Cognitive disturbances basic symptoms in help-seeking patients with borderline personality disorder: Characteristics and association with schizotypy.

IF 2.1 4区医学 Q3 PSYCHIATRY Early Intervention in Psychiatry Pub Date : 2025-01-01 Epub Date: 2024-05-22 DOI:10.1111/eip.13557

Lorenzo Gammino, Lorenzo Pelizza, Roberta Emiliani, Francesca D'Adda, Pasqualino Lupoli, Luca Pellegrini, Domenico Berardi, Marco Menchetti

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Abstract

Aim: Although the presence of psychotic symptoms has been widely recognized in Borderline Personality Disorder (BPD), no study previously investigated cognitive Basic Symptoms (BS) and their clinical implications in patients with BPD.

Methods: This cross-sectional study specifically examined the prevalence of COGDIS (cognitive disturbances) BS criteria in 93 help-seeking outpatients with BPD by using the Schizophrenia Proneness Instrument-Adult Version (SPI-A). We then explored associations of COGDIS with personality traits, functioning and core psychopathological features of BPD.

Results: The prevalence rates of COGDIS criterion were 62.4%. BPD patients meeting COGDIS criteria reported higher levels of schizotypal personality traits, dissociative experiences and work/social functional impairment compared to individuals without COGDIS criteria. Furthermore, the number of cognitive BSs showed a positive correlation with severity levels of schizotypy.

Conclusions: Cognitive BS are common in BPD. Cognitive disturbances are associated with schizotypal personality traits and specific clinical features. The presence of cognitive BSs may identify a more severe subgroup of patients with BPD, potentially vulnerable to psychotic symptoms and reliably identifiable through assessment of schizotypal traits.

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边缘型人格障碍求助者的认知障碍基本症状：特征以及与精神分裂症的关联。

目的：尽管边缘型人格障碍（BPD）患者普遍存在精神病性症状，但此前还没有研究对BPD患者的认知基本症状（BS）及其临床影响进行调查：这项横断面研究通过使用精神分裂症易感性量表-成人版（SPI-A），对 93 名寻求帮助的 BPD 门诊患者中 COGDIS（认知障碍）BS 标准的患病率进行了专门研究。然后，我们探讨了 COGDIS 与 BPD 的人格特质、功能和核心精神病理学特征之间的关联：结果：COGDIS 标准的流行率为 62.4%。与不符合 COGDIS 标准的患者相比，符合 COGDIS 标准的 BPD 患者报告的分裂型人格特征、分离体验和工作/社会功能障碍水平更高。此外，认知BS的数量与精神分裂症的严重程度呈正相关：结论：认知BS在BPD中很常见。认知障碍与精神分裂症人格特质和特定临床特征相关。认知BS的存在可识别出BPD患者中更严重的亚群，他们可能容易出现精神病症状，并可通过评估精神分裂症特质可靠地识别出来。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.