A Model of Trust Processes in Borderline Personality Disorder: A Systematic Review.

IF 5.5 2区医学 Q1 PSYCHIATRY

Current Psychiatry Reports Pub Date : 2023-11-01 Epub Date: 2023-10-27 DOI:10.1007/s11920-023-01468-y

Emanuele Preti, Juliette Richetin, Anita Poggi, Eric Fertuck

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引用次数: 0

Abstract

Purpose of review: Unstable relationships are a core feature of borderline personality disorder (BPD). Impairments in trust processes (i.e., appraisal and learning regarding others' trustworthiness) can subserve interpersonal problems associated with BPD, but the determinants, mechanisms, consequences, and variations in trust impairments among individuals with BPD remain poorly characterized. Thus, a better understanding of such impairments could help target interventions that address the interpersonal problems of individuals with BPD beyond emotion dysregulation, impulsivity, and aggression.

Recent findings: We conducted a pre-registered systematic review of empirical studies on trust processes and BPD features (k = 29). Results are organized around a heuristic model of trust processes in BPD comprising the following stages: developmental factors, prior beliefs and dispositions, situation perception, emotional states, trust appraisal, behavioral manifestations, and trust learning. Based on the synthesis of the findings, we recommended directions for future research and clinical assessment and intervention, such as managing trust during the early stages of therapy and considering improvements in trust processes as a central mechanism of change in treating individuals with BPD.

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边缘型人格障碍的信任过程模型：系统综述。

综述目的：不稳定的人际关系是边缘型人格障碍（BPD）的核心特征。信任过程中的损害（即对他人可信度的评估和学习）可能会引发与BPD相关的人际关系问题，但BPD患者之间信任损害的决定因素、机制、后果和变化仍不明确。因此，更好地了解这些障碍可以帮助有针对性的干预措施，解决BPD患者的人际关系问题，而不仅仅是情绪失调、冲动和攻击。最近的发现：我们对信任过程和BPD特征（k = 29）。结果围绕BPD中信任过程的启发式模型进行组织，该模型包括以下阶段：发展因素、先前的信念和倾向、情境感知、情绪状态、信任评估、行为表现和信任学习。根据研究结果的综合，我们建议了未来研究、临床评估和干预的方向，例如在治疗的早期阶段管理信任，并考虑将信任过程的改善作为治疗BPD患者的核心机制。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.