Emotions and Memory in Borderline Personality Disorder
Emotions and Memory in Borderline Personality Disorder
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边缘性人格障碍中的情绪和记忆
DOI：
10.1159/000356360
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发表时间：
2014
期刊：
影响因子：
3.6
通讯作者：
Schmahl
中科院分区：
文献类型：
--
作者：
Winter;Elzinga;Schmahl
信息的编码、存储和提取等记忆过程都受到情绪内容的影响。由于边缘型人格障碍（BPD）患者特别容易受到情绪信息的影响，因此了解这种记忆过程是否在该患者组中发生改变是相关的。这篇系统的文献综述收集了关于这个问题的现有证据。研究表明，情绪信息对BPD患者的信息处理和学习的干扰比健康对照组更强烈。总的来说，BPD患者在记忆情感信息的能力方面似乎与健康对照组没有区别，但他们往往在忘记负面信息方面有特殊的困难。此外，BPD患者似乎回忆自传体，特别是负性事件与更强的唤醒比健康对照组，而BPD患者也显示特定的颞-前额叶神经相关的改变。没有实质性的证据表明，目前的情感状态影响BPD患者的学习和记忆与健康对照组有任何不同。一般来说，抑郁情绪似乎会恶化和负面偏见的信息处理和记忆，而有证据表明，分离症状损害学习和记忆独立的刺激效价。本文综述了BPD患者记忆和情绪研究的方法学挑战，并对未来的研究和临床意义提出了建议。
Memory processes such as encoding, storage, and retrieval of information are influenced by emotional content. Because patients with borderline personality disorder (BPD) are particularly susceptible to emotional information, it is relevant to understand whether such memory processes are altered in this patient group. This systematic literature review collects current evidence on this issue. Research suggests that emotional information interferes more strongly with information processing and learning in BPD patients than in healthy controls. In general, BPD patients do not seem to differ from healthy control subjects in their ability to memorize emotional information, but they tend to have specific difficulties forgetting negative information. Also, BPD patients seem to recall autobiographical, particularly negative events with stronger arousal than healthy controls, while BPD patients also show specific temporo-prefrontal alterations in neural correlates. No substantial evidence was found that the current affective state influences learning and memory in BPD patients any differently than in healthy control subjects. In general, a depressive mood seems to both deteriorate and negatively bias information processing and memories, while there is evidence that dissociative symptoms impair learning and memory independently of stimulus valence. This review discusses methodological challenges of studies on memory and emotions in BPD and makes suggestions for future research and clinical implications.
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