The role of seeing blood in non-suicidal self-injury in female patients with borderline personality disorder

The role of seeing blood in non-suicidal self-injury in female patients with borderline personality disorder
复制标题

看到血在女性边缘型人格障碍患者非自杀性自伤中的作用

DOI:
10.1016/j.psychres.2016.10.066
复制
发表时间:
2016
影响因子:
11.3
通讯作者:
. . . Schmahl
. . . Schmahl
中科院分区:
医学2区
文献类型:
--
作者:
Krause-Utz;Kleindienst;Willis;Kuniss;. . . Schmahl

文献摘要

参考文献

被引文献

相似文献

边缘型人格障碍(BPD)患者经常进行非自杀性自伤(NSSI),以降低压力下的唤醒水平。然而,观察血液对NSSI效果的重要性尚不清楚。目前的试点研究检查了20名女性BPD患者和20名健康对照(HC),以评估看到血液对唤醒,疼痛,对NSSI(评级)和心率(连续测量)的渴望的作用。参与者完成了两个阶段,包括压力诱导(强迫心算与白色噪音),然后是一个七秒的非侵入性疼痛刺激与刀片掌侧前臂。在一个会议上,只有痛苦的刀片刺激,在其他,人工血液被添加。对于觉醒,BPD组的下降幅度明显强于HC组,但血液和非血液条件之间没有显着影响。关于对NSSI的迫切性,BPD显示血液状况随时间的下降幅度显著大于HC组。有趣的是,在血液状况期间,HC组的心率随着时间的推移比BPD组下降得更厉害。对于通过非损伤性机械疼痛刺激缓解张力,添加可见血液既没有主观(唤醒,对NSSI的渴望)优势,也没有客观(心率)优势。
Patients with Borderline Personality Disorder (BPD) often engage in non-suicidal self-injury (NSSI), to reduce arousal levels under stress. However, the importance of seeing blood for the effect of NSSI is yet unknown. The present pilot study examined 20 female BPD patients and 20 healthy controls (HC) to assess the role of seeing blood on arousal, pain, urge for NSSI (ratings) and heart rate (continuously measured). Participants completed two sessions consisting of stress induction (forced mental arithmetics with white noise), followed by a seven second non-invasive pain stimulus with a blade to the volar forearm. At one session, only the painful blade stimulus was applied, at the other, artificial blood was added. For arousal, a significantly stronger decrease was revealed in the BPD than in the HC group, however with no significant effects between blood and non-blood conditions. Concerning urge for NSSI, the BPD showed a significantly greater decrease in blood condition over time than the HC group. Interestingly, heart rate decreased stronger over time in the HC group during the blood condition than in BPD. For tension relief by non-damaging mechanical painful stimulus the addition of visible blood showed neither subjective (arousal, urge for NSSI), nor objective (heart rate) advantages.
DOI: 10.1016/j.pain.2011.11.021
发表时间: 2012-03-01
期刊: PAIN
影响因子: 7.4
作者:
Magerl, Walter;Burkart, Daniela;Treede, Rolf-Detlef
通讯作者: Treede, Rolf-Detlef
DOI: 10.1016/j.psychres.2005.04.009
发表时间: 2007-01-15
影响因子: 11.3
作者:
Ludaescher, Petra;Bohus, Martin;Schmahl, Christian
通讯作者: Schmahl, Christian
DOI: 10.1192/bjp.bp.114.153379
发表时间: 2015-08-01
影响因子: 10.5
作者:
Reitz, Sarah;Kluetsch, Rosemarie;Schmahl, Christian
通讯作者: Schmahl, Christian
KLT-R. Revidierte Fassung des Konzentrations-Leistungs-Test von H. Düker & G. A. Lienert
DOI: --
发表时间: 2001
期刊:
影响因子: --
作者:
Helmut Lukesch;S. Mayrhofer
通讯作者: S. Mayrhofer
DOI: 10.1348/014466507x173736
发表时间: 2007-09-01
影响因子: 3.1
作者:
Wolff, Sabine;Stiglmayr, Christian;Auckenthaler, Anna
通讯作者: Auckenthaler, Anna