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Individuals with Borderline Personality Disorder Show Larger Preferred Social Distance in Live Dyadic Interactions

机译:患有边缘性人格障碍的个人表现出更大的偏好   实时二元相互作用中的社会距离

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摘要

Personal space (PS) regulation is a key component of effective socialengagement. PS varies among individuals and is regulated by brain circuitsinvolving the amygdala and the frontoparietal network. Others have reportedthat simulated PS intrusions suggest larger preferred interpersonal distance(PID) and a central role of amygdala hyperactivity in PS regulation inBorderline Personality Disorder (BPD). This study is the first report of liveinterpersonal distance preferences and relation to specific symptoms in BPD. Wefound a 2-fold larger PID in BPD than control (n=30, n=23). There were nosignificant differences in PID in BPD subject by medication status or pre-studydiagnosis, and no significant correlations between PID and intensity of BPD,mood, anxiety, impulsive, or psychotic symptoms. In summary, PID is larger inBPD than control subjects. Unexpectedly, BPD subject PID did not differ in bymedication status and did not correlate with intensity of any of the symptomtypes tested. We discuss these findings in context of severe attachmentdisturbances in BPD and the relationship between metaphoric social distance inthe attachment framework. Future work is needed to identify neural circuitsunderlying PS regulation in BPD, individual differences in attachment, andrelationship to symptom trajectory.
机译:个人空间(PS)监管是有效的社会参与的关键组成部分。 PS在个体之间有所不同,并受涉及杏仁核和额前额叶网络的大脑回路的调节。其他人已经报道,模拟的PS入侵表明更大的首选人际距离(PID)和杏仁核活动亢进在边界人格障碍(BPD)的PS调节中起着核心作用。这项研究是关于人际距离偏好与BPD中特定症状的关系的首次报道。我们发现BPD中的PID比对照高2倍(n = 30,n = 23)。在BPD受试者中,根据用药状态或研究前诊断,PID无显着差异,并且PID与BPD强度,情绪,焦虑,冲动或精神病症状之间无显着相关性。总而言之,BPD中的PID比对照对象大。出乎意料的是,BPD受试者的PID在副用药状态上没有差异,并且与所测试的任何症状类型的强度均不相关。我们在严重的BPD依恋困扰以及依恋框架中隐喻社交距离之间的关系的背景下讨论这些发现。需要进一步的工作来确定在BPD中PS调节基础的神经回路,依附性的个体差异以及与症状轨迹的关系。

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