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Volume 24, Issue 2 (Summer 2018)
IJPCP 2018, 24(2): 136-147 |
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Mahmood Aliloo M, Hashemi Nosratabad T, Karimpour Vazifehkhorani A. The Role of Impulsivity, Sensitivity to Reward and Anhedonia in Distinction People With Symptoms of Borderline Personality Disorder From Ordinary People. IJPCP 2018; 24 (2) :136-147
URL: http://ijpcp.iums.ac.ir/article-1-2781-en.html
URL: http://ijpcp.iums.ac.ir/article-1-2781-en.html
1- Department of Psychology, Faculty of Education and Psychology, Tabriz University, Tabriz, Iran
2- Faculty of Education and Psychology, Tabriz University, Tabriz, Iran
2- Faculty of Education and Psychology, Tabriz University, Tabriz, Iran
Abstract: (7318 Views)
Objectives The aim of this study is to determine the role of impulsivity, sensitivity to reward and also anhedonia in distinction People with symptoms of borderline personality disorder from normal people.
Methods This study uses both the descriptive and correlative method. The sampling method was sampling and targeting type. The samples comprised of students from Tabriz University (2016-2017 academic year), initial 200 candidates for screening and subsequent 80 candidates for target sampling. In the first step of this study, the Millon Clinical Multiaxial Inventory (MCMI-III) was used for screening followed by Balloon Analogue Risk Task for measuring the impulsivity and resistance variable as sensitivity to reward and the Snaith-Hamilton scale of pleasure is used to measure anhedonia variable.
Results It was illustrated broadly that the impulsivity variable, with 0.61 ratio, has the most important role in the Detection function. The resistance variable towards earning rewards with a 0.47 ratio occupies second place in the Detection function; the anhedonia variable occupied the third place in the Detection function with a ratio of 0.42.
Conclusion Reward deficiency syndrome can be considered as a fundamental pathological symptom of impulsivity and anhedonia in borderline personality disorder BPD. The poor functioning of the brain’s rewards system is a deprivation of sensory mechanisms in people affected with BPD, that led to anhedonia and low arousal and finally impulsivity.
Methods This study uses both the descriptive and correlative method. The sampling method was sampling and targeting type. The samples comprised of students from Tabriz University (2016-2017 academic year), initial 200 candidates for screening and subsequent 80 candidates for target sampling. In the first step of this study, the Millon Clinical Multiaxial Inventory (MCMI-III) was used for screening followed by Balloon Analogue Risk Task for measuring the impulsivity and resistance variable as sensitivity to reward and the Snaith-Hamilton scale of pleasure is used to measure anhedonia variable.
Results It was illustrated broadly that the impulsivity variable, with 0.61 ratio, has the most important role in the Detection function. The resistance variable towards earning rewards with a 0.47 ratio occupies second place in the Detection function; the anhedonia variable occupied the third place in the Detection function with a ratio of 0.42.
Conclusion Reward deficiency syndrome can be considered as a fundamental pathological symptom of impulsivity and anhedonia in borderline personality disorder BPD. The poor functioning of the brain’s rewards system is a deprivation of sensory mechanisms in people affected with BPD, that led to anhedonia and low arousal and finally impulsivity.
Keywords: Reward sensitivity, Anhedonia, Impulsivity, Reward deficiency syndrome, Sub-threshold borderline personality
Type of Study: Original Research |
Subject:
Psychiatry and Psychology
Received: 2017/10/15 | Accepted: 2018/03/4 | Published: 2018/07/24
Received: 2017/10/15 | Accepted: 2018/03/4 | Published: 2018/07/24
References
1. Mahmoud AM, Sharifi MA. [Borderline personality disorder theoretical topics and therapies (Persian)]. Tehran: Arjmand Publications; 2015.
2. Kaplan HI, Sadock BJ. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry. Philadephia: Williams & Wilkins Co; 1998.
3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Washington D.C.: American Psychiatric Press; 2000.
4. Moeller FG, Barratt ES, Dougherty DM, Schmitz JM, Swann AC. Psychiatric aspects of impulsivity. American Journal of Psychiatry. 2001; 158(11):1783–93.[DOI:10.1176/appi.ajp.158.11.1783] [DOI:10.1176/appi.ajp.158.11.1783]
5. Petry NM. Substance abuse, pathological gambling, and impulsiveness. Drug and Alcohol Dependence. 2001; 63(1):29–38. [DOI:10.1016/S0376-8716(00)00188-5] [DOI:10.1016/S0376-8716(00)00188-5]
6. Ekhtiari H, Rezvanfard M, Mokri A. Impulsivity and its Different Assessment Tools: A Review of View Points and Conducted Researches. Iranian Journal of Psychiatry and Clinical Psychology. 2008; 14(3):247-257
7. Justin Modestino E, Blum K, Oscar-Berman M, Gold MS, Duane DD, Sultan SG., et al. Reward deficiency syndrome: Attentional/arousal subtypes, limitations of current diagnostic nosology, and future research. Journal of Reward Deficiency Syndrome. 2015; 1(1):6-9. [DOI:10.17756/jrds.2015-002] [DOI:10.17756/jrds.2015-002]
8. Blum K. Substance use disorder a bio-directional subset of reward deficiency syndrome. Frontiers in Bioscience. 2017; 22(9):1534–48. [DOI:10.2741/4557] [DOI:10.2741/4557]
9. Blum KE, Kozlowski GP. Ethanol and neuromodulator interactions: A cascade model of reward. Alcohol and Behavior. 1990; 131-49.
