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Beyond Main Effects? Affect Level as a Moderator in the Relation Between Affect Dynamics and Depressive Symptoms 主要效应之外?情感水平是情感动力与抑郁症状之间关系的调节因素
Pub Date : 2023-12-31 DOI: 10.55913/joep.v1i1.52
Dominique Maciejewski, E. van Roekel, Thao Ha, Kalee DeFrance, Lauren Lin, H. Lennarz, Hester Trompetter, Wim Meeus, Anna Lichtwarck-Aschoff, Susan J T Branje, Tom Hollenstein, M. Verhagen
The current study examined the role of mean levels of affect in the relation between affect dynamics and depressive symptoms. We analyzed data from seven studies that measured affect in daily life in adolescents and young adults (N = 1,448, age range = 11.7-29.9 years, 64.8% females). We tested main and interaction effects of affect dynamics (variability and inertia) and affect level on depressive symptoms, separately for positive affect (PA) and negative affect (NA). For PA, we found mostly main, but no interaction effects. Depressive symptoms were associated with more PA variability and less PA inertia, indicating that depressive symptoms in young people may be characterized by more variable and less lingering PA, independent of PA mean levels. For NA, we found a significant moderation effect between NA variability and NA levels for depressive symptoms at baseline. For individuals with low NA levels, high NA variability was associated with more depressive symptoms. In contrast, for individuals with high NA levels, high NA variability was associated with fewer depressive symptoms. These results suggest that the relative adaptiveness of NA variability depends on overall NA levels and underscores the need for a more nuanced understanding of affect variability in depression.
本研究探讨了情感的平均水平在情感动态与抑郁症状之间关系中的作用。我们分析了七项研究的数据,这些研究测量了青少年和年轻成年人(人数 = 1,448 人,年龄范围 = 11.7-29.9 岁,64.8% 为女性)日常生活中的情感。我们分别就积极情感(PA)和消极情感(NA)测试了情感动态(可变性和惯性)和情感水平对抑郁症状的主要效应和交互效应。对于积极情感,我们发现主要是主效应,但没有交互效应。抑郁症状与较高的 PA 变异性和较低的 PA 惯性相关,这表明年轻人的抑郁症状可能表现为较高的 PA 变异性和较低的 PA 惯性,与 PA 平均水平无关。在 NA 方面,我们发现 NA 变异性和 NA 水平对基线抑郁症状有显著的调节作用。对于 NA 水平较低的人来说,NA 变异性高与抑郁症状较多有关。相反,对于 NA 水平高的人,NA 变异性高则抑郁症状较少。这些结果表明,NA变异性的相对适应性取决于整体的NA水平,并强调了对抑郁症中情感变异性进行更细致理解的必要性。
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引用次数: 0
Depressive Symptoms and Binge Eating in Children: Examining Symptom Specificity in a Population-based Sample of Male and Female Children 儿童抑郁症状与暴饮暴食:基于人口的男女儿童样本中的症状特异性研究
Pub Date : 2023-12-31 DOI: 10.55913/joep.v1i1.25
Tyler B. Mason, Diana Zhang, Diana Castillo, Rachel Dayag, Kathy Lam, Jeremy C Morales, Kathryn E. Smith
Introduction: Binge eating and compensatory behaviors have significant adverse health implications and are understudied among children. Studies have shown overlap between depressive symptoms and binge eating and compensatory behaviors, but little research has examined sex differences in depressive symptom specificity and binge eating and compensatory behaviors. The present study examined the associations between depressive symptoms and binge eating and compensatory behaviors among male and female children. Methods: Population-based data of 6,975 children ages 9 – 10 years and their caregivers from the multisite Adolescent Brain Cognitive Development (ABCD) study were analyzed. The Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) was utilized to measure binge eating, compensatory behavior, and depressive symptoms. Results: There was an association between presence of anhedonia with increased likelihood of binge eating among females and males. There were no significant associations between individual depressive symptoms and compensatory symptoms among females or males. Lifetime DSM-5 major depressive disorder was associated with binge eating in males and females and compensatory behaviors in females. Discussion: This study provides new knowledge of the specificity of the association between depressive symptoms and binge eating in female compared to male children. Anhedonia may be a key clinical target to reducing binge eating in female and male children.
