Altered emotional response pattern related to complex trauma in patients with borderline personality disorder

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-08-11 DOI:10.1002/cpp.2897

Jose M. Lopez-Villatoro, Marina Diaz-Marsa, Adriana Garcia-Ramos, Alejandra Galvez-Merlin, Jose L. Carrasco

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Abstract

Introduction

This work aims to demonstrate, through the International Affective Picture System (IAPS) responses, an altered emotional pattern in borderline personality disorder (BPD) patients and to find a specific emotional response pattern by understanding their relationship with traumatic experiences and attachment bonds towards their primary caregivers.

Method

A total of 50 BPD patients and 39 control patients were evaluated using the IAPS, and its assessment was carried out through the Self-Assessment Manikin (SAM). Paternal and maternal attachment bonds as well as traumatic experiences in BPD patients were evaluated. Statistical associations were analysed in the different variables.

Results

Significant differences between BPD and control patients were found in all emotional response components for pleasant, unpleasant and neutral images (p < .01), with one exception, the arousal in pleasant images. Patients' experience of traumatic experiences was positively related to scores on the happiness component of pleasant imagery (p = .057) and on the arousal component of unpleasant imagery (p = .058). Poorer maternal bonding in BPD patients was significantly related to lower scores on happiness (p < .01) and dominance (p < .05) components of pleasant imagery and all emotional response components for unpleasant imagery (p < .01).

Conclusions

The results of the study confirm an impaired emotional response pattern in patients with borderline personality disorder (BPD), showing an emotional response to pleasant images similar to that of depression, while the pattern found to unpleasant images could be related to the complex trauma observed in these patients, which includes PTSD experiences such as sexual abuse and attachment trauma experiences.

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边缘型人格障碍患者与复杂创伤有关的情绪反应模式改变。

导言：这项研究旨在通过国际情感图示系统（IAPS）的反应，证明边缘型人格障碍（BPD）患者的情感模式发生了改变，并通过了解他们与创伤经历的关系以及与主要照顾者的依恋关系，找到特定的情感反应模式：方法：使用 IAPS 对 50 名 BPD 患者和 39 名对照组患者进行评估，并通过自我评估人体模型（SAM）进行评估。对 BPD 患者的父系和母系依恋关系以及创伤经历进行了评估。对不同变量进行了统计关联分析：结果：发现 BPD 患者和对照组患者在对愉快、不愉快和中性图像的所有情绪反应成分上都存在显著差异（p 结论：BPD 患者在对愉快、不愉快和中性图像的所有情绪反应成分上都存在显著差异（p）：研究结果证实，边缘型人格障碍（BPD）患者的情绪反应模式受损，对愉快图像的情绪反应与抑郁症患者相似，而对不愉快图像的情绪反应模式可能与这些患者的复杂创伤有关，其中包括创伤后应激障碍经历，如性虐待和依恋创伤经历。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.