Psychopathology and Theory of Mind in patients with personality disorders.

IF 4 2区医学 Q1 PSYCHIATRY Borderline Personality Disorder and Emotion Dysregulation Pub Date : 2023-06-01 DOI:10.1186/s40479-023-00224-1

Juliane Burghardt, Silvia Gradl, Magdalena Knopp, Manuel Sprung

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Abstract

Objective: People with mental disorders frequently suffer from deficits in the ability to infer other's mental states (Theory of Mind; ToM). Individuals with borderline personality disorder (BPD) show ToM deficits characterized by exceeding ToM (over-attributions of mental states). The present study analyzed associations between ToM, BPD severity, and depression severity in patients with BPD and other personality disorders.

Method: We analyzed ToM abilities in 128 patients with BPD and 82 patients with 'mixed and other personality disorders' (MOPD). MOPD are diagnosed if symptoms of multiple personality disorders are present without any set of symptoms being dominant enough to allow a specific diagnosis. We used the movies for the assessment of social cognition (MASC) to measure ToM abilities, the Patient Health Questionnaire (PHQ-9) to assess severity of depression and the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) to assess the severity of BPD symptoms.

Results: Both symptoms of BPD and depression were associated with exceeding ToM in separate regressions. Using a stepwise regression, only the association of depression severity with exceeding ToM was reliable. Patients with BPD and MOPD did not differ in exceeding ToM. Age was most reliably associated with ToM.

Conclusion: The results imply that exceeding ToM is associated with general psychopathology instead of BPD-symptoms in specific. Patients with MOPD show deficits similar to BPD patients.

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人格障碍患者的精神病理学和心智理论。

目的：精神障碍患者通常在推断他人心理状态（心智理论；ToM）方面存在缺陷。边缘型人格障碍（BPD）患者的ToM缺陷表现为ToM过度（对精神状态的过度归因）。本研究分析了BPD和其他人格障碍患者的ToM、BPD严重程度和抑郁严重程度之间的关联：我们分析了 128 名 BPD 患者和 82 名 "混合型及其他人格障碍"（MOPD）患者的 ToM 能力。如果存在多重人格障碍的症状，但没有任何一组症状明显到足以做出具体诊断，则可诊断为混合型人格障碍。我们使用社会认知评估电影（MASC）来测量ToM能力，使用患者健康问卷（PHQ-9）来评估抑郁症的严重程度，使用麦克林边缘型人格障碍筛查工具（MSI-BPD）来评估BPD症状的严重程度：在不同的回归中，BPD 和抑郁症状都与 ToM 超标有关。使用逐步回归法，只有抑郁严重程度与超过 ToM 值之间的关系是可靠的。BPD患者和MOPD患者在超过ToM方面没有差异。年龄与 ToM 的关系最为可靠：结论：研究结果表明，超越 ToM 与一般精神病理学有关，而不是与 BPD 症状有关。MOPD患者表现出的缺陷与BPD患者相似。

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

Borderline Personality Disorder and Emotion Dysregulation Psychology-Clinical Psychology

CiteScore

6.00

自引率

9.80%

发文量

审稿时长

28 weeks

期刊介绍： Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.