边缘型人格障碍患者的认知概况

N. Petrova, D. Charnaia, E. Chumakov, L. Azarova
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摘要

背景:本研究的意义在于诊断边缘型人格障碍(BPD)的困难,以及研究神经认知功能对于扩展对精神障碍的理解的重要性。关于边缘型人格障碍患者认知特征的现有数据存在明显差异。我们在国内样本中找不到这方面的任何研究。本研究旨在调查 BPD 患者的认知概况。患者和方法:研究对象为 50 名 ICD-10 诊断为 F60.31 "情感不稳定型人格障碍,边缘型 "的患者(72% 女性;n = 36;28% 男性;n = 14),年龄为 22.4 ± 4.3 岁。研究方法包括临床和量表评估:医院焦虑抑郁量表》、《汉密尔顿抑郁量表》、《汉密尔顿焦虑量表》、《SCL-90 症状问卷》、《边缘型人格障碍问卷》、《精神分裂症认知简评》。结果:获得的数据表明,边际人格障碍患者存在认知障碍。神经认知缺陷的结构包括工作记忆、言语记忆和注意力的损伤。BPD 的严重程度与较低的认知功能有关。没有发现 BPD 患者的情感症状与认知障碍程度之间存在相关性。
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Cognitive Profile of Patients with Borderline Personality Disorder
Background: the relevance of this study stems from the difficulties in diagnosing borderline personality disorder (BPD) and the importance of studying neurocognitive functioning for expanding the understanding of mental disorders. The available data on the cognitive profile of patients with BPD vary markedly. We could not find any studies in this area in a domestic sample. The aim of the study was to investigate the cognitive profile of patients with BPD. Patients and methods: 50 patients (72% women; n = 36; 28% men; n = 14) aged 22.4 ± 4.3 years with ICD-10 diagnosis F60.31 “Emotionally unstable personality disorder, borderline type” were examined. The research methods included clinical and scale assessment: Hospital Anxiety and Depression Scale, Hamilton Depression Scale, Hamilton Anxiety Scale, SCL-90 symptom questionnaire, Borderline Personality Disorder Questionnaire, Brief Assessment of Cognition in Schizophrenia. Results: the obtained data indicate the presence of cognitive impairment in patients with BPD. The structure of neurocognitive deficit includes impairments of working and verbal memory and attention. The severity of BPD is associated with lower cognitive functioning. No correlation between affective symptomatology in BPD and the degree of cognitive impairment was found.
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