Negative Affect Instability among Individuals with Comorbid Borderline Personality Disorder and Posttraumatic Stress Disorder.
Negative Affect Instability among Individuals with Comorbid Borderline Personality Disorder and Posttraumatic Stress Disorder.
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DOI：
10.1177/2167702615573214
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发表时间：
2016-01-01
期刊：
影响因子：
--
通讯作者：
Trull TJ
中科院分区：
文献类型：
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作者：
Scheiderer EM;Wang T;Tomko RL;Wood PK;Trull TJ
采用生态瞬时评价（EMA）方法对伴有和不伴有创伤后应激障碍（PTSD）的边缘型人格障碍（BPD, n=78）门诊患者日常生活中的情感不稳定性（AI）进行检测。采用由重度抑郁症/心境恶劣（MDD/DYS）门诊患者组成的精神病学对照组（n=50）进行亚组间的比较：BPD-only、BPD+PTSD、MDD/DYS-only和MDD/DYS+PTSD。与单纯BPD组相比，BPD+PTSD组的恐惧和悲伤不稳定性显著增加，但敌意不稳定性和总体负面情绪不稳定性无显著差异。这种不稳定的恐惧和悲伤的模式并不存在，事实上，在MDD/DYS组中是相反的。结果强调了在特定合并症和影响类型的背景下检查AI的重要性。在BPD-PTSD共病的背景下处理人工智能的治疗和研究可能会受益于将恐惧和悲伤与敌意或一般负面影响分开。
Ecological momentary assessment (EMA) was utilized to examine affective instability (AI) in the daily lives of outpatients with borderline personality disorder (BPD; n=78) with and without posttraumatic stress disorder (PTSD). A psychiatric control group (n=50) composed of outpatients with major depressive disorder/dysthymia (MDD/DYS) was employed to compare across subgroups: BPD-only, BPD+PTSD, MDD/DYS-only, and MDD/DYS+PTSD. Compared to the BPD-only group, the BPD+PTSD group had significantly greater instability of fear and sadness, but did not significantly differ in instability of hostility or aggregate negative affect. This pattern of elevated instability of fear and sadness was not present—and, in fact, was reversed—in the MDD/DYS group. Results emphasize the importance of examining AI within the context of specific comorbidities and affect types. Treatment and research addressing AI in the context of BPD-PTSD comorbidity may benefit from a focus on fear and sadness as separate from hostility or general negative affect.