Nightmares and bad dreams in patients with borderline personality disorder: Fantasy as a coping skill?
Nightmares and bad dreams in patients with borderline personality disorder: Fantasy as a coping skill?
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DOI：
10.4321/s0213-61632010000100004
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发表时间：
2010
影响因子：
1.8
通讯作者：
P. Simor;S. Csóka;R. Bódizs
中科院分区：
文献类型：
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作者：
P. Simor;S. Csóka;R. Bódizs
摘要-背景和目的：以前的研究报道了边缘型人格障碍（BPD）患者的噩梦和梦焦虑的高患病率，以及梦障碍的严重程度与精神病理学的日间症状相关。然而，这些结果中的大部分是基于回顾性问卷研究设计的，因此回忆偏差（BPD的特征）的影响无法控制。因此，我们的目标是用梦记录来复制这些发现。此外，我们的目的是检查与情绪不稳定的措施，梦干扰的水平，并探讨对梦干扰的保护因素。研究方法：23名诊断为BPD的受试者和23名年龄和性别匹配的健康对照者使用梦质量问卷、货车梦焦虑量表以及NEO-PI-R问卷中的神经质、自信和幻想量表进行评估。此外，受试者被要求在三周的研究期间收集5个梦，并使用梦质量问卷的类别对所报告的梦的情感和现象学质量进行评级。结果如下：与对照组相比，BPD患者的梦障碍（噩梦、噩梦、夜间恐怖样症状和梦焦虑）更常见。梦境障碍与神经质呈正相关，而幻想被证明是梦境障碍的负相关。
ABSTRACT – Background and Objectives: Previous studies reported a high prevalence of nightmares and dream anxiety in Borderline Personality Disorder (BPD) and the severity of dream disturbances correlated with daytime symptoms of psychopathology. However, the majority of these results are based on retrospective questionnaire-based study designs, and hence the effect of recall biases (characteristic for BPD), could not be controlled. Therefore our aim was to replicate these findings using dream logs. Moreover, we aimed to examine the level of dream disturbances in connection with measures of emotional instability, and to explore the protective factors against dream disturbances. Methods: 23 subjects diagnosed with BPD, and 23 age and gender matched healthy controls were assessed using the Dream Quality Questionnaire, the Van Dream Anxiety Scale, as well as the Neuroticism, Assertiveness and Fantasy scales of the NEO-PI-R questionnaire. Additionally, subjects were asked to collect 5 dreams in the three-week study period and to rate the emotional and phenomenological qualities of the reported dreams using the categories of the Dream Quality Questionnaire. Results: Dream disturbances (nightmares, bad dreams, night terror-like symptoms, and dream anxiety) were more frequent in patients with BPD than in controls. Dream disturbances correlated positively with Neuroticism, while Fantasy proved to be a negative correlate of dream disturbances.