简介暴饮暴食和补偿行为对健康有重大不利影响,但对儿童的研究却不足。研究表明,抑郁症状与暴饮暴食和补偿行为之间存在重叠,但很少有研究探讨抑郁症状特异性与暴饮暴食和补偿行为的性别差异。本研究探讨了男女儿童抑郁症状与暴食和补偿行为之间的关联。研究方法分析了多地点青少年大脑认知发展(ABCD)研究中 6,975 名 9-10 岁儿童及其照顾者的人群数据。采用情绪障碍和精神分裂症儿童时间表(Kiddie Schedule for Affective Disorders and Schizophrenia,K-SADS)来测量暴饮暴食、补偿行为和抑郁症状。结果显示女性和男性出现厌食症与暴饮暴食的可能性增加之间存在关联。女性和男性的个体抑郁症状与代偿症状之间没有明显关联。在男性和女性中,DSM-5重度抑郁障碍与暴饮暴食有关,而在女性中则与代偿行为有关。讨论:与男性儿童相比,本研究为女性儿童抑郁症状与暴食之间关系的特异性提供了新的知识。厌食症可能是减少男女儿童暴食的关键临床目标。
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引用次数: 0
Impact of Psychological Stress on Emotion Regulation Strategies during COVID-19 in Young Adults with Self-Reported Social Anxiety 自述社交焦虑的年轻人在 COVID-19 期间的心理压力对情绪调节策略的影响
Pub Date : 2023-12-31 DOI: 10.55913/joep.v1i1.38
Katelyn M. Garcia, Corinne N. Carlton, Mara Villalongo Andino, T. Ollendick, J. Richey
Background: This study sought to evaluate the relations among expressive suppression (ES), cognitive reappraisal (CR), and stress during COVID-19 in young adults with self-reported social anxiety. We hypothesized that social anxiety would positively relate to ES but negatively relate to CR. Furthermore, we predicted that stress severity would moderate the relation between social anxiety and emotion regulation, where higher reports of stress and social anxiety would predict greater ES and lower CR. Methods: Participants were young adults (N = 84; 18-24 years old) who completed self-report measures of social anxiety, stress, and emotion regulation amid COVID-19. Zero-order correlations assessed relations among these variables. Moderation analyses assessed stress as a moderator of the relation between social anxiety and emotion regulation. Results: Results indicated that social anxiety was significantly correlated with ES but not CR. The relation between social anxiety and ES was moderated by stress severity, such that as stress increased, individuals with higher social anxiety engaged in less ES. Stress did not moderate the relation between social anxiety and CR. Conclusions: The current study suggests that self-reported social anxiety is positively associated with ES (but not CR) during COVID-19; however, individuals with high social anxiety and perceived stress engaged in less ES.
