Reward and Punishment Sensitivity in Borderline and Avoidant Personality Disorders.
Reward and Punishment Sensitivity in Borderline and Avoidant Personality Disorders.
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DOI：
10.1521/pedi_2020_34_475
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发表时间：
2020-03
影响因子：
2.3
通讯作者：
K. Berenson;Sarah M Van De Weert;Stella Nicolaou;Cindy Campoverde;Eshkol Rafaeli;G. Downey
中科院分区：
文献类型：
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作者：
K. Berenson;Sarah M Van De Weert;Stella Nicolaou;Cindy Campoverde;Eshkol Rafaeli;G. Downey
作者比较了被诊断为边缘型人格障碍（BPD）或回避型人格障碍（APD）的个体相对于健康对照（HC）组的自我报告和行为反应。正如预测的那样，BPD组自我报告的奖励敏感性显著高于APD和HC组。正如预测的那样，自我报告的敏感性惩罚显着升高，在这两个障碍组，但显着高于APD比BPD。这些假设的模式也很明显，在行为任务的反应：与BPD的参与者作出更多的错误的委员会和更少的错误的遗漏比HC参与者的被动回避学习任务，与APD的参与者表现出更大的反应损失比其他参与者的概率反转学习任务。结果有助于描述这两种疾病之间的差异。
The authors compared self-reported and behavioral responses to reward and punishment in individuals diagnosed with borderline personality disorder (BPD) or avoidant personality disorder (APD) relative to a healthy comparison (HC) group. As predicted, self-reported sensitivity to reward was significantly higher in the BPD group than in the APD and HC groups. Also as predicted, self-reported sensitivity to punishment was significantly elevated in both disordered groups but significantly higher in APD than in BPD. These hypothesized patterns were also evident in responses to behavioral tasks: Participants with BPD made more errors of commission and fewer errors of omission than HC participants on a passive avoidance learning task, and participants with APD showed greater reactivity to losses than other participants on a probabilistic reversal learning task. Results help characterize differences between these two disorders.