Borderline personality disorder and emotion regulation: Insights from the Polyvagal Theory
Borderline personality disorder and emotion regulation: Insights from the Polyvagal Theory
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DOI：
10.1016/j.bandc.2006.05.007
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发表时间：
2007-10-01
影响因子：
2.5
通讯作者：
Porges, Stephen W.
中科院分区：
文献类型：
--
作者：
Austin, Marilyn A.;Riniolo, Todd C.;Porges, Stephen W.
目前的研究提供了第一个已发表的证据，表明自主神经系统的副交感神经成分区分了被诊断为边缘性人格障碍(BPD)的个体和对照组之间的反应特征。呼吸性窦性心律失常(RSA)是有髓迷走神经纤维对心脏影响的非侵入性标志，在播放不同情感内容的电影片段时收集到心跳周期。BPD组和对照组的RSA初始水平和心跳周期相似。然而，在实验期间，两组呈现出相反的轨迹，BPD组减少了RSA和心跳周期，而对照组增加了RSA和心跳周期。到实验结束时，这两组人在RSA和心跳周期上都有显著差异。心率变异性与心动周期的相关性仅在对照组有显著意义，提示迷走神经机制只在对照组参与心率反应的调节。这一发现与多发性迷走神经理论[Porges，S.W.(1995)]一致。在防御性世界中定位：哺乳动物对我们进化遗传的修改：一种多迷走神经理论。《心理生理学》，32,301-318；Porges，S.W.(2001)。多发性迷走神经理论：社会神经系统的系统发育基础。《国际心理生理学杂志》，42,123-146；波吉斯，S.W.(2003)。社会参与和依恋：一个系统发生学观点。纽约科学院年鉴，1008，31-47]，说明了在整个实验过程中自主神经状态的不同适应性变化。BPD组结束时处于支持打斗和逃跑动员行为的生理状态，而对照组结束时处于支持社会参与行为的生理状态。这些发现与其他已发表的研究一致，这些研究表明，心脏的非典型迷走神经调节与其他精神障碍有关。(C)2007 Elsevier Inc.保留所有权利。
The current study provides the first published evidence that the parasympathetic component of the autonomic nervous system differentiates the response profiles between individuals diagnosed with borderline personality disorder (BPD) and controls. Respiratory sinus arrhythmia (RSA), a non-invasive marker of the influence of the myelinated vagal fibers on the heart, and heart period were collected during the presentation of film clips of varying emotional content. The BPD and control groups had similar initial levels of RSA and heart period. However, during the experiment the groups exhibited contrasting trajectories, with the BPD group decreasing RSA and heart period and the control group increasing RSA and heart period. By the end of the experiment, the groups differ significantly on both RSA and heart period. The correlation between the changes in RSA and heart period was significant only for the control group, suggesting that vagal mechanisms mediated the heart period responses only in the control group. The findings were consistent with the Polyvagal Theory [Porges, S. W. (1995). Orienting in a defensive world: Mammalian modifications of our evolutionary heritage: A Polyvagal Theory. Psychophysiology, 32, 301-318; Porges, S. W. (2001). The Polyvagal Theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42, 123-146; Porges, S. W. (2003). Social engagement and attachment: A phylogenetic perspective. Annals of the New York Academy of Sciences, 1008, 31-47.], illustrating different adaptive shifts in autonomic state throughout the course of the experiment. The BPD group ended in a physiological state that supports the mobilization behaviors of fight and flight, while the control group ended in a physiological state that supports social engagement behaviors. These finding are consistent with other published studies demonstrating atypical vagal regulation of the heart with other psychiatric disorders. (c) 2007 Elsevier Inc. All rights reserved.