研究背景本研究旨在评估表达性抑制(ES)、认知再评价(CR)和 COVID-19 期间压力之间的关系。我们假设社交焦虑与 ES 呈正相关,而与 CR 呈负相关。此外,我们还预测压力的严重程度将缓和社交焦虑与情绪调节之间的关系,即较高的压力和社交焦虑报告将预测较高的ES和较低的CR。研究方法参与者为年轻人(N = 84;18-24 岁),他们在 COVID-19 中完成了社交焦虑、压力和情绪调节的自我报告测量。零阶相关分析评估了这些变量之间的关系。调节分析评估了压力对社交焦虑和情绪调节之间关系的调节作用。结果结果表明,社交焦虑与 ES 显著相关,但与 CR 无关。社交焦虑与情绪调节之间的关系受压力严重程度的调节,即随着压力的增加,社交焦虑程度越高的人情绪调节越少。压力并不能调节社交焦虑与 CR 之间的关系。结论目前的研究表明,在 COVID-19 期间,自我报告的社交焦虑与 ES(而非 CR)呈正相关;然而,社交焦虑和感知压力较高的个体参与 ES 的程度较低。
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引用次数: 0
Experiences of Interpersonal Emotion Regulation for People with Heightened Emotions: An Examination in People with Bipolar Disorder and Those with High Aggression 情绪高涨者的人际情绪调节体验:对双相情感障碍患者和高攻击性患者的研究
Pub Date : 2023-12-31 DOI: 10.55913/joep.v1i1.30
Benjamin A. Swerdlow, Lesley Berk, Sheri L. Johnson
Most research on interpersonal emotion regulation (IER) has focused on nonclinical samples. On one hand, people with clinically significant emotion, mood, or interpersonal difficulties may encounter more challenges with IER. On the other hand, IER could potentially be a useful resource for addressing challenges related to intrapersonal emotion dysregulation. We analyzed data from two samples characterized by heightened emotionality: people who self-reported a history of bipolar disorder (N = 51) and people seeking treatment for aggression and emotional impulsivity (N = 199). For comparison, we analyzed data from two samples recruited without regard to clinical status: undergraduates (N = 389) and online respondents (N = 116). We assessed multiple aspects of participants’ experiences of intrinsic IER, including frequency of seeking and receiving IER, perceptions of provider responsiveness and provider hostility, perceptions of helpfulness, and reports of feeling ashamed due to receiving IER. We used two complementary methods: participants were first asked to report on their general experiences of seeking and receiving IER and were then asked to recall a rate a recent instance of receiving IER. Results were largely consistent across the two methods and the two comparison samples, providing a replication in-kind. Relative to the comparison samples, the aggression sample reported more negative experiences of IER, on average, including more difficulty obtaining IER, receiving less responsive support, encountering more hostility, and perceiving IER as less helpful. In contrast, the bipolar disorder sample appeared to be less distinct from the comparison samples. We discuss the implications of this apparent divergence.
大多数关于人际情绪调节(IER)的研究都集中在非临床样本上。一方面,在临床上有显著情绪、心境或人际关系困难的人可能会在人际情绪调节方面遇到更多挑战。另一方面,IER 有可能成为解决人际情绪失调相关挑战的有用资源。我们分析了两个以情绪化为特征的样本数据:自述有躁郁症病史的人(51 人)和因攻击性和情绪冲动而寻求治疗的人(199 人)。为了进行比较,我们分析了两个不考虑临床状态的样本数据:本科生(389 人)和在线受访者(116 人)。我们从多个方面评估了参与者对内在 IER 的体验,包括寻求和接受 IER 的频率、对提供者响应性和提供者敌意的感知、对提供者帮助的感知,以及因接受 IER 而感到羞愧的报告。我们采用了两种互补的方法:首先要求参与者报告他们寻求和接受 IER 的一般经历,然后要求他们回忆最近一次接受 IER 的情况。两种方法和两个对比样本的结果基本一致,提供了实物复制。与对比样本相比,侵犯样本平均报告了更多关于 IER 的负面经历,包括更难获得 IER、获得的支持响应更少、遇到的敌意更多以及认为 IER 的帮助更少。相比之下,躁郁症样本与对比样本的差异似乎较小。我们将讨论这种明显差异的影响。
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引用次数: 0
The Role of Emotion Dysregulation in Problematic Exercise in those with Eating Disorders 情绪失调在进食障碍患者有问题的运动中的作用
Pub Date : 2023-12-11 DOI: 10.55913/joep.v1i1.24
Taylor R. Perry, Dominic M. Denning, Walter H. Kaye, C. Wierenga, Tiffany A. Brown
Problematic exercise is common in eating disorders (EDs) and is associated with poor treatment prognosis; thus, understanding factors associated with problematic exercise may help improve treatment outcomes. In non-clinical samples, emotion dysregulation has been associated with problematic exercise; however, longitudinal associations between emotion dysregulation and problematic exercise have not been examined in clinical ED samples. This study examined if (1) emotion dysregulating was associated with problematic exercise symptom severity and frequency of problematic exercise, and (2) early changes in emotion dysregulation during treatment predicted problematic exercise symptom severity and frequency of problematic exercise in a clinical ED sample. ED patients (N = 207) completed the Difficulties in Emotion Regulation Scale (DERS), the Eating Disorder Examination-Questionnaire, and the Excessive Exercise subscale of Eating Pathology Symptoms Inventory at admission, 1-month post-admission, and discharge. DERS total score was correlated with symptom severity and frequency of problematic exercise at admission. Furthermore, early changes in DERS total score from admission to 1-month predicted problematic exercise symptom severity but not frequency of problematic exercise at discharge. Thus, emotion dysregulation may maintain symptoms of problematic exercise but not frequency in EDs, providing initial evidence that targeting emotion dysregulation may help reduce symptom severity of problematic exercise.
