Affective Instability in Borderline Personality Disorder: Experience Sampling Findings

Affective Instability in Borderline Personality Disorder: Experience Sampling Findings
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DOI:
10.1007/s11920-009-0012-2
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发表时间:
2009-02-01
影响因子:
6.7
通讯作者:
Links, Paul S.
Links, Paul S.
中科院分区:
医学2区
文献类型:
--
作者:
Irina, Elena;Links, Paul S.

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情感不稳定被定义为情绪反复、快速和突然的变化,被认为是边缘性人格障碍的核心病理。情感不稳定的时间模式可以通过经验采样方法得到最好的捕捉——对人们在自然环境中实时发生的情感状态进行纵向评估。对迄今为止发表的边缘性人格障碍经验抽样研究的回顾表明,存在以下情绪变异模式:强烈的负面情绪,比健康对照组和重度抑郁症患者更频繁和突然的情绪变化,以及外部事件的部分触发影响。该方法还具有很大的潜力来研究情感不稳定与该疾病的其他心理和行为相关因素(例如自杀、缺乏自尊和行为不稳定)之间的联系。然而,该方法需要系统研究来确定情绪变异的最佳数据收集设计和数学模型。
Affective instability, defined as repeated, rapid, and abrupt shifts in mood, is considered the core pathology in borderline personality disorder. The temporal pattern of affective instability can be best captured with the experience sampling method-longitudinal assessment of people's affective states as they occur in real time and in their natural environment. A review of the experience sampling studies published to date for borderline personality disorder suggests the following mood variability pattern: intense negative mood, more frequent and abrupt mood changes than healthy controls and patients with major depression, and partial triggering of affect by external events. The method also has great potential to investigate the links between affective instability and other psychological and behavioral correlates of the disorder, such as suicide, lack of self-esteem, and erratic behaviors. However, the method requires systematic study to determine best data collection designs and mathematical models of mood variability.