期刊论文详细信息
BMC Psychiatry
Subjective memory complaints and memory performance in patients with borderline personality disorder
Martin Driessen4  Nicole Schlosser4  Nina Rullkoetter4  Katja Wingenfeld3  Christoph Mensebach1  Thomas Beblo2 
[1] Department of Psychosomatic Medicine and Psychotherapy, University Duisburg-Essen, Essen, Germany;Department of Psychology, University of Bielefeld, Bielefeld, Germany;Department of Psychiatry, Charité University Berlin, Campus Benjamin Franklin, Berlin, Germany;Department of Research, Clinic of Psychiatry and Psychotherapy Bethel, Ev. Hospital Bielefeld, Remterweg 69-71, Bielefeld, 33617, Germany
关键词: Tests;    Complaints;    Memory;    Borderline Personality Disorder (BPD);   
Others  :  1123356
DOI  :  10.1186/s12888-014-0255-2
 received in 2014-06-12, accepted in 2014-08-29,  发布年份 2014
PDF
【 摘 要 】

Background

It is still a matter of debate as to whether patients with Borderline Personality Disorder (BPD) suffer from memory deficits. Existing studies indicate no or small impairments in memory test performance. However, it was shown in patients with related disorders, such as depression, that self-reported impairment exceeds test malfunction. In the present study we assessed memory performance of BPD patients through the use of memory tests and a questionnaire for subjective memory complaints (SMC) in everyday life.

Methods

Thirty-two patients with BPD and 32 healthy control subjects were included in the study. The groups of subjects were comparable with respect to age, education, and gender. Subjects completed verbal and nonverbal memory tests, as well as the everyday memory questionnaire (EMQ).

Results

BPD patients reported severe SMC but did not show memory test impairment. The results remained stable even when all BPD patients with acute or lifetime depression comorbidity were excluded from analyses. In both groups, SMC and test performances were not related but in BPD patients SMC were related to BPD symptoms.

Conclusions

Our data indicate memory impairment of BPD patients in everyday life. However, it cannot be ruled out that increased memory complaints result from patients’ negative self-perception. Future research needs to clarify the reasons for memory complaints of BPD patients.