有问题的运动在进食障碍(ED)中很常见,并且与不良的治疗预后有关;因此,了解与有问题的运动相关的因素可能有助于改善治疗效果。在非临床样本中,情绪失调与问题性运动有关;然而,在临床 ED 样本中,情绪失调与问题性运动之间的纵向关联尚未得到研究。本研究考察了临床 ED 样本中:(1)情绪失调是否与问题性运动症状严重程度和问题性运动频率相关;(2)治疗期间情绪失调的早期变化是否可预测问题性运动症状严重程度和问题性运动频率。ED患者(207人)在入院、入院后1个月和出院时填写了情绪调节困难量表(DERS)、进食障碍检查问卷和进食病理症状量表的过度运动分量表。DERS 总分与入院时的症状严重程度和问题运动频率相关。此外,从入院到出院1个月期间,DERS总分的早期变化可预测问题运动症状的严重程度,但不能预测出院时问题运动的频率。因此,在急诊室中,情绪失调可能会维持问题运动的症状,但不会维持问题运动的频率,这为针对情绪失调可能有助于减轻问题运动的症状严重程度提供了初步证据。
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引用次数: 0
The Impact of Emotion Regulation Improvements on Intolerance of Uncertainty During Emotion Regulation Therapy 情绪调节改善对情绪调节治疗中不确定耐受性的影响
Pub Date : 2023-11-12 DOI: 10.55913/joep.v1i1.36
Michal Clayton, Megan Renna, Leah Weingast, Aliza Panjwani, Phillip Spaeth, Richard Heimberg, David Fresco, Douglas Mennin
Both intolerance of uncertainty (IU) and impoverished emotion regulation repertoires characterize generalized anxiety disorder (GAD). Across two treatment studies, we explored relationships between two emotion regulation skills, decentering and reappraisal, and IU during emotion regulation therapy (ERT). Participants were treatment-seeking individuals diagnosed with GAD. Study 1 included data from two open trials of ERT (N = 52), and Study 2 examined data from a randomized controlled trial of ERT (n = 28) versus a minimal attention control (n = 25). IU and emotion regulation skills were measured at pre-, mid-, and post-treatment. Mediation models explored indirect effects of emotion regulation skills on the relationship between time (Study 1) or group (Study 2) and intolerance of uncertainty. Results demonstrated improvements in emotion regulation skills and reductions in IU during ERT. Greater use of reappraisal and decentering was associated with reduced IU over time. Tests of indirect effects suggested that observed between-group differences in IU can be explained by changes in emotion regulation skills. The findings from these studies highlight the utility of non-IU-specific interventions to help individuals tolerate uncertainty. Exploring the impact of emotion regulation skills on IU could lead to improvements in treating GAD.
