حافظه‌ کاری و اختلال شخصیت: بررسی اثربخشی آموزش حافظه‌ی کاری با محرک عاطفی بر کاهش رفتارهای خودجرحی افراد دارای اختلال شخصیت مرزی

نویسندگان
دانشگاه محقق اردبیلی
چکیده
هدف از پژوهش حاضر بررسی اثربخشی آموزش حافظه­‌ی کاری با محرک عاطفی بر کاهش رفتارهای خودجرحی افراد دارای اختلال شخصیت مرزی بود. پژوهش حاضر از نوع نیمه­آزمایشی و طرح آن پیش‌­آزمون و پس‌­آزمون با گروه گواه بود. تمامی دانشجویان دارای علائم اختلال شخصیت مرزی دانشگاه محقق اردبیلی در سال تحصیلی 96-97 جامعه آماری این پژوهش را تشکیل دادند که تعداد 40 نفر از آن‌ها به روش غربالگری با استفاده از مقیاس اختلال شخصیت مرزی (STB) و مصاحبه بالینی ساختاریافته­‌ی SCID-II انتخاب و به صورت تصادفی در دو گروه آزمایش و کنترل گمارش شدند. افراد گروه آزمایش به مدت 10 جلسه ­30 تا 45 دقیقه­‌ای در 10 روز طی 2 هفته هر روز هفته (بجز پنجشنبه و جمعه) تحت آموزش حافظه­‌ی کاری با محرک عاطفی قرار گرفتند، در حالی که گروه گواه هیچ­گونه آموزشی دریافت نکردند. برای جمع‌­آوری اطلاعات هر دو مرحله­‌ی پیش‌­آزمون و پس‌­آزمون از پرسشنامه آسیب به خود سانسون و ویدرمن (SHI) استفاده شد. به منظور تحلیل داده‌­ها از روش آماری تحلیل کوواریانس تک متغیری (ANCOVA) استفاده شد. نتایج نشان داد که میانگین نمرات خودجرحی آزمودنی‌­ها گروه آزمایش به نسبت گروه کنترل در مرحله پس‌­آزمون، به‌طور معنی‌داری کاهش یافته است. بر اساس پژوهش حاضر آموزش حافظه‌­ی کاری با محرک عاطفی از طریق تقویت کنترل شناختی بر کاهش رفتارهای تکانه‌ای نظیر خودجرحی اثر گذار می­باشد.
کلیدواژه‌ها

عنوان مقاله English

Working Memory and Borderline Personality Disorder: The Effectiveness of Working Memory Training with Emotional Stimulation on Improving Self-Injury Behaviors among Individuals with Borderline Personality Disorder

نویسندگان English

Nassim Zakibakhsh Mohammadi
Sajjad Basharpoor
Mohammad Narimani
Moslem Kord
MA in Psychology, University of Mohaghegh Ardabili, Ardabil. Iran.
چکیده English

The purpose of this study was to evaluate the effectiveness of working memory training with emotional stimulation on self-injury behaviors of people with borderline personality disorder. The method of current study was semi-experimental and its design was pre-test and post-test with a control group. All the students of University of Mohaghegh Ardebili with borderline personality disorder in the 2017-2018 academic year comprised the population of this study. Forty people were selected by the screening method via the Boderline Traits Scale (STB) and the Structured Clinical Interview for Mental Disorders (SCID-II) and they were assigned to two experimental and control groups. The experimental group attended working memory training with emotional stimulation for 10 sessions of 30 to 45 minutes for 10 days, i.e. during two weeks every day (except Thursdays and Fridays), while the control group did not receive such training. The Sansone and Wiederman Self-Harm Inventory (SHI) questionnaire was used to collect information for both pre-test and post-test stages. Data were analyzed using a statistical method of single variable covariance analysis. The results showed that the mean self-injury scores of the subjects in the experimental group were significantly reduced compared to the control group in the post-test stage. According to the present study, it could be suggested that working memory training with emotional stimulation via strengthening cognitive control is effective for reducing impulsive behaviors such as self-injury.

