The specificity of emotional switching in borderline personality disorder in comparison to other clinical groups.
The specificity of emotional switching in borderline personality disorder in comparison to other clinical groups.
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DOI：
10.1037/per0000172
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发表时间：
2016-04
期刊：
影响因子：
--
通讯作者：
Kuppens P
中科院分区：
文献类型：
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作者：
Houben M;Bohus M;Santangelo PS;Ebner-Priemer U;Trull TJ;Kuppens P
为了更好地理解边缘型人格障碍（BPD）患者日常生活中情绪调节障碍的性质，最近确定了情绪转换，这是指随着时间的推移在积极和消极的情绪状态之间发生巨大变化的趋势，作为BPD中观察到的情绪动态的可能定义特征。本研究的目的是通过比较BPD患者，（样品1中N = 43;样本2中N = 81）与样本1中患有神经性贪食症（N = 20）或创伤后应激障碍（N = 28）的患者或健康对照（N = 28）相比，样本2中的抑郁症患者（N = 50），就情绪转换的措施。对这两个经验采样数据集的分析表明，与预期相反，BPD患者与临床组在以下方面没有差异：随着时间的推移，他们在连续时刻在积极和消极情绪状态之间切换的趋势，以及随着时间的推移，积极和消极情绪状态之间的这种变化的幅度。然而，所有临床组在数据集1中的所有转换测量方面确实与健康对照组不同。这些结果表明，情绪转换，类似于其他更传统的指标，在日常生活中的情绪强度的整体变化，可能反映了一系列的情绪障碍与情绪障碍的特征的情绪反应。
In an attempt to better understand the nature of emotion dysregulation in the daily lives of persons with a borderline personality disorder (BPD), recently identified emotional switching, which refers to the tendency to make large changes between positive and negative emotional states over time, as a possible defining characteristic of the emotion dynamics observed in BPD. The goal of this study was to examine the specificity of these previous findings in two samples, by comparing BPD patients (N = 43 in sample 1; N = 81 in sample 2) to patients with bulimia nervosa (N = 20) or posttraumatic stress disorder (N = 28) or healthy controls (N = 28) in sample 1, and to patients with depressive disorder (N = 50) in sample 2, with respect to measures of emotional switching. Analyses of these two experience sampling datasets revealed that contrary to expectations, BPD patients did not differ from the clinical groups regarding their mere tendency to switch between positive and negative emotional states on consecutive moments over time, and regarding the magnitude of such changes between positive and negative emotional states over time. However, all clinical groups did differ from healthy controls regarding all switch measures in dataset 1. These results indicate that emotional switching, similar to other more traditional indicators of overall changes in emotional intensity in daily life, might reflect a feature of emotional responding characterising a range of disorders with mood disturbances.