错误记忆与边缘性人格特征

S. Fatemeh Sajjadi, Martin Sellbom, Julien Gross, Harlene Hayne
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摘要

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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False Memory and Borderline Personality Features
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.
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