【 授权许可】

   
2014 Beblo et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150216031328272.pdf 212KB PDF download
【 参考文献 】
  • [1]Association AP: DSM IV diagnostic and statistical manual of mental disorders. American Psychiatric Association, Washington, D.C.; 1994.
  • [2]Kernberg P: Criteria of termination of child psychotherapy. Psychiatrische Universitätspoliklinik für Kinder und Jugendliche, Basel; 1982.
  • [3]Sternbach SE, Judd PH, Sabo AN, McGlashan T, Gunderson JG: Cognitive and perceptual distortions in borderline personality disorder and schizotypal personality disorder in a vignette sample. Compre Psychiat 1992, 33(3):186-189.
  • [4]Zanarini MC, Gunderson JG, Frankenburg FR: Cognitive features of borderline personality disorder. Am J Psychiatry 1990, 147(1):57-63.
  • [5]Beblo T, Saavedra AS, Mensebach C, Lange W, Markowitsch HJ, Rau H, Woermann FG, Driessen M: Deficits in visual functions and neuropsychological inconsistency in Borderline Personality Disorder. Psychiatry Res 2006, 145(2–3):127-135.
  • [6]Haaland VO, Esperaas L, Landro NI: Selective deficit in executive functioning among patients with borderline personality disorder. Psychol Med 2009, 39(10):1733-1743.
  • [7]Haaland VO, Landro NI: Pathological dissociation and neuropsychological functioning in borderline personality disorder. Acta Psychiatr Scand 2009, 119(5):383-392.
  • [8]Reid T, Startup M: Autobiographical memory specificity in borderline personality disorder: associations with co-morbid depression and intellectual ability. Br J Clin Psychol 2010, 49(Pt 3):413-420.
  • [9]Mensebach C, Wingenfeld K, Driessen M, Rullkoetter N, Schlosser N, Steil C, Schaffrath C, Bulla-Hellwig M, Markowitsch HJ, Woermann FG, Beblo T: Emotion-induced memory dysfunction in borderline personality disorder. Cogn Neuropsychiatry 2009, 14(6):524-541.
  • [10]Park S, Hong JP, Lee HB, Samuels J, Bienvenu OJ, Chung HY, Eaton WW, Costa PT Jr, Nestadt G: Relationship between personality disorder dimensions and verbal memory functioning in a community population. Psychiatry Res 2012, 196(1):109-114.
  • [11]Fischer C, Schweizer TA, Atkins JH, Bozanovic R, Norris M, Herrmann N, Nisenbaum R, Rourke SB: Neurocognitive profiles in older adults with and without major depression. Int J Geriatr Psychiatry 2008, 23(8):851-856.
  • [12]Balash Y, Mordechovich M, Shabtai H, Giladi N, Gurevich T, Korczyn AD: Subjective memory complaints in elders: depression, anxiety, or cognitive decline? Acta Neurol Scand 2013, 127(5):344-350.
  • [13]Merema MR, Speelman CP, Foster JK, Kaczmarek EA: neuroticism (not depressive symptoms) predicts memory complaints in some community-dwelling older adults. Am J Geriatr Psychiatry 2012, 21(8):729-736.
  • [14]Mowla A, Ashkani H, Ghanizadeh A, Dehbozorgi GR, Sabayan B, Chohedri AH: Do memory complaints represent impaired memory performance in patients with major depressive disorder? Depress Anxiety 2008, 25(10):E92-E96.
  • [15]Stewart R: Subjective cognitive impairment. Curr Opin Psychiatry 2012, 25(6):445-450.
  • [16]Stewart R, Godin O, Crivello F, Maillard P, Mazoyer B, Tzourio C, Dufouil C: Longitudinal neuroimaging correlates of subjective memory impairment: 4-year prospective community study. Br J Psychiatry 2011, 198(3):199-205.
  • [17]van der Flier WM, van Buchem MA, Weverling-Rijnsburger AW, Mutsaers ER, Bollen EL, Admiraal-Behloul F, Westendorp RG, Middelkoop HA: Memory complaints in patients with normal cognition are associated with smaller hippocampal volumes. J Neurol 2004, 251(6):671-675.
  • [18]Lahr D, Beblo T, Hartje W: Cognitive performance and subjective complaints before and after remission of major depression. Cogn Neuropsychiatry 2007, 12(1):25-45.
  • [19]Beblo T, Mensebach C, Wingenfeld K, Rullkoetter N, Schlosser N, Driessen M: Patients with borderline personality disorder and major depression are not distinguishable by their neuropsychological performance: a case–control study. Prim Care Companion CNS Disord 2011, 13(1):1-9.
  • [20]Bohus M, Limberger MF, Frank U, Sender I, Gratwohl T, Stieglitz R-D: Entwicklung der borderline- symptom-liste. Psychother Psych Med 2001, 51:201-211.
  • [21]Helmstaedter C, Lendt M, Lux S: Verbaler Lern- und Merkfähigkeitstest. Beltz Test GmbH, Göttingen; 2001.
  • [22]Spreen O, Strauss E: A compendium of neuropsychological tests: administration, norms, and commentary. Oxford University Press, Oxford; 1998.
  • [23]Haerting C, Markowitsch HJ, Neufeld H, Calabrese P, Deisinger K, Kessler J: Wechsler Gedächtnistest - Revidierte Fassung. Huber, Bern; 2000.
  • [24]Wechsler D: Wechsler Memory Scale-Revised manual. The Psychological Corporation, San Antonio, TX; 1987.
  • [25]Rey A: Épreuves mnéstique et d’apprentissage. Delachaux & Niestlé, Neuchatel; 1968.
  • [26]Rey A: L’examen de psychologique dans les cas d’encéphalopathie traumatique. Arch Psychol 1941, 28:286-340.
  • [27]Sunderland A, Harris JE, Gleave J: Memory failures in everyday life following severe head injury. J Clin Neuropsychol 1984, 6:127-142.
  • [28]Holm S: A simple sequentially rejective multiple test procedure. Scand J Stat 1979, 6(2):65-70.
  • [29]Tomko RL, Trull TJ, Wood PK, Sher KJ: Characteristics of borderline personality disorder in a community sample: comorbidity, treatment utilization, and general functioning.J Pers Disord 2013, doi:10.1521/pedi_2013_27_093.
  • [30]Barr WB, Rastogi R, Ravdin L, Hilton E: Relations among indexes of memory disturbance and depression in patients with Lyme borreliosis. Appl Neuropsychol 1999, 6(1):12-18.
  • [31]Ebner-Priemer UW, Kuo J, Welch SS, Thielgen T, Witte S, Bohus M, Linehan MM: A valence-dependent group-specific recall bias of retrospective self-reports: a study of borderline personality disorder in everyday life. J Nerv Ment Dis 2006, 194(10):774-779.
  • [32]van den Heuvel TJ, Derksen JJ, Eling PA, van der Staak CP: An investigation of different aspects of overgeneralization in patients with major depressive disorder and borderline personality disorder. Br J Clin Psychol 2012, 51(4):376-395.
  • [33]Beck AT: Depression: clinical, experimental and theoretical aspects. Harper and Row, New York; 1967.
  • [34]Jaeger J, Berns S, Uzelac S, Davis-Conway S: Neurocognitive deficits and disability in major depressive disorder. Psychiatry Res 2006, 145(1):39-48.
  • [35]Martinez-Aran A, Scott J, Colom F, Torrent C, Tabares-Seisdedos R, Daban C, Leboyer M, Henry C, Goodwin GM, Gonzalez-Pinto A, Cruz N, Sanchez-Moreno J: Treatment nonadherence and neurocognitive impairment in bipolar disorder. J Clin Psychiatry 2009, 70(7):1017-1023.
  • [36]Westheide J, Quednow BB, Kuhn KU, Hoppe C, Cooper-Mahkorn D, Hawellek B, Eichler P, Maier W, Wagner M: Executive performance of depressed suicide attempters: the role of suicidal ideation. Eur Arch Psychiatry Clin Neurosci 2008, 258(7):414-421.
  • [37]Garrett DD, Grady CL, Hasher L: Everyday memory compensation: the impact of cognitive reserve, subjective memory, and stress. Psychol Aging 2010, 25(1):74-83.
  文献评价指标  
  下载次数:14次 浏览次数:55次