Psychotic-like cognitive biases in borderline personality disorder.
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Psychotic-like cognitive biases in borderline personality disorder. / Moritz, Steffen; Schilling, Lisa; Wingenfeld, Katja; Köther, Ulf; Wittekind, Charlotte; Terfehr, Kirsten; Spitzer, Carsten.
In: J BEHAV THER EXP PSY, Vol. 42, No. 3, 3, 2011, p. 349-354.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Psychotic-like cognitive biases in borderline personality disorder.
AU - Moritz, Steffen
AU - Schilling, Lisa
AU - Wingenfeld, Katja
AU - Köther, Ulf
AU - Wittekind, Charlotte
AU - Terfehr, Kirsten
AU - Spitzer, Carsten
PY - 2011
Y1 - 2011
N2 - Whereas a large body of research has linked borderline personality disorder (BPD) with affective rather than psychotic disorders, BPD patients frequently display psychotic and psychosis-prone symptoms, respectively. The present study investigated whether cognitive biases implicated in the pathogenesis of psychotic symptoms, especially delusions, are also evident in BPD. A total of 20 patients diagnosed with BPD and 20 healthy controls were administered tasks measuring neuropsychological deficits (psychomotor speed, executive functioning) and cognitive biases (e.g., one-sided reasoning, jumping to conclusions, problems with intentionalizing). Whereas BPD patients performed similar to controls on standard neuropsychological tests, they showed markedly increased scores on four out of five subscales of the Cognitive Biases Questionnaire for Psychosis (CBQp) and displayed a one-sided attributional style on the revised Internal, Personal and Situational Attributions Questionnaire (IPSAQ-R) with a marked tendency to attribute events to themselves. The study awaits replication with larger samples, but we tentatively suggest that the investigation of psychosis-related cognitive biases may prove useful for the understanding and treatment of BPD.
AB - Whereas a large body of research has linked borderline personality disorder (BPD) with affective rather than psychotic disorders, BPD patients frequently display psychotic and psychosis-prone symptoms, respectively. The present study investigated whether cognitive biases implicated in the pathogenesis of psychotic symptoms, especially delusions, are also evident in BPD. A total of 20 patients diagnosed with BPD and 20 healthy controls were administered tasks measuring neuropsychological deficits (psychomotor speed, executive functioning) and cognitive biases (e.g., one-sided reasoning, jumping to conclusions, problems with intentionalizing). Whereas BPD patients performed similar to controls on standard neuropsychological tests, they showed markedly increased scores on four out of five subscales of the Cognitive Biases Questionnaire for Psychosis (CBQp) and displayed a one-sided attributional style on the revised Internal, Personal and Situational Attributions Questionnaire (IPSAQ-R) with a marked tendency to attribute events to themselves. The study awaits replication with larger samples, but we tentatively suggest that the investigation of psychosis-related cognitive biases may prove useful for the understanding and treatment of BPD.
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Psychiatric Status Rating Scales
KW - Neuropsychological Tests
KW - Severity of Illness Index
KW - Psychomotor Performance
KW - Psychotic Disorders/diagnosis/psychology
KW - Internal-External Control
KW - Cognition
KW - Borderline Personality Disorder/psychology
KW - Executive Function
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Psychiatric Status Rating Scales
KW - Neuropsychological Tests
KW - Severity of Illness Index
KW - Psychomotor Performance
KW - Psychotic Disorders/diagnosis/psychology
KW - Internal-External Control
KW - Cognition
KW - Borderline Personality Disorder/psychology
KW - Executive Function
M3 - SCORING: Journal article
VL - 42
SP - 349
EP - 354
JO - J BEHAV THER EXP PSY
JF - J BEHAV THER EXP PSY
SN - 0005-7916
IS - 3
M1 - 3
ER -