Pain assessment in self-injurious patients with borderline personality disorder using signal detection theory

Signal detection theory measures of thermal responsivity were examined to determine whether differences in reported pain experienced during self-injurious behavior in female patients with borderline personality disorder (BPD) are explained by neurosensory factors and/or attitudinal factors (response...

Full description

Saved in:
Bibliographic Details
Published in:Psychiatry research 1997-05, Vol.70 (3), p.175-183
Main Authors: Kemperman, Ingrid, Russ, Mark J, Crawford Clark, W, Kakuma, Tatsuyuki, Zanine, Elizabeth, Harrison, Katherine
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Borderline Personality Disorder - diagnosis
Borderline Personality Disorder - psychology
Dissociation
Dissociative Disorders - diagnosis
Dissociative Disorders - psychology
Female
Humans
Medical sciences
Middle Aged
Opiate
Pain Measurement
Pain perception
Parasuicide
Personality disorder
Personality disorders
Personality Inventory
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self Mutilation - psychology
Self-Injurious Behavior - psychology
Self-mutilation
Sensory decision theory
Signal Detection, Psychological
Suicide, Attempted - psychology
Thermosensing
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Signal detection theory measures of thermal responsivity were examined to determine whether differences in reported pain experienced during self-injurious behavior in female patients with borderline personality disorder (BPD) are explained by neurosensory factors and/or attitudinal factors (response bias). Female patients with BPD who do not experience pain during self-injury (BPD-NP group) were found to discriminate more poorly between noxious thermal stimuli of similar intensity, low P( A), than female patients with BPD who experience pain during self-injury (BPD-P group), female patients with BPD who do not have a history of self-injury (BPD-C group), and age-matched normal women. The BPD-NP group also had a higher response criterion, B (more stoical) than the BPD-C group. These findings suggest that `analgesia' during self-injury in patients with BPD is related to both neurosensory and attitudinal/psychological abnormalities. © 1997 Elsevier Science Ireland Ltd.
ISSN:0165-1781
1872-7123
DOI:10.1016/S0165-1781(97)00034-6