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Testing the Interpersonal-Cognitive Model of Auditory Verbal Hallucinations in Youths with Either Early-Stage Borderline Personality Disorder or First-Episode Schizophrenia Spectrum Disorder

机译:用早期临床平线人格障碍或第一集中精神分裂症谱系疾病测试青少年听觉口头幻觉的人际关系认知模型

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This is the first study to explore interpersonal schemata in outpatient youths (age 15-25 years) with early-stage borderline personality disorder (BPD) and auditory verbal hallucinations (AVH). It also aimed to replicate, in a transdiagnostic youth sample, the finding from studies of adults with AVH that negative beliefs about the self and others lead to negative appraisals of voices, which in turn elicits depression. The following 3 groups were compared: youth with BPD+AVH (n = 23), youth with schizophrenia spectrum disorder (SZ) with AVH (SZ+AVH, n = 20), and youths with BPD who did not experience AVH (BPD no AVH, n = 23). The BPD+AVH group reported more negative and fewer positive self schemata than the SZ+AVH group. They also saw themselves as being more socially inferior to others than did the SZ+AVH group, but they did not differ in appraisals of self or others, compared with the BPD no AVH group. In youths with AVH (BPD+AVH, SZ+AVH combined), the indirect effect of beliefs about self or others, via negative appraisals of voices on depression, was not significant. Instead, a significant indirect effect of negative appraisals of voices on depression, via negative beliefs about self, was found. The experience of AVH during adolescence and young adulthood, when the identity is still being formed, might have a more profound effect on the developing self than during later adulthood, when the self is more stable and resilient. Negative self-appraisals might constitute a treatment target for early intervention for youths with distressing voices, including those with BPD.
机译:这是第一项探索门诊青年(15-25岁)的人际典范(BPD)和听觉口头幻觉(AVH)中的人际关系的研究。它还旨在在Transdiagnostic青年样本中复制成年人的研究,因为AVH对自我和其他人和其他人的负面信相当导致声音的负面评估,这反过来引发了抑郁症。比较以下3组:青年与BPD + AVH(n = 23),青少年有精神分裂症谱系障碍(SZ),AVH(SZ + AVH,N = 20),以及与BPD没有经历过的BPD(BPD NO) avh,n = 23)。 BPD + AVH集团报告比SZ + AVH集团更多的正版本和较少的正面自行车。与BPD NO AVH集团相比,他们也认为自己比SZ + AVH集团更自卑,而不是SZ + AVH集团,但他们对自我或他人的评估没有差异。在AVH(BPD + AVH,SZ + AVH)的年轻人中,信仰对自我或他人的间接影响,通过负面评估抑郁症的声音,并不重要。相反,发现,通过对自我的负面信,发现了声音对抑郁症的负面评估的显着间接影响。 AVH在青春期和年轻的成年期间的经验,当仍在形成身份时,可能对发展自身的发展效果更深刻,而自身在其自我更稳定和弹性时。消极的自我评估可能构成治疗目标,以提前干预青少年的令人痛苦的声音,包括BPD。

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