Implicit cognitions on self-injurious and suicidal behavior in borderline personality disorder

心理学 边缘型人格障碍 自杀意念 临床心理学 阈下刺激 精神病理学 人格 毒物控制 萧条(经济学) 精神科 伤害预防 社会心理学 医学 环境卫生 宏观经济学 经济
作者
Jakob Scheunemann,Simone Kühn,Sarah V. Biedermann,Michael Lipp,Judith Peth,Jürgen Gallinat,Lena Jelinek
出处
期刊:Journal of Behavior Therapy and Experimental Psychiatry [Elsevier BV]
卷期号:79: 101836-101836 被引量:2
标识
DOI:10.1016/j.jbtep.2023.101836
摘要

Performance on implicit measures of suicidality has been associated with suicidal and nonsuicidal self-injury. Despite the high prevalence of self-harm in patients with borderline personality disorder (BPD), no previous study has assessed implicit measures in this patient group. Forty patients with BPD and 25 healthy controls completed three implicit association tests (IATs) (Death words – Me/Others words, Self-Harm pictures – Me/Others, and Self-Harm pictures – Good/Bad words) and a subliminal priming task (effect of the primes “dying”/“growing” on the categorization speed of positive/negative adjectives) as well as measures of psychopathology (suicidal ideation, previous nonsuicidal self-injury, borderline symptomatology, depression, and hopelessness). Patients with BPD had higher scores on all three IATs than healthy controls. The subliminal priming procedure did not reveal group differences. Correlations between implicit measures and psychopathology among patients with BPD were mostly weak and nonsignificant with a few exceptions: Positive correlations were observed between IAT Self-Harm – Good/Bad and lifetime frequency of nonsuicidal self-injury, between IAT Self-Harm – Me/Others and depression, and between IAT Death – Me/Others and depression. Correlations between implicit measures were weak to moderate. The study was cross-sectional only, and the study had reduced power as the sample size was limited. As expected, patients with BPD had higher scores than healthy controls on the IATs, which indicates higher implicit self-identification with self-harm and death as well as stronger implicit positive attitudes towards self-harm. The mostly weak correlations between implicit and explicit measures speak against the discriminative value of IATs in patients with BPD.
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