Borderline personality disorder and emotion dysregulation
Borderline personality disorder and emotion dysregulation
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DOI：
10.1017/s0954579419000658
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发表时间：
2019-08-01
影响因子：
3.3
通讯作者：
Chapman, Alexander L.
中科院分区：
文献类型：
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作者：
Chapman, Alexander L.
交界性人格障碍(BPD)是一种严重而复杂的障碍，其特征是跨越许多生活领域的不稳定，包括人际关系、行为和情绪。BPD的一个核心特征和贡献者是情绪障碍(ED)，它包括以一种允许个人在不同环境中追求重要目标或有效行为的方式调节情绪的能力缺陷。BPD的生物社会发展模型强调环境条件(例如，无效环境和不利的童年经历)与ED和BPD发展中的关键遗传相关脆弱性(例如，冲动和情绪脆弱性)之间的交互作用。新出现的证据已经开始强调BPD发展的复杂、异型途径，关键的遗传易感性因素可能与养育环境的各个方面相互作用，产生恶化的ED和由自毁行为和最终的BPD组成的青春期轨迹。患有BPD的成年人已经表现出各种认知、生理和行为特征。随着ED和BPD发展的先兆变得更加清楚，预防和治疗努力对减少与BPD相关的长期痛苦、功能障碍和巨大的社会成本具有很大的希望。
Borderline personality disorder (BPD) is a severe and complex disorder characterized by instability across many life domains, including interpersonal relations, behavior, and emotions. A core feature and contributor to BPD, emotion dysegulation (ED), consists of deficits in the ability to regulate emotions in a manner that allows the individual to pursue important goals or behave effectively in various contexts. Biosocial developmental models of BPD have emphasized a transaction of environmental conditions (e.g., invalidating environments and adverse childhood experiences) with key genetically linked vulnerabilities (e.g., impulsivity and emotional vulnerability) in the development of ED and BPD. Emerging evidence has begun to highlight the complex, heterotypic pathways to the development of BPD, with key heritable vulnerability factors possibly interacting with aspects of the rearing environment to produce worsening ED and an adolescent trajectory consisting of self-damaging behaviors and eventual BPD. Adults with BPD have shown evidence of a variety of cognitive, physiological, and behavioral characteristics of ED. As the precursors to the development of ED and BPD have become clearer, prevention and treatment efforts hold great promise for reducing the long-term suffering, functional impairment, and considerable societal costs associated with BPD.