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首页> 外文期刊>Psychiatry research >Contrasting metacognitive, social cognitive and alexithymia profiles in adults with borderline personality disorder, schizophrenia and substance use disorder
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Contrasting metacognitive, social cognitive and alexithymia profiles in adults with borderline personality disorder, schizophrenia and substance use disorder

机译：对比成人在具有临界人格障碍，精神分裂症和物质使用障碍中成年人中的元认知，社会认知和ALEXITIBIA谱

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Abstract Deficits in the ability to recognize and think about mental states are broadly understood to be a root cause of dysfunction in Borderline Personality Disorder (PD). This study compared the magnitude of those deficits relative to other forms of serious mental illness or psychiatric conditions. Assessments were performed using the metacognition assessment scale-abbreviated (MAS-A), emotion recognition using the Bell Lysaker Emotion Recognition Test and alexithymia using the Toronto Alexithymia Scale among adults with schizophrenia ( n = 65), Borderline PD ( n = 34) and Substance Use disorder without psychosis or significant Borderline traits ( n = 32). ANCOVA controlling for age revealed the Borderline PD group had significantly greater levels of metacognitive capacity on the MAS-A than the schizophrenia group and significantly lower levels of metacognitive capacity than the Substance Use group. Multiple comparisons revealed the Borderline PD group had significantly higher self-reflectivity and awareness of the other's mind than the schizophrenia group but lesser mastery and decentration on the MAS-A than substance use group, after controlling for self-report of psychopathology and overall number of PD traits. The Borderline PD and Schizophrenia group had significantly higher levels of alexithymia than the substance use group. No differences were found for emotion recognition. Results suggest metacognitive functioning is differentially affected in different mental disorders. Highlights ? It is unknown how metacognitive deficits in Borderline Personality Disorder differ from those in schizophrenia. ? Metacognition and social cognition in schizophrenia, borderline personality disorder and substance use disorders was compared. ? Borderline Personality Disorder displayed a unique pattern of metacognitive deficits. ? Borderline personality disorder may involve uniquely grave metacognitive deficits in decentration and mastery.
机译：摘要识别和思考精神状态的能力赤字被广泛地理解为边界人格障碍（PD）功能障碍的根本原因。这项研究与其他形式的严重精神疾病或精神病条件相比，这些缺陷的幅度与其他形式的比较。使用Metognition评估规模缩写（MAS-A）进行评估，使用钟声廊道情感识别测试和使用多伦多的Allexithymia等级的成人在具有精神分裂症（n = 65），边界Pd（n = 34）和物质使用没有精神病或显着的边界特征（n = 32）。 ACCOVA控制年龄显示，边缘PD组在MAS-A比精神分裂症组上具有明显更大的元认知能力水平，并且比物质使用组显着降低了代理能力水平。多重比较揭示了边缘PD集团的自我反射率显着提高，对对方的思想的认识比精神分裂症组，但在控制自我用途组的MAS-A上的掌握和折扣上，控制自我报告和总数后PD特征。边界Pd和精神分裂症组均具有比物质使用组的含量显着较高。没有发现情感识别的差异。结果表明元认知功能在不同的精神障碍中差异影响。强调 ？尚不讨论临界人格障碍中的元认知缺陷与精神分裂症中的缺陷不同。还精神分裂症中的元认知和社会认知，比较了边缘人格障碍和物质使用障碍。还边界人格障碍显示了一种独特的元认知赤字模式。还边界人格障碍可能涉及偏折杂和掌握的独特严重的元认知赤字。

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