Abstract:
A significant number of borderline personality disorder (BPD) symptoms are manifested in the interpersonal context. This can be explained by the difficulties in attributing the mental states of oneself and others, which constitutes social cognition. Errors in social cognition are interrelated with the affective, cognitive, impulsive, and interpersonal areas of the person with BPD. The aims of this study was to analyze social cognition in women with BPD compared with a control group and to analyze social cognition in BPD based on BPD symptoms and its severity. To assess social cognition, we used a full range of social cognition categories provided by the Movie for the Assessment of Social Cognition (MASC): correct theory of mind (ToM); attribution of mental states (thoughts, emotions, or intentions); errors of mentalization; types of ToM; and attribution of mental states through perceptive or cognitive cues and through hot or cold emotions. The MASC has high ecological validity and has been validated in Spanish. The sample comprised 79 women, including 47 women with BPD and 32 healthy women. Worse social cognition performance was observed in women with BPD. More severe borderline symptoms were related to worse functioning in the correct ToM and to errors of no mentalization. Involvement of the cognitive area in borderline symptoms was associated with worse functioning in correct ToM and worse social cognition in cognitive areas as well as with hypermentalization. This is the first study that uses all the MASC categories and considers BPD heterogeneity and its severity to study social cognition.
摘要:
在人际关系中表现出大量的边缘性人格障碍(BPD)症状。这可以解释为难以归因自己和他人的精神状态,这构成了社会认知。社会认知中的错误与情感有关,认知,冲动,以及患有BPD的人的人际关系领域。这项研究的目的是分析BPD女性与对照组的社会认知,并根据BPD症状及其严重程度分析BPD的社会认知。为了评估社会认知,我们使用了电影提供的全方位的社会认知类别来评估社会认知(MASC):正确的心理理论(ToM);精神状态的归因(思想,情感,或意图);思维错误;ToM的类型;以及通过感知或认知线索以及冷热情绪对精神状态的归因。MASC具有很高的生态效度,并已在西班牙语中得到验证。样本包括79名女性,包括47名BPD女性和32名健康女性。在患有BPD的女性中观察到更糟糕的社会认知表现。更严重的临界症状与正确的ToM中的功能较差以及没有精神化的错误有关。认知区域参与临界症状与正确的ToM功能较差,认知区域的社会认知较差以及过度精神化有关。这是第一项使用所有MASC类别并考虑BPD异质性及其严重程度来研究社会认知的研究。