Mood patterns and variations associated with personality disorder pathology

Mood patterns and variations associated with personality disorder pathology
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DOI:
10.1016/j.comppsych.2004.03.009
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发表时间:
2004-07-01
影响因子:
7.3
通讯作者:
Dance, D
Dance, D
中科院分区:
医学2区
文献类型:
--
作者:
Farmer, RF;Nash, HM;Dance, D

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本研究探讨了情绪和情绪变化与不同形式和程度的人格障碍(PD)病理学的关系。在4天的时间里,反复评估了98名无精神药物治疗者的情绪体验。PD患者(n = 57)一般表现出中性至中度积极的情绪;然而,与无PD患者(n = 41)相比,总体情绪效价不太积极。情绪评级表现出中度的协变与焦虑恐惧(A-F)PD特质,但很少或没有关联不稳定的情绪戏剧(E-D)和古怪(O-E)PD特质,一旦共同的方差PD尺寸之间被删除。对于PD诊断类别,回避型和/或抑郁型PD的存在与消极情绪最密切相关。当考虑基于特定PD特质特征的维度分数时,回避型、抑郁型、边缘型、被动攻击型、强迫型、依赖型、偏执型和类偏执型PD特质表现出与消极情绪最可靠的关联。除了边缘PD功能,与其他E-D集群PD相关的特质显示很少或没有关联情绪质量。与先前的研究一致,情绪变异性作为一个内部一致和稳定的个体差异变量出现。然而,情绪变异性通常与PD诊断类别或特征无关。本研究的研究结果的影响被认为是在PD的概念建模。(C)2004年爱思唯尔公司All rights reserved.
This study examined mood and mood variation in relation to varying forms and degrees of personality disorder (PD) pathology. Mood experiences of 98 psychotropic medication-free individuals were repeatedly assessed over a 4-day period. Persons with PDs (n = 57) generally displayed neutral to moderately positive moods; however, overall mood valence was less positive when compared to those without PDs (n = 41). Mood ratings demonstrated moderate covariations with anxious-fearful (A-F) PD traits but little or no association with erratic-emotional-dramatic (E-D) and odd-eccentric (O-E) PD traits once common variance among PD dimensions was removed. For PD diagnostic categories, the presence of avoidant and/or depressive PDs was most strongly associated with negative mood. When dimensional scores based on specific PD trait features were considered, avoidant, depressive, borderline, passive-aggressive, obsessive-compulsive, dependent, paranoid, and schizoid PD traits demonstrated the most reliable associations with negative mood. Apart from borderline PD features, traits associated with other E-D cluster PDs displayed little or no associations with mood quality. Consistent with previous research, mood variability emerged as an internally consistent and stable individual difference variable. Mood variability, however, was not generally associated with PD diagnostic categories or traits. Implications of this study's findings are considered in relation to the conceptual modeling of PDs. (C) 2004 Elsevier Inc. All rights reserved.