Theory of mind and its relationship with executive functions and emotion recognition in borderline personality disorder
Theory of mind and its relationship with executive functions and emotion recognition in borderline personality disorder
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DOI：
10.1111/jnp.12046
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发表时间：
2015-09-01
影响因子：
2.2
通讯作者：
Ibanez, Agustin
中科院分区：
文献类型：
--
作者：
Baez, Sandra;Marengo, Juan;Ibanez, Agustin
社会认知障碍被认为是边缘型人格障碍（BPD）发展和维持的一种机制。社会认知的一个重要方面是心理理论（ToM），这是一项复杂的技能，似乎受到更多基本过程的影响，如执行功能（EF）和情绪识别。先前对BPD的ToM研究得出了不一致的结果。本研究评估了BPD成人在ToM、情绪识别和EF任务上的表现。我们还研究了EF和情绪识别是否可以预测ToM任务的表现。我们评估了15名成年BPD患者和15名匹配的健康对照者，使用不同的EF、情绪识别和ToM任务。结果表明，BPD成人在这三个领域表现出缺陷，这似乎是任务依赖的。此外，我们发现EF和情绪识别预测了ToM的表现。我们的研究结果表明，涉及现实生活中的社会场景和情境线索的任务更容易检测到BPD患者的ToM和情绪识别缺陷。我们的研究结果还表明：(a) BPD的ToM变异可以部分解释EF和情绪识别的个体差异；(b) BPD患者的ToM缺陷部分可以通过整合来自面部、韵律、手势和社会背景的线索来识别情绪和他人信念的能力来解释。
Impaired social cognition has been claimed to be a mechanism underlying the development and maintenance of borderline personality disorder (BPD). One important aspect of social cognition is the theory of mind (ToM), a complex skill that seems to be influenced by more basic processes, such as executive functions (EF) and emotion recognition. Previous ToM studies in BPD have yielded inconsistent results. This study assessed the performance of BPD adults on ToM, emotion recognition, and EF tasks. We also examined whether EF and emotion recognition could predict the performance on ToM tasks. We evaluated 15 adults with BPD and 15 matched healthy controls using different tasks of EF, emotion recognition, and ToM. The results showed that BPD adults exhibited deficits in the three domains, which seem to be task-dependent. Furthermore, we found that EF and emotion recognition predicted the performance on ToM. Our results suggest that tasks that involve real-life social scenarios and contextual cues are more sensitive to detect ToM and emotion recognition deficits in BPD individuals. Our findings also indicate that (a) ToM variability in BPD is partially explained by individual differences on EF and emotion recognition; and (b) ToM deficits of BPD patients are partially explained by the capacity to integrate cues from face, prosody, gesture, and social context to identify the emotions and others' beliefs.