Interpersonal Problems and Negative Affect in Borderline Personality and Depressive Disorders in Daily Life
Interpersonal Problems and Negative Affect in Borderline Personality and Depressive Disorders in Daily Life
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DOI：
10.1177/2167702616677312
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发表时间：
2017-05-01
影响因子：
4.8
通讯作者：
Trull, Timothy J.
中科院分区：
文献类型：
--
作者：
Hepp, Johanna;Lane, Sean P.;Trull, Timothy J.
边缘型人格障碍（BPD）理论认为，BPD中的人际关系问题是消极情感的触发器，同时也是情感失调的可能结果。因此，我们评估了瞬间的负面影响（敌意，悲伤，恐惧）和人际关系的问题（拒绝，分歧）之间的关系，在样本的80 BPD和51抑郁症门诊患者在6个时间点超过28天。使用多变量多水平模型对数据进行分析，以分离瞬时、日和人水平的影响。结果显示，在瞬间和一天的水平上，两组的分歧和敌意，拒绝和敌意，拒绝和悲伤之间存在相互加强的关系。在BPD组中，敌意和拒绝/不同意之间的相互强化明显更强。此外，拒绝和悲伤之间的联系在BPD组的所有三个分析水平上都存在，而在抑郁组中则局限于瞬间水平。
Theories of Borderline Personality Disorder (BPD) suggest that interpersonal problems in BPD act as triggers for negative affect and, at the same time, are a possible result of affective dysregulation. Therefore, we assessed the relations between momentary negative affect (hostility, sadness, fear) and interpersonal problems (rejection, disagreement) in a sample of 80 BPD and 51 depressed outpatients at six time points over 28 days. Data were analyzed using multivariate multilevel modeling to separate momentary-, day-, and person-level effects. Results revealed a mutually reinforcing relationship between disagreement and hostility, rejection and hostility, and rejection and sadness in both groups at the momentary and day level. The mutual reinforcement between hostility and rejection/disagreement was significantly stronger in the BPD group. Moreover, the link between rejection and sadness was present at all three levels of analysis for the BPD group, whereas it was localized to the momentary level in the depressed group.