Don't Praise Me, Don't Chase Me: Emotional Reactivity to Positive and Negative Social-Evaluative Videos in Patients With Borderline Personality Disorder.

Don't Praise Me, Don't Chase Me: Emotional Reactivity to Positive and Negative Social-Evaluative Videos in Patients With Borderline Personality Disorder.
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不要赞美我,不要追我:边缘性人格障碍患者对积极和消极社会评价视频的情绪反应。

DOI:
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发表时间:
2017
影响因子:
2.3
通讯作者:
J. Blechert
J. Blechert
中科院分区:
医学2区
文献类型:
--
作者:
J. Reichenberger;Johannes Josef Eibl;M. Pfaltz;F. Wilhelm;U. Voderholzer;A. Hillert;J. Blechert

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边缘型人格障碍(BPD)的诊断标准包括人际关系问题和对消极社会交往的高反应性。然而,对这些症状的实验研究很少,目前还不清楚是否反应也改变了积极的社会互动。为了模拟这种情况,本研究使用视频刺激(E.Vids; Blechert,Schwitalla,& Wilhelm,2013),其中演员表达拒绝,中性或欣赏句子。20名BPD患者和20名健康对照者将他们的情绪反应分为愉快,唤醒和11种特定情绪。除了对阴性E.Vids的反应性升高外,BPD患者对阳性E. Vids的愉快反应显着降低。此外,他们对积极的视频表现出较少的自豪感,幸福感,认可感和吸引力/爱,而对消极的视频表现出更多的愤怒,焦虑,尴尬,蔑视,内疚,不赞成/拒绝的感觉和悲伤。有趣的是,BPD患者也报告了积极视频的负面情绪。心理治疗和研究的影响进行了讨论。
Diagnostic criteria for borderline personality disorder (BPD) include interpersonal problems and high reactivity to negative social interactions. However, experimental studies on these symptoms are scarce, and it remains unclear whether reactivity is also altered in response to positive social interactions. To simulate such situations, the present study used videographic stimuli (E.Vids; Blechert, Schwitalla, & Wilhelm, 2013) in which actors express rejecting, neutral, or appreciating sentences. Twenty BPD patients and 20 healthy controls rated their emotional responses to these on pleasantness, arousal, and 11 specific emotions. In addition to elevated reactivity to negative E.Vids, patients with BPD showed marked reduction in pleasantness responses to positive E.Vids. Furthermore, they exhibited less pride, happiness, feelings of approval, and attraction/love in response to positive videos and more anger, anxiety, embarrassment, contempt, guilt, feelings of disapproval/rejection, and sadness to negative videos. Interestingly, BPD patients also reported negative emotions in response to positive videos. Implications for psychotherapy and research are discussed.
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