不确定性不耐受(IU)和情绪调节能力低下是广泛性焦虑障碍(GAD)的特征。在两项治疗研究中,我们探讨了情绪调节治疗(ERT)期间两种情绪调节技能(去中心化和重新评估)与IU之间的关系。参与者是被诊断为广泛性焦虑症的寻求治疗的个体。研究1纳入了两项ERT开放试验(N = 52)的数据,研究2检查了ERT随机对照试验(N = 28)与最小注意控制(N = 25)的数据。在治疗前、治疗中和治疗后分别测量IU和情绪调节技能。中介模型探讨了情绪调节技能对时间(研究1)或群体(研究2)与不确定性不耐受之间关系的间接影响。结果表明,在ERT期间情绪调节技能得到改善,IU减少。随着时间的推移,更多地使用重新评估和去中心化与IU降低有关。间接效应测试表明,观察到的组间IU差异可以用情绪调节技能的变化来解释。这些研究的结果强调了非u特异性干预措施在帮助个体容忍不确定性方面的效用。探索情绪调节技能对IU的影响可能会改善广泛性焦虑症的治疗。
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引用次数: 0
Examining the Joint Factor Structure of Mania, Internalizing, and Thought Disorder Symptoms in a Large Online Sample 在一个大型在线样本中检查躁狂、内化和思维障碍症状的联合因素结构
Pub Date : 2023-11-12 DOI: 10.55913/joep.v1i1.41
Kasey Stanton, Janan Mostajabi, Warner Myntti, Liana Willis, Juyoung Yun, Hanna Osborne, Kasidee L. Brewer
The optimal classification of mania symptoms within dimensional models of psychopathology remains unclear, due in part to most prior research using composite categorical ratings of mania/bipolar disorder rather than ratings of specific symptoms. We addressed this gap by examining the structure of self-reported symptom-level ratings of mania, internalizing, and thought disorder in adults (N = 1,112) recruited online who self-identified as having significant mental health histories. Although prior research suggests that mania symptoms overlap strongly with both internalizing and thought disorder, our results indicated much closer alignment with thought disorder than internalizing when examining a two-factor structure. Even when examining a three-factor structure, manic symptoms such as grandiosity loaded strongly onto a common factor with positive psychosis symptoms. However, symptoms such as racing thoughts and excessive energy loaded strongly onto a separate Agitation factor potentially representing a subspectrum within thought disorder. Agitation showed some unique correlates (e.g., with stimulant medication use), indicating heterogeneity within the broader thought disorder spectrum. Future directions extending this research include incorporating assessment of other psychopathology (e.g., externalizing), examining the cross-method consistency of results (e.g., when using interviews), and determining symptom course and interrelations using intensive longitudinal designs.
在精神病理学的维度模型中,躁狂症状的最佳分类仍然不清楚,部分原因是大多数先前的研究使用躁狂/双相情感障碍的复合分类评级,而不是特定症状的评级。我们通过检查在线招募的自认为有显著精神健康史的成人(N = 1112)的躁狂、内化和思维障碍自我报告的症状水平评级结构来解决这一差距。虽然先前的研究表明躁狂症状与内化和思维障碍都有强烈的重叠,但我们的结果表明,在检查双因素结构时,躁狂症状与思维障碍的关系比内化更密切。即使在检查三因素结构时,狂妄等躁狂症状也强烈地与阳性精神病症状的共同因素相关联。然而,诸如思维敏捷和过度能量等症状被强烈地加载到一个单独的躁动因素上,可能代表了思维障碍的一个子谱。躁动表现出一些独特的相关性(例如,与兴奋剂药物的使用有关),表明在更广泛的思维障碍谱系中存在异质性。本研究的未来发展方向包括纳入其他精神病理的评估(例如,外化),检查结果的跨方法一致性(例如,当使用访谈时),并使用密集的纵向设计确定症状过程和相互关系。
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引用次数: 0
Compulsively seeking certainty: Clarifying the association between intolerance of uncertainty and compulsion severity in OCD 强迫性寻求确定性:澄清强迫症中对不确定性的不容忍与强迫严重程度之间的关系
Pub Date : 2023-08-06 DOI: 10.55913/joep.v1i1.19
Alexis Moore, Michael G. Wheaton, C. Rodriguez, Hannah Raila, Hanyang Shen
Intolerance of uncertainty (IU), the dispositional tendency to fear the unknown, has clinical implications across a variety of disorders. While research has linked IU and OCD, relatively little is known about this association. Previous studies have focused on IU’s association with overall OCD severity and specific symptom dimensions, but we do not yet understand to what degree this cognitive vulnerability is associated with each of the two cardinal symptoms: obsessions and compulsions. Additionally, few studies have examined the established IU subtypes—prospective and inhibitory IU—as unique contributors to OCD severity. Given the ubiquity of uncertainty in daily life and the potential for IU to influence obsessive-compulsive processes, further investigation of this cognitive vulnerability in OCD is warranted. In a sample of patients diagnosed with OCD, partial correlations were conducted to determine the association between OCD severity (separately examining obsessions and compulsions) and IU (separately examining prospective and inhibitory IU). These analyses revealed positive correlations between IU and compulsion severity, specifically. And of the IU subtypes, this link was specifically associated with prospective IU. The results of this correlational study contribute to the literature on IU in OCD, suggesting prospective IU as a cognitive mechanism that may be involved in the maintenance of compulsions.
