Emotion dysregulation as a maintenance factor of borderline personality disorder features.
Emotion dysregulation as a maintenance factor of borderline personality disorder features.
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情绪失调是边缘型人格障碍特征的维持因素。
DOI：
10.1016/j.comppsych.2013.11.006
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发表时间：
2014
影响因子：
7.3
通讯作者：
Pilkonis,PaulA
中科院分区：
文献类型：
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作者：
Stepp,StephanieD;Scott,LoriN;Morse,JenniferQ;Nolf,KimberlyA;Hallquist,MichaelN;Pilkonis,PaulA
我们检查了一年内情绪失调的个体内变化，作为边缘性人格障碍（BPD）特征的维持因素。我们评估了（1）基线时BPD症状严重程度预测情绪失调的个体内变化的程度，以及（2）情绪失调的个体内变化预测12个月随访时BPD的四个特征：情感不稳定性，身份障碍，负面关系和冲动性。通过控制一个竞争性的干预变量，人际冲突，情绪失调作为BPD功能的维持机制的特异性进行了研究。基线时的BPD症状可预测总体水平和情绪失调的增加。此外，在基线控制BPD症状后，在12个月随访时，情绪失调的增加预测了所有四个BPD特征。此外，情绪失调的总体水平介导了基线时BPD症状严重程度与12个月随访时情感不稳定和身份障碍之间的关联，这与情绪失调作为维持因素的概念一致。未来的研究情绪失调的可塑性在实验室的范例和它对BPD功能的短期变化的影响，需要通知干预措施。
We examined within-individual changes in emotion dysregulation over the course of one year as a maintenance factor of borderline personality disorder (BPD) features. We evaluated the extent to which (1) BPD symptom severity at baseline predicted within-individual changes in emotion dysregulation and (2) within-individual changes in emotion dysregulation predicted four BPD features at 12-month follow-up: affective instability, identity disturbances, negative relationships, and impulsivity. The specificity of emotion dysregulation as a maintaining mechanism of BPD features was examined by controlling for a competing intervening variable, interpersonal conflict. BPD symptoms at baseline predicted overall level and increasing emotion dysregulation. Additionally, increasing emotion dysregulation predicted all four BPD features at 12-month follow-up after controlling for BPD symptoms at baseline. Further, overall level of emotion dysregulation mediated the association between BPD symptom severity at baseline and both affective instability and identity disturbance at 12-month follow-up, consistent with the notion of emotion dysregulation as a maintenance factor. Future research on the malleability of emotion dysregulation in laboratory paradigms and its effects on short-term changes in BPD features is needed to inform interventions.