Attachment and Borderline Personality Disorder: Differential Effects on Situational Socio-Affective Processes.
Attachment and Borderline Personality Disorder: Differential Effects on Situational Socio-Affective Processes.
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DOI：
10.1007/s42761-020-00017-7
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Wright AGC
中科院分区：
文献类型：
--
作者：
Kaurin A;Beeney JE;Stepp SD;Scott LN;Woods WC;Pilkonis PA;Wright AGC
不安全依恋和边缘性人格障碍（BPD）的定义是相似的情感和人际过程。然而，被诊断患有边缘性人格障碍的个体仅代表那些被描述为不安全依恋的人的一个子集，这表明依恋可能与社会情感功能具有更广泛的相关性。基于针对 BPD 过采样的混合临床和社区样本 (N = 207) 的 21 天生态瞬时评估方案，我们评估了每个构建体影响日常人际互动的判别有效性。我们发现，不安全依恋与人际疏离感和情感调节适应不良策略的感知增强有关，而边缘性人格障碍则更容易表现出人际敌意。在一系列敏感性分析中，我们进一步强调了在同时研究这两种结构时对这些发现的潜在警告。总之，我们的结果表明，不安全依恋和边缘性人格障碍都会导致情感和人际过程出现问题，但它们是在社会交往的不同阶段发生的，这对于它们的维持和治疗具有重要意义。
Insecure attachment and borderline personality disorder (BPD) are defined by similar affective and interpersonal processes. Individuals diagnosed with BPD, however, represent only a subset of those described as insecurely attached, suggesting that attachment may hold broader relevance for socio-affective functioning. Based on a 21-day ecological momentary assessment protocol in a mixed clinical and community sample (N = 207) oversampled for BPD, we evaluate the discriminant validity of each construct as it influences daily interpersonal interactions. We find that insecure attachment is associated with elevated perceptions of interpersonal disaffiliation and maladaptive strategies for affect regulation, whereas enacted interpersonal hostility is more distinctive for BPD. In a series of sensitivity analyses, we further highlight potential caveats to these findings when studying both constructs concurrently. Together, our results suggest that both insecure attachment and BPD contribute to problematic affective and interpersonal processes, but that they do so at different stages of the unfolding social interaction, which has important implications for their maintenance and treatment.
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