不确定性不耐受(IU),一种害怕未知的性格倾向,在各种疾病中具有临床意义。虽然研究已经将IU和强迫症联系起来,但对这种联系的了解相对较少。以前的研究集中在IU与强迫症整体严重程度和特定症状维度的关联上,但我们还不了解这种认知脆弱性与两种主要症状(强迫和强迫)的关联程度。此外,很少有研究检查已建立的IU亚型-前瞻性和抑制性IU -作为强迫症严重程度的独特贡献者。考虑到日常生活中普遍存在的不确定性以及IU对强迫症过程的潜在影响,进一步研究强迫症的认知脆弱性是有必要的。在诊断为强迫症的患者样本中,进行部分相关性来确定强迫症严重程度(单独检查强迫和强迫)与IU(单独检查前瞻性和抑制性IU)之间的关系。这些分析明确地揭示了IU与强迫严重程度之间的正相关。在IU亚型中,这种联系与预期IU特别相关。这项相关研究的结果促进了关于强迫症中IU的文献,表明预期IU可能是一种参与维持强迫的认知机制。
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引用次数: 0
I can take my eyes off of you: Effect of alexithymia and perceptual load on processing emotional faces 我可以把我的目光从你身上移开:述情障碍和知觉负荷对处理情绪化面孔的影响
Pub Date : 2023-08-06 DOI: 10.55913/joep.v1i1.20
G. Panayiotou, Marios Theodorou, Scott R. Vrana, N. Konstantinou
Alexithymic individuals have difficulties processing emotional stimuli, including faces, and may require more resources to process such stimuli. Alexithymia may interact with task characteristics, like perceptual load, which modulates the processing capacity allocated to task-relevant, versus task-irrelevant stimuli. We examined effects of load and distractor type (face, object) and valence (threatening, neutral), and alexithymia on performing a letter-search task. We assessed reaction time, accuracy, and heart rate to index arousal and cognitive effort. Perceptual load, distractor presence, type and valence showed expected effects. Alexithymia did not meaningfully affect reaction time, but was associated with decreased accuracy when distractors were threatening, under low perceptual load. HR did not suggest changes in resources mobilized depending on alexithymia level. Results suggest that alexithymic individuals perceived emotional stimuli and were able to maintain intact reaction time, though this came with a cost in accuracy. Absence of HR effects suggests that no additional resources were recruited to remedy this difficulty. Overall, results suggest that emotional stimuli are perceived in alexithymia at early stages, but resources are not appropriately allocated to prevent performance impairment.
