The rejection-rage contingency in borderline personality disorder.

The rejection-rage contingency in borderline personality disorder.
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DOI:
10.1037/a0023335
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发表时间:
2011-08
影响因子:
4.6
通讯作者:
Paquin NL
Paquin NL
中科院分区:
心理学1区
文献类型:
--
作者:
Berenson KR;Downey G;Rafaeli E;Coifman KG;Paquin NL

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虽然DSM-IV中反映的长期临床观察表明,边缘型人格障碍(BPD)的愤怒特征经常出现在对感知拒绝的反应中,但感知拒绝在BPD触发愤怒中的作用从未得到过实证检验。将关于拒绝敏感性的基本人格研究扩展到临床样本,启动发音实验和21天的经验采样日记研究了与健康对照相比,诊断为BPD的参与者的感知拒绝和愤怒之间的偶然关系。尽管这两种评估方法存在差异,但它们产生的拒绝相关愤怒指数在BPD组中都有所升高,并且具有强烈的相关性。他们提供了确凿的证据,表明对感知到的拒绝的反应可以显著解释BPD中看到的愤怒。
Though longstanding clinical observation reflected in the DSM-IV suggests that the rage characteristic of borderline personality disorder (BPD) often appears in response to perceived rejection, the role of perceived rejection in triggering rage in BPD has never been empirically tested. Extending basic personality research on rejection sensitivity to a clinical sample, a priming-pronunciation experiment and a 21-day experience-sampling diary examined the contingent relationship between perceived rejection and rage in participants diagnosed with BPD compared to healthy controls. Despite the differences in these two assessment methods, the indices of rejection-contingent rage that they produced were both elevated in the BPD group, and were strongly interrelated. They provide corroborating evidence that reactions to perceived rejection significantly explain the rage seen in BPD.