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2019, Número 1

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Salud Mental 2019; 42 (1)


Social cognition and executive function in borderline personality disorder: evidence of altered cognitive processes

Zegarra-Valdivia JA, Chino VBN

Idioma: Ingles.
Referencias bibliográficas: 68
Paginas: 33-41
Archivo PDF: 382.97 Kb.


RESUMEN

Introducción. La investigación sobre cognición social (SC) y funciones ejecutivas (EF) en el trastorno límite de la personalidad (TLP) ha arrojado datos controvertidos e insuficientes sobre los patrones de déficit. Objetivo. Evaluar la contribución de SC y EF en los patrones cognitivos en el TLP, así como investigar las posibles relaciones entre SC, EF y las características clínicas del TLP. Método. El estudio evaluó 20 mujeres con TLP en hospitalización ambulatoria y 20 mujeres sanas en cognición social (“Leer la mente a través de los ojos” y la tarea de apuestas IOWA) y función ejecutiva (con la Prueba de clasificación de tarjetas de Wisconsin, tareas de fluidez verbal; y números y letras del WAIS-III, formulario de prueba de Trail Making A y B). Resultados. Se evidencian diferencias estadísticamente significativas en cognición social, la teoría de la mente (p ‹ .001**) y la tarea de apuestas IOWA, puntúan IOWA 4 (p ‹ .004 *) e IOWA 5 (p ‹ .003*) y en funciones ejecutivas; por ejemplo, en la prueba de clasificación de tarjetas de Wisconsin, se encontraron WCST1 (p ‹ .003*), WCST2 (p ‹ .004*), WCST3 (p ‹ .018*) o WCST4 (p ‹ .003*). Además, la prueba de amplitud de dígitos o la fluidez verbal tuvieron diferencias significativas en comparación con los controles. Discusión y conclusión. Los subdominios evaluados serían buenos endofenotipos, así como también procesos cognitivos específicos para investigación y rehabilitación.


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