10. Blum K, Meshkin B, Downs BW. DNA based customized nutraceutical "gene therapy" utilizing a genoscore: A hypothesized paradigm shift of a novel approach to the diagnosis, stratification, prognosis and treatment of inflammatory processes in the human. Medical Hypotheses. 2006; 66(5):1008–18. [DOI:10.1016/j.mehy.2005.09.029] [DOI:10.1016/j.mehy.2005.09.029]
11. Savage J. The development of persistent criminality. Oxford: Oxford University Press; 2009. [DOI:10.1093/acprof:oso/9780195310313.001.0001] [DOI:10.1093/acprof:oso/9780195310313.001.0001]
12. Zuckerman M. The psychobiological basis of personality. In Nyborg H, editor. The scientific study of human nature. New York: Elsevier Science; 1997.
13. Loas G, Pierson A. Anhedonia in psychiatry: A review. Medico-Psychological Annals. 1989; 147(7):705-17. PMID: 2694884
14. Delavar A. [Research methods in psychology (Persian)]. Tehran: Virayesh Publications; 2006.
15. Tabachnick BG, Fidell LS. Using multivariate statistics. Boston: Allyn & Bacon/Pearson Education; 2007. [PMCID] [PMCID]
16. Rao H, Korczykowski M, Pluta J, Hoang A, Detre JA. Neural correlates of voluntary and involuntary risk taking in the human brain: An fMRI study of the Balloon Analog Risk Task (BART). NeuroImage. 2008; 42(2):902–10. doi: 10.1016/j.neuroimage.2008.05.046 [DOI:10.1016/j.neuroimage.2008.05.046] [DOI:10.1016/j.neuroimage.2008.05.046]
17. Snaith RP, Hamilton M, Morley S, Humayan A, Hargreaves D, Trigwell P. A scale for the assessment of hedonic tone the snaith–Hamilton pleasure scale. British Journal of Psychiatry. 1995; 167(1):99–103. [DOI:10.1192/bjp.167.1.99] [DOI:10.1192/bjp.167.1.99]
18. Millon T, Davis R. Millon clinical multiaxial inventory-II. Bloomington: Pearson Assessments; 1998. [PMID] [PMID]
19. Chegini M, Delavar A, Garaei B. [Psychometric properties Millon Clinical Multiaxial Inventoy (MCMI-III) (Persian)]. Quarterly Journal of Advanced Psychological Research. 2013; 8(29):135-162.
20. Links PS, Heslegrave R, Reekum R van. Impulsivity: Core aspect of borderline personality disorder. Journal of Personality Disorders. 1999; 13(1):1–9. [DOI:10.1521/pedi.1999.13.1.1] [DOI:10.1521/pedi.1999.13.1.1]
21. Lawrence KA, Allen JS, Chanen AM. Impulsivity in borderline personality disorder: Reward-based decision-making and its relationship to emotional distress. Journal of Personality Disorders. 2010; 24(6):785–99. [DOI:10.1521/pedi.2010.24.6.785] [DOI:10.1521/pedi.2010.24.6.785]
22. Marissen MAE, Arnold N, Franken IHA. Anhedonia in borderline personality disorder and its relation to symptoms of impulsivity. Psychopathology. 2012; 45(3):179–84. [DOI:10.1159/000330893] [DOI:10.1159/000330893]
23. Eysenck HJ. Biological basis of personality. Nature. 1963; 199(4898):1031–4. [DOI:10.1038/1991031a0] [DOI:10.1038/1991031a0]
24. Gray JA. Brain systems that mediate both emotion and cognition. Cognition & Emotion. 1990; 4(3):269–88. [DOI:10.1080/02699939008410799] [DOI:10.1080/02699939008410799]
25. Lempert KM, Pizzagalli DA. Delay discounting and future-directed thinking in anhedonic individuals. Journal of Behavior Therapy and Experimental Psychiatry. 2010; 41(3):258–64. [DOI:10.1016/j.jbtep.2010.02.003] [DOI:10.1016/j.jbtep.2010.02.003]
26. Schmahl CG, Elzinga BM, Ebner UW, Simms T, Sanislow C, Vermetten E, et al. Psychophysiological reactivity to traumatic and abandonment scripts in borderline personality and posttraumatic stress disorders: a preliminary report. Psychiatry Research. 2004; 126(1):33–42. [DOI:10.1016/j.psychres.2004.01.005] [DOI:10.1016/j.psychres.2004.01.005]
27. Herpertz SC, Kunert HJ, Schwenger UB, Sass H. Affective responsiveness in borderline personality disorder: A psychophysiological approach. American Journal of Psychiatry. 1999; 156(10):1550–6. [DOI:10.1176/ajp.156.10.1550] [DOI:10.1176/ajp.156.10.1550]
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