边缘型人格障碍的早期情感共情、情感传染和共情关注:系统回顾与荟萃分析。

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY
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引用次数: 0

摘要

背景:据推测,边缘型人格障碍(BPD)患者的认知移情能力较低,但情感移情能力较强。尽管有针对认知移情的荟萃分析,但情感移情仍未得到研究。这项预先登记的系统综述和荟萃分析采用多维方法,包括早期情感共鸣、情感传染和共情关注,调查了BPD患者或具有高度BPD特质的患者相对于健康人的情感共鸣情况:方法:对 SCOPUS、PubMed、Medline COMPLETE 和 PsycINFO(2022 年 6 月 27 日、2023 年 5 月 14 日和 2024 年 7 月 1 日)进行了系统检索。所纳入的研究比较了BPD/高BPD特质者与健康对比者的情感移情,采用了实验或自我报告设计,并经同行评审或发表了博士论文。采用纽卡斯尔-渥太华量表对偏倚风险进行了评估:在22项符合条件的研究中,结果显示具有BPD/高BPD特质的个体表现出明显更高的情绪传染性(Npooled = 1797, g = -1.10, 95 % CI [-1.57, -0.62])。在移情关注(Npooled = 1545,g = 0.06,95 % CI [-0.10,0.22])或愤怒(Npooled = 245,g = 0.28,95 % CI [-0.0.53,1.09])和快乐(Npooled = 189,g = 0.34,95 % CI [-0.1.50,2.18])的早期情感移情方面没有发现明显差异:局限性:纳入的早期情感移情研究很少,更广泛的文献在方法上存在缺陷,而且研究存在异质性,因此在解释这些影响时需要谨慎,强调需要进行有针对性的研究:结论:虽然具有BPD/高度BPD特质的个体更有可能通过情绪传染主观地体验他人的痛苦,但在早期情感共情或将同情和关心导向他人的能力方面没有发现差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early affective empathy, emotion contagion, and empathic concern in borderline personality disorder: A systematic review and meta-analysis

Background

Individuals with Borderline Personality Disorder (BPD) are theorized to experience lower cognitive empathy but heightened affective empathy. Despite meta-analyses addressing cognitive empathy, affective empathy remains unexplored. This pre-registered systematic review and meta-analysis investigated affective empathy in individuals with BPD or high BPD traits relative to healthy comparisons, using a multidimensional approach including, early affective empathy, emotion contagion, and empathic concern.

Methods

Systematic search of SCOPUS, PubMed, Medline COMPLETE, and PsycINFO (June 27, 2022, May 14, 2023, and July 1, 2024) was completed. Included studies compared affective empathy in those with BPD/high BPD traits with healthy comparisons, utilized experimental or self-report designs, and were peer-reviewed or PhD theses. Risk of bias was assessed using the Newcastle-Ottawa Scale.

Results

Among 22 eligible studies identified, results revealed individuals with BPD/high BPD traits showed significantly higher emotion contagion (Npooled = 1797, g = −1.10, 95 % CI [−1.57, −0.62]). No significant differences were found in empathic concern (Npooled = 1545, g = 0.06, 95 % CI [−0.10, 0.22]), or early affective empathy for anger (Npooled = 245, g = 0.28, 95 % CI [−0.0.53, 1.09]) and happiness, (Npooled = 189, g = 0.34, 95 % CI [−0.1.50, 2.18]).

Limitations

Few included studies for early affective empathy, methodological shortcomings in the broader literature and study heterogeneity suggest caution when interpreting these effects, emphasizing the need for targeted research.

Conclusions

While individuals with BPD/high BPD traits are more likely to subjectively experience others' distress through emotion contagion, no differences were found in early affective empathy or ability to direct sympathy and concern towards others.

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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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