边缘型人格障碍患者的精神病样推理风格?直接下结论偏误的实验研究

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Jakob Scheunemann, Lisa Schilling, Christina Andreou, Steffen Moritz
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引用次数: 0

摘要

边缘型人格障碍(BPD)患者通常表现出精神病症状,如幻觉或妄想/偏执想法。我们使用fish任务来研究与BPD患者精神病症状的病因有关的认知偏差(过早下结论和过度纠正)。方法:参与者收到连续的信息,以确定渔民从两个湖泊中哪一个捕鱼。结果测量是在一条鱼和不超过两条鱼之后(直接得出结论),决策时的概率估计(决策阈值)和收到不确定信息后的概率估计的调整(过度修正)后得出的决策和过早决策的频率。根据多个研究汇总的数据,共有170名BPD患者和72名健康对照者(按年龄、性别和教育程度平行)参与了研究。结果两组学生对决策的吸引力和过早决策的频率相似。决策阈值在各组之间也具有可比性。然而,BPD患者表现出矫枉过正。结论:实验研究未发现BPD患者存在跳向结论偏倚或较低决策阈值的证据。BPD患者对概率估计的较强调整(过校正)与BPD患者观察到的不稳定情绪、自我形象和人际关系是相适应的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychotic-Like Reasoning Styles in Patients With Borderline Personality Disorder? An Experimental Investigation of the Jumping to Conclusions Bias

Introduction

Patients with borderline personality disorder (BPD) commonly display psychotic symptoms such as hallucinations or delusional/paranoid ideas. We used the fish task to investigate cognitive biases (jumping to conclusions and overcorrection) implicated in the aetiology of psychotic symptoms in patients with BPD.

Methods

Participants received consecutive pieces of information to determine which of two lakes a fisherman was catching fish from. Outcome measures were draws to decision and frequency of premature decisions after just one and after not more than two fish (jumping to conclusions), probability estimate at the time of the decision (decision threshold) and adjustment of the probability estimate after receiving disconfirmatory information (overcorrection). With data aggregated from multiple studies, a total of 170 patients with BPD and 72 healthy controls (parallelized by age, gender and education) participated.

Results

The two groups showed similar draws to decision and frequencies of premature decisions. The decision threshold was also comparable across the groups. However, the patients with BPD showed overcorrection.

Conclusions

The experimental study found no evidence for a jumping to conclusions bias or a lower decision threshold in patients with BPD. The stronger adjustment of probability estimates (overcorrection) in patients with BPD is compatible with the unstable affect, self-image and interpersonal relationships observed in patients with BPD.

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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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