Differentiating risk for mania and borderline personality disorder: The nature of goal regulation and impulsivity
Differentiating risk for mania and borderline personality disorder: The nature of goal regulation and impulsivity
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DOI：
10.1016/j.psychres.2015.02.001
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发表时间：
2015-06-30
影响因子：
11.3
通讯作者：
Johnson, Sheri L.
中科院分区：
文献类型：
--
作者：
Fulford, Daniel;Eisner, Lori R.;Johnson, Sheri L.
研究人员和临床医生长期以来一直注意到双相情感障碍和交界性人格障碍的特征重叠和高共患率。这两种疾病都有冲动和情绪不稳定的共同特征，这使得它们很难区分开来。我们测试了这样的假设，即与目标失调相关的变量将唯一地与躁狂症的风险相关，而与情绪相关的冲动将与两种障碍的风险相关。我们对214名大学生进行了一系列与目标调节、特质和冲动相关的测量。研究结果证实，躁狂症的风险，而不是边缘人格障碍的风险，与对奖励的更高敏感性和对目标的强烈追求有关。相比之下，临界性人格障碍症状比躁狂风险与威胁敏感度和消极情绪背景下的冲动更密切相关。结果突出了躁狂症风险与临界性人格障碍风险的潜在差异和共同点。(C)2015爱思唯尔爱尔兰有限公司。保留所有权利。
Researchers and clinicians have long noted the overlap among features and high comorbidity of bipolar disorder and borderline personality disorder. The shared features of impulsivity and labile mood in both disorders make them challenging to distinguish. We tested the hypothesis that variables related to goal dysregulation would be uniquely related to risk for mania, while emotion-relevant impulsivity would be related to risk for both disorders. We administered a broad range of measures related to goal regulation traits and impulsivity to 214 undergraduates. Findings confirmed that risk for mania, but not for borderline personality disorder, was related to higher sensitivity to reward and intense pursuit of goals. In contrast, borderline personality disorder symptoms related more strongly than did mania risk with threat sensitivity and with impulsivity in the context of negative affect. Results highlight potential differences and commonalities in mania risk versus borderline personality disorder risk. (C) 2015 Elsevier Ireland Ltd. All rights reserved.