کلیدواژه‌ها English

Borderline personality Disorder
Emotional Working Memroy Training
self-injury
Andrulonis, P.A., Glueck, B.C., Stroebel, C.F., Vogel, N.G., Shapiro, A.L., & Aldridge, D.M. (1981). Organic brain dysfunction and the borderline syndrome. Psychiatric Clinics. 4(1), 47-66.
Ann egret kranse-utz, Julia- CarolineWalter, SusanneSchweizer, Stefanie Lis, Tim Dalgleish, Christian schmahl, el at. (2017). The effectiveness of an Emotional working memory training in borderline personality disorder. Journal of biological psychiatry, 18(10), 165.
Association AP. (2013). Diagnostic and statiscal manual of Mental disorder (fifth edition) dsm5. Tehran: Ravan press.
Banich, M.T., & Compton, R.J. (2011). Cognitive Neuroscience. Third Edition. Translated by Sajjad Basharpoor and Ali Isazadeghan. Ardabil: University of Mohaghegh Ardebil University Press.
Basharpoor. S, Zakibakhsh. N, Narimani. M, Kord. S. (2020). The Effectiveness of Emotional Working Memory Training on Beta Asymmetry in Frontal Regionsof Two Hemispheres in People with Borderline Personality Disorder. Shafayekhatam, 8(2), 55-63.
Bazanis E, Rogersrd RD, DowsOn H, Taylor P, Meux C, Staley C, et.al.(2002). Neurocognitive deficits in decision- and planning of patients with DSM-III-R borderline personality disorder. Psychological medicine, 32, 1395-1405.
Brass, M., Ullsperger, M., Knoesche, T.R., Cramon, D.Y., & Phillips, N.A. (2005). Who comes first? The role of the prefrontal and parietal cortex in cognitive control. Journal of cognitive neuroscience, 17(9), 1367-1375.
Burgess, W.J. (1991). Relationship of depression and cognitive impairment to self-injury in borderline personality disorder, major depression, and schizophrenia. Psychiatry Research, 38, 77–87.
Claridge G, Broks P. (1984). Schizotypy and hemisphere function: I. Theoretical considerationsand the measurement of schizotypy. Personality and Individual Differences, 5, 633-648.
Crowe. M. (2004). Never good enough – part 1: shame or borderline personality disorder? Psychiatric and Mental Health Nursing, (11)3, 327-334.
de Araujo, F., Maria, G., Abdallah, C., Sato, J.R., de Araujo, T.B., Lisondo, C.M., et al. (2014). Morphometric hemispheric asymmetry of orbitofrontal cortex in women with borderline personality disorder: A multi-parameter approach. Psychiatry Research: Neuroimaging, 223(2), 61-66.
De la Fuente J.M., Bengoetxea, E., Navarro, F., Bobes, J., & Alarcón, R.D. (2011). Interconnection between biological abnormalities in borderline personality disorder: use of the Bayesian networks model. Psychiatry research, 186(2-3), 315-319.
Duncan, J. (2010). The multiple-demand (MD) system of the primate brain: mental programs for intelligent behaviour. Trends in cognitive sciences, 14(4), 172-179.
Fertuck EA, Lenzenweger MF. Clarking YF, Hoermann S, Standly B. (2006). Executive neurocognition, memory systems, and borderline personality disorder. Clin psych Rev, 2006, 26, 364-75.
Fikke. T. L, Melinder A, Landro N. I. (2011). Executive functions are impaired in adolescents engaging in non-suicidal self-injury. Psychological Medicine, 41(3), 601-610.
First M, Spitzer R, Giben M, Wiliams J. (2010). Semistructred by cilinical interview for disorder of DSM-IV-TR. Tehran: danzhe.
Flasbeck, V., Popkirov, S., & Brüne, M. (2017). Frontal EEG asymmetry in borderline personality disorder is associated with alexithymia. Borderline personality disorder and emotion dysregulation, 4(1), 20.
Gratz KL, Tull MT, Reynolds EK, Bagge CL, Latzman RD, Daughters SB, et al. (2009). Extending extant models of the pathogenesis of borderline personality disorder to childhood borderline personality symptoms: The roles of affective dysfunction, disinhibition, and self-and emotion-regulation deficits. Developmental Psychopathology, 21(4), 1263-91.
Gross, J. J. (1998a). Antecedent- and response-focused emotion regulation: Divergent consequences for experience, expression. Journal of Personality and Social Psychology, 74, 224-237.
Gvirts. Hila Z, Harari. Hagai, Braw. Yoram, Shefet. Daphna, Shamay-Tsoory. Simone, Levkovitz. Yechiel. (2012). Executive functioning among patients with borderline personality disorder (BPD) and their relatives. Journal of Affective disorder, 134, 261-264.
Jackson M, Claridge G. (1991). Reliability and validity of a psychotic traits questionnaire (STQ). British Journal of Clinical Psychology, 30(4), 311-323.
Kensinger. Elizabeth A, Susanne. Corkin. (2003). Memory for emotional words: Are emotional more vivdly remembered than eords? Memory and cognition, 31, 1169-1180.
