与边缘性人格障碍患者的复杂创伤相关的情绪反应模式改变
Jose M Lopez-Villatoro1,2, Marina Diaz-Marsa1,2,3, Adriana Garcia-Ramos4
1Health Research Institute of the Hospital Clínico San Carlos, Madrid, Spain.
Clinical psychology & psychotherapy
|August 11, 2023
概括
边界性人格障碍 (BPD) 患者对图像表现出改变的情绪反应,与对照人群显著不同. 他们的情绪模式与创伤和母亲的不良联系有关,这表明复杂的创伤会影响情绪处理.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 边界性人格障碍 (BPD) 的特点是情绪失调.
- 了解BPD的情绪处理对于开发有针对性的干预措施至关重要.
- 早期生活经历的作用,如创伤和依恋,与BPD有关.
研究的目的:
- 用国际情感图像系统 (IAPS) 调查BPD患者的情绪反应模式.
- 探索BPD中情绪反应,创伤经历和照顾者依恋之间的关系.
- 在BPD中识别特定的情绪处理缺陷.
主要方法:
- 50名BPD患者和39名对照人群使用IAPS和自我评估人偶 (SAM) 进行了评估.
- 评估了父亲和母亲的依恋债券.
- 评估了创伤经历,并分析了变量之间的统计关联.
主要成果:
- 与对照组相比,BPD患者对愉快,不愉快和中性图像的情绪反应有显著的差异 (p < .01),除了对愉快图像的兴奋.
- 创伤经历在愉快的图像中与幸福相关,在不愉快的图像中与兴奋相关.
- 较差的母亲联系与减少快乐和优势在愉快的图像和不愉快的图像的所有情感组件 (p < .01).
结论:
- BPD患者表现出受损的情绪反应模式,对愉快的图像的反应类似于抑郁症患者的反应.
- 在BPD中对不愉快图像的情绪反应可能与复杂的创伤有关,包括PTSD和依恋创伤.
- 研究结果强调了创伤和依恋对BPD情绪处理的重大影响.
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