述情障碍患者在处理情绪刺激(包括面部)方面有困难,可能需要更多的资源来处理这些刺激。述情障碍可能与任务特征相互作用,如知觉负荷,它调节分配给任务相关和任务无关刺激的处理能力。我们研究了负载和干扰物类型(面孔、物体)、效价(威胁性、中性)以及述情障碍对执行字母搜索任务的影响。我们评估了反应时间、准确性和心率来衡量觉醒和认知努力。知觉负荷、干扰物存在、类型和效价均有预期的影响。述情障碍对反应时间没有显著影响,但在低知觉负荷下,当干扰物具有威胁性时,与准确性下降有关。HR并没有建议资源调动的变化取决于述情障碍的程度。结果表明,述情障碍个体感知情绪刺激并能够保持完整的反应时间,尽管这是以准确性为代价的。人力资源效应的缺失表明没有额外的资源来弥补这一困难。总的来说,结果表明情绪刺激在述情障碍的早期阶段被感知,但资源没有适当分配以防止表现障碍。
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引用次数: 0
False Memory and Borderline Personality Features 错误记忆与边缘性人格特征
Pub Date : 2023-05-31 DOI: 10.55913/joep.v1i1.17
S. Fatemeh Sajjadi, Martin Sellbom, Julien Gross, Harlene Hayne
Borderline Personality Disorder (BPD) is a mental disorder characterized by significant impairment in intrapersonal and interpersonal functioning, as well as patterns of personality pathology. Memory deficits are not recognized as a core symptom of BPD, but individuals with BPD symptoms have long been suspected to have inaccurate perceptions, disturbed memory processes, and an increased tendency to develop false memories. In the present study, we examined whether there was an association between BPD features and the production of false memories in the Deese-Roediger-McDermott (DRM) paradigm—a laboratory-based procedure that is frequently used to investigate false memory. We also compared the traditional categorical BPD criteria (DSM-5 Section II) with the alternative model of personality disorders BPD criteria (DSM-5 Section III) in predicting memory performance. A total of 298 university students completed the McLean Screening Instrument for Borderline Personality Disorder, SCID-II Personality Questionnaire, Borderline Personality Disorder Impairment Scale, Personality Inventory for DSM-5, Beck Depression Inventory, Dissociative Experiences Scale, and Traumatic Life Events Questionnaire. Participants were also tested using both traditional DRM word lists as well as word lists that were specifically associated with BPD features. Using the traditional diagnosis of BPD, BPD features were correlated with higher false memory for positive information; in the alternative model of BPD, identity impairment and anxiousness were correlated with the overall false memory score. We also found that trauma and dissociation mediated the relation between BPD and false memory. These findings are discussed in terms of how the consequences of trauma, such as dissociation and identity disturbance, are associated with false memory. Whether false memory rates are higher in a clinical population of BPD patients than in non-clinical volunteers remains to be determined.
边缘型人格障碍(BPD)是一种精神障碍,其特征是人际和人际功能的严重损害,以及人格病理模式。记忆缺陷并不被认为是BPD的核心症状,但长期以来,人们一直怀疑有BPD症状的个体有不准确的感知,记忆过程紊乱,以及产生错误记忆的倾向增加。在本研究中,我们用Deese-Roediger-McDermott (DRM)范式检验了BPD特征与错误记忆的产生之间是否存在关联。DRM范式是一种经常用于研究错误记忆的实验室程序。我们还比较了传统的分类BPD标准(DSM-5第2节)和人格障碍备选模型BPD标准(DSM-5第3节)在预测记忆表现方面的效果。298名大学生完成了麦克林边缘型人格障碍筛查量表、SCID-II型人格问卷、边缘型人格障碍损害量表、DSM-5型人格问卷、贝克抑郁量表、分离体验量表和创伤性生活事件问卷。参与者还使用传统的DRM单词列表和专门与BPD特征相关的单词列表进行了测试。在传统的BPD诊断中,BPD特征与较高的阳性信息错误记忆相关;在BPD备选模型中,身份障碍和焦虑与错误记忆总分相关。我们还发现创伤和分离介导了BPD与错误记忆之间的关系。这些发现讨论了创伤的后果,如分离和身份障碍,是如何与错误记忆相关的。临床人群中BPD患者的错误记忆率是否高于非临床志愿者仍有待确定。
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引用次数: 0
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Journal of emotion and psychopathology
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