Khanipoor. H, (2014). Self-injury behaviors in adolescents: nature, probability of suicide, role of psychological factors and peers (PHD), Tehran: university of allameh tabatabai of Tehran. [Persian].
Khanipoor. H, Shoshtari. M, Ahmadi. B, Glozari, M, Falsafinezhd. M. (2015) The relationship between impulse control deficit and self-injury without suicide in adolescents with a history of childhood abuse: A self-efficacy perception. Iranian Journal of Psychiatry & Clinical Psychology, 20(2), 339-348.
Kunert, H.J., Druecke, H.W., Sass, H., Herpertz, S.C. (2003). Frontal lobe dysfunctions in borderline personality disorder? Neuropsychological findings. Journal of Personality Disorders, 17, 497–509.
Linehan, M. M. (1993). Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford.
Mammarella N, Borella E, Carretti B, Leonardi G, Fairfield B. (2013). Examining an emotion enhancement effect in working memory: Evidence from age-related differences. Neuropsychological rehabilitation, 23(3), 416-428.
Mammarella, N., Borella, E., Carretti, B., Leonardi, G., & Fairfield, B. (2013). Examining an emotion enhancement effect in working memory: Evidence from age-related differences. Neuropsychological rehabilitation, 23(3), 416-428.
Niggyt, Silk. KR, Starro G, Miller T. (2005). disinhibition and Borderline personality disorder. Devpsychapathol, 17, 893-98.
Novotny, P. (1927). Self-cutting. Bull Menninger Clinic, 36, 505–514.
Owen, A.M., McMillan, K.M., Laird, A.R., & Bullmore, E. (2005). N‐back working memory paradigm: A meta‐analysis of normative functional neuroimaging studies. Human brain mapping, 25(1), 46-59.
Rawlings D, Claridge G, Freeman JL. (2001). Principal components analysis of the schizotypal personality scale (STA) and the borderline personality scale (STB). Personality and Individual Differences, 31(3), 409-419.
Sadock. B, Sadock. V, Ruiz. P. (2015). Kalan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/ Clinical Psychiatry. 2nd. Tehran: Arjmand Publication.
Sansone RA, Wiederman MW, Sansone LA. (1991). The Self-Harm Inventory (SHI): development of a scale for identifying selfdestructive behaviors and borderline personality disorder. Journal of Clinical Psychology, 54(7), 973-83.
Schmeichel, B. J., Volokhov, R. N., & Demaree, H. A. (2008). Working memory capacity and the self-regulation of emotional expression and experience. Journal of personality and social psychology, 95(6), 1526-40.
Schweizer, S. Grahn, J. Hampshire, A. Mobbs, D. Dalgleish, T. (2013). Training The Emotional Brain: Improving affective control through Emotional Working Memory Training. The Journal of Neuroscience, 33(12), 5301-5311.
Schweizer, S., & Dalgleish, T. (2106). the impact of affective contexts on working memory capacity in healthy populations and in individual with PTSD. Emotion, 16(1), 16-23.
Schweizer. S., Samimi. Z., Hassani. J., Moradi A., Mirdoraghi. F., Khaleghi. M. (2017). Improving cognitive control in adolscents with post-traumatic stress disorder (PTSD). Behavioural research and therapy, 93, 88-94.
Silver. s, Jennifer A, Hubbard Alexa D, Chaudhury. Sadia, Biggs. Emily, Shu. Jocelyn, et al. (2016). Suicide attempters with Borderline Personality Disorder show differential orbitofrontal and parietal recruitment when reflecting on aversive memories. Psychiatry Research, 18, 71-78.
Taylor, P. J., Gooding. P. A., Wood. A. M., Tarrier. N. (2010). Memory specificity as a risk factor for suicidality in non-affective psychosis: The ability to recall specific autobiographical memories is related to greater suicidality. Behaviour Research and Therapy, 48(10), 1047-1052.
Turner, B. J., Dixon – Gordon, K.L., Astin, S. B., Rodrigues, M. A., Rosenthal, M. Z., &Chapman, A. L. (2015). (Non- suicidal self-injury with and without borderline Personality disorder, differences self-injury and diagnostic comorbidity. Journal of psychiatry Research, 230, 28-35.
WeizhenXie, HuanhuanLi, YingminZou, XuemeiSun, ChuanShi. (2018). A suicidal mind tends to maintain less negative information in visual working memory. Psychiatry Research, 262, 549-557.
Zibman, S, Daniel, E., Alyagon, U., Etkin, A., & Zangen, A. (2019). Interhemispheric cortico-cortical paired associative stimulation of the prefrontal cortex jointly modulates frontal asymmetry and emotional reactivity. Brain stimulation, 12(1), 139-147.
Zargarani. N, Mashhadi. A, Tabibi. Z. (2015). The Effectiveness of Emotion Regulation Group Training Based on Process Model of Gross on Behavioral and Cognitive Inhibition of Adolescent Girls with Syndrome of BPD and ADHD. Journal of clinical psychology, 6(4), 9-19.