⭐今日精選 TOP Picks
Transcutaneous auricular vagus nerve stimulation and emotional responding in borderline personality disorder: a randomized single-blind, sham-controlled study.
Borderline personality disorder and emotion dysregulation · Transcutaneous auricular vagus nerve stimulation and emotional responding in borderline personality disorder: a randomized single-blind, sham-controlled study.
Active taVNS 降低 BPD 病patients 的負面情緒，證明可作為情緒調節的非侵入性介入。
PDSM-5 BPD 女性住院患者 34 例
I真性 taVNS
C假性刺激對照組
OPANAS 負面情緒在四階段中顯著較低（p=0.022），但與安慰劑組的互動不顯著。
Prediction models for highly scalable technology-assisted differential diagnostics of autism spectrum disorder.
BMJ mental health · Prediction models for highly scalable technology-assisted differential diagnostics of autism spectrum disorder.
利用 20 分鐘對話特徵的多模型堆疊學習，將 ASD 與 BPD 区分，達成約 82% 平衡準確率，顯示可行的差異診斷方法。
P120 對互動合作夥伴（含 ASD、BPD、比較組）
I自動化特徵萃取 + 堆疊 SVM 分類
C傳統臨床診斷
O準確率近 82% ，顯示 20 分鐘對話內即可辨別。
A meta-analysis of heart rate variability and psychopathology: An investigation guided by the hierarchical taxonomy of psychopathology framework.
Journal of psychopathology and clinical science · A meta-analysis of heart rate variability and psychopathology: An investigation guided by the hierarchical taxonomy of psychopathology framework.
HRV 降低是 BPD 以及多種精神疾病的普遍相關指標，顯示其作為跨診斷的生理標誌。
P涵蓋 430 研究、732 效應量（N=62,264）
I系統性合成與階層分類分析
C傳統個別疾患研究
OHRV 與大多數精神障礙呈負相關，特別是 BPD、精神分裂等。
Complex Interconnections Between Personality, Emotional, and Metacognitive Dysfunctions: A Comparative Network Analysis in Adolescent and Adult Populations.
Personality and mental health · Complex Interconnections Between Personality, Emotional, and Metacognitive Dysfunctions: A Comparative Network Analysis in Adolescent and Adult Populations.
使用網路分析顯示 BPD 相關特質、情緒調節與自我認知在青少年與成人間形成高度互聯的系統性結構。
P470 青少年與 740 成人社區樣本
I定期測量與網路建模
C傳統單變量分析
O人格功能、情緒失調與自我認知形成緊密網路，中心性在年齡間有所差異。
Smartphone-based digital markers and clinical symptoms during therapy for Borderline Personality Disorder.
Internet Interventions · Smartphone-based digital markers and clinical symptoms during therapy for Borderline Personality Disorder.
過度手機使用與鎖定螢幕時間與 BPD 治療成績負相關，而來電量與改善相正相關，具可預測性數位指標價值。
P49 例 BPD 住院患者
I智慧型手機使用紀錄與干預
C學生對照組與傳統症狀評估
O高使用時段與較差治療預後相關，解釋變異 60%。
Elevated serotonin 1A receptor binding in borderline personality disorder co-morbid with major depressive episodes appears attributable to major depression alone.
Journal of psychiatric research · Elevated serotonin 1A receptor binding in borderline personality disorder co-morbid with major depressive episodes appears attributable to major depression alone.
5-HT1A 受體結合在 BPD+MDD 病患中主要受共病抑鬱影響，提示 SSRIs 等藥物作用可能不適用於 BPD 本身。
PBPD+MDD 21 例、MDD 無 BPD 63 例、健康志願者 27 例
I[11C]WAY-100635 PET 影像比較
C僅 MDD 或 HV
OBPD+MDD 的 BPF 高於 HV，且差異主要由 MDD 產生。
Prescription Contraception Use Among Psychiatric Inpatients.
Psychiatric services (Washington, D.C.) · Prescription Contraception Use Among Psychiatric Inpatients.
42% 住院精神患者使用處方避孕，與 BPD 診斷及使用リ튬、抗抑鬱藥相關，凸顯治療時需兼顧孕育安全與精神科藥物相互作用。
P1,258 生殖年齡入院患者
I回顧性病歷檢視
C非使用者對照
OBPD 診斷提升 1.42 倍機率，使用率與年輕、單身、使用特定藥物相關。
📚其他值得關注的文獻
The salient role of childhood neglect in single and multiple suicide attempts among adult psychiatric inpatients.
European journal of psychotraumatology
情緒忽視與多次自殺企圖顯著相關，顯示需要在 BPD 治療中同時處理創傷史。
Cerebellar metabolic alterations and childhood physical abuse as biomarkers in bipolar disorder with comorbid borderline personality disorder.
Behavioural brain research
BD+ BPD 患者的右小腦代謝變化與童年體罰相關，提供神經代謝生物標誌。
The Network of Dysfunctional Beliefs About Sleep: A Structural Re-Analysis of the DBAS-16
Behavioral Sleep Medicine
對 DBAS-16 心理測量模型進行重新分析，找出可排除的冗餘項目，提升量表效度。
More than simulation: differentiating between functional neurological disorders and feigned illness
Acta neurológica colombiana
重點在於神經性功能障礙與模擬性的臨床分辨標準，提供診斷框架。
Being Muslim in the Media Age: Muhammadiyah Students' Identity in the Midst of Celebrity Culture
Analisa Journal of Social Science and Religion
探討穆斯林學生如何在全球流行文化中維護宗教身份，關注文化衝突與自我調適。
Emotion regulation difficulty mediates the relationship between right dorsolateral prefrontal cortex spontaneous activity and problematic smartphone use
Scientific Reports
發現右前額葉自發活性與手機成癮之間透過情緒調節困難形成中介路徑。
Childhood trauma and psychological outcomes following psychedelic use: a scoping review
npj Mental Health Research
童年創傷可能影響 psychedelic 使用後的心理結果，呼籲未來研究採取創傷知情設計。
Art therapy in addiction recovery: the face of addiction through artworks based on clinical case studies
Addiction Science & Clinical Practice
藝術治療可減少成癮者的羞愧與焦慮，促進創傷敘事的外化與自我覺察。
Mechanisms of change in a short-term group therapy for borderline personality disorder: The role of emotional regulation and reflective functioning capacity
Open MIND
情緒調節與反思性功能被識別為短期 BPD 團體治療的關鍵變化機制。
Psychosocial and Socioeconomic Patterns of Post-Rehabilitation Reintegration Among Former Substance Users in China: An Exploratory Multiple Correspondence Analysis of Administrative Case Records
Behavioral Sciences
透過 MCA 發現再入 사회的 psychosocial 不利因素呈現緊密相關的模式，提示需多層面介入。
Prevalence and risk factors for suicidal intent in pregnancy and after birth
BJPsych International
產後自殺意圖發生率 3.26%，與亞洲裔、混血、貧實等因素有關，凸顯孕期心理健康檢測重要性。