significant differences were found in the disruption of life due to delusions. The results emphasize that the quality of psychotic experiences in BPD and schizophrenia is comparable, but the impact of delusions on daily life is different, which may improve differential diagnosis.

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边缘型人格障碍和精神分裂症患者的精神病体验和日常功能。

摘要：事实证明，边缘型人格障碍（BPD）和精神分裂症患者的精神病性体验具有可比性。初步证据表明，精神病体验对日常功能的影响存在差异。因此，在本研究中，我们旨在调查精神病性体验与精神分裂症相比在边缘型人格障碍患者日常功能中的作用。我们对 23 名 BPD 住院患者和 21 名精神分裂症住院患者的数据进行了事后分析，这些患者的精神病症状分级量表均有结果。结果表明，听幻觉的频率、强度和对生活的干扰程度与妄想的专注程度和确信程度没有差异。但在妄想对生活造成的干扰方面则存在显著差异。研究结果强调，BPD 和精神分裂症患者的精神病体验质量相当，但妄想对日常生活的影响不同，这可能会改善鉴别诊断。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.