Shame as a prospective predictor of self-inflicted injury in borderline personality disorder: a multi-modal analysis.

Shame as a prospective predictor of self-inflicted injury in borderline personality disorder: a multi-modal analysis.
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DOI:
10.1016/j.brat.2009.06.008
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发表时间:
2009-10
影响因子:
4.1
通讯作者:
Chapman AL
Chapman AL
中科院分区:
心理学2区
文献类型:
--
作者:
Brown MZ;Linehan MM;Comtois KA;Murray A;Chapman AL

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本研究的主要目的是在参加临床试验的患有边缘性人格障碍 (BPD) 的女性中 (N = 77),探讨羞耻感与自残 (SII) 的前瞻性关联,包括自杀未遂和非自杀性自残。采用多种方法来评估自我报告的羞耻感、非语言羞耻行为以及评估者在有关最近 SII 事件的前因的采访中对羞耻感的评分。在控制过去的 SII 以及与 SII 相关的其他情绪后,较高水平的非语言羞耻行为预示着后续 SII 的可能性更高,并且 SII 发生的时间更短。自我报告的羞耻感和评估者对羞耻感的评分与预期 SII 相关,但在控制其他情绪后则不然。这些发现强调了羞耻感在 SII 中的重要作用,特别是在围绕 SII 事件的上下文提示存在的情况下感到羞耻。
The primary aim of this study was to examine the prospective association of shame with self-inflicted injury (SII), including suicide attempts and nonsuicidal self-injury, among women with borderline personality disorder (BPD) who were enrolled in a clinical trial (N = 77). A multi-method approach was used to assess self-reported shame, nonverbal shame behaviors, and assessor ratings of shame during an interview regarding antecedents for a recent episode of SII. Higher levels of nonverbal shame behaviors predicted a higher likelihood of subsequent SII, and shorter time to SII, after controlling for past SII as well as other emotions associated with SII. Self-reported state shame and assessor ratings of shame were associated with prospective SII, but not after controlling for other emotions. These findings underscore the important role of shame in SII, particularly shame in the presence of contextual prompts for events that surround episodes of SII.
DOI: 10.1192/bjp.128.6.538
发表时间: 1976-01-01
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