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Psychotic-like cognitive biases in borderline personality disorder.
J Behav Ther Exp Psychiatry. 2011 Sep; 42(3):349-54.JB

Abstract

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.

Authors+Show Affiliations

University Medical Center Hamburg-Eppendorf, Department of Psychiatry and Psychotherapy, Martinistr. 52, D-20246 Hamburg, Germany. moritz@uke.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21411041

Citation

Moritz, Steffen, et al. "Psychotic-like Cognitive Biases in Borderline Personality Disorder." Journal of Behavior Therapy and Experimental Psychiatry, vol. 42, no. 3, 2011, pp. 349-54.
Moritz S, Schilling L, Wingenfeld K, et al. Psychotic-like cognitive biases in borderline personality disorder. J Behav Ther Exp Psychiatry. 2011;42(3):349-54.
Moritz, S., Schilling, L., Wingenfeld, K., Köther, U., Wittekind, C., Terfehr, K., & Spitzer, C. (2011). Psychotic-like cognitive biases in borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 42(3), 349-54. https://doi.org/10.1016/j.jbtep.2011.02.003
Moritz S, et al. Psychotic-like Cognitive Biases in Borderline Personality Disorder. J Behav Ther Exp Psychiatry. 2011;42(3):349-54. PubMed PMID: 21411041.
* Article titles in AMA citation format should be in sentence-case
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, Y1 - 2011/03/23/ PY - 2010/08/06/received PY - 2011/01/12/revised PY - 2011/02/02/accepted PY - 2011/3/18/entrez PY - 2011/3/18/pubmed PY - 2011/9/14/medline SP - 349 EP - 54 JF - Journal of behavior therapy and experimental psychiatry JO - J Behav Ther Exp Psychiatry VL - 42 IS - 3 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. SN - 1873-7943 UR - https://www.unboundmedicine.com/medline/citation/21411041/Psychotic_like_cognitive_biases_in_borderline_personality_disorder_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0005-7916(11)00026-7 DB - PRIME DP - Unbound Medicine ER -