Interpersonal stressors and negative affect in individuals with borderline personality disorder and community adults in daily life: A replication and extension.

Interpersonal stressors and negative affect in individuals with borderline personality disorder and community adults in daily life: A replication and extension.
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DOI:
10.1037/abn0000318
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发表时间:
2018-03
影响因子:
4.6
通讯作者:
Trull TJ
Trull TJ
中科院分区:
心理学1区
文献类型:
--
作者:
Hepp J;Lane SP;Wycoff AM;Carpenter RW;Trull TJ

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情感不稳定和人际压力是边缘型人格障碍(BPD)的主要特征。在最近的一项动态评估研究中,他们在患者的日常生活中显示出共同变化,观察到BPD患者的人际压力源和负面情绪之间比抑郁症患者有更大的正相关。目前的研究试图复制这些发现,从56名BPD参与者和60名社区对照组参与者中收集敌意、悲伤、恐惧、拒绝或分歧事件的数据,持续21天,每天6次。使用相同的统计程序,暂时的拒绝/不同意与敌意、悲伤和恐惧之间的积极联系被复制。再次重复最初的研究,在BPD组中,拒绝-敌意、拒绝-悲伤和不同意-敌意的关联明显更强。时间滞后分析扩展了最初的研究,揭示了在BPD组中,拒绝与随后的敌意和悲伤的关系更强,而不同意与随后的敌意和恐惧的关系也更强。虽然很小,但我们认为观察到的群体差异反映了日常生活环境中有意义的普遍反应。未来的研究应该在实施适用于所有个体,尤其是BPD患者的人际环境的影响调节策略时考虑这些因素。
Affective instability and interpersonal stress are key features of Borderline Personality Disorder (BPD). They were shown to co-vary in the daily lives of patients in a recent ambulatory assessment study that observed comparatively larger positive associations between interpersonal stressors and negative affect in individuals with BPD than those with depressive disorders. The present study sought to replicate these findings, collecting data on hostility, sadness, fear, and rejection or disagreement events from 56 BPD and 60 community control participants for twenty-one days, six times a day. Using identical statistical procedures, the positive associations between momentary rejection/disagreement and hostility, sadness, and fear were replicated. Again replicating the original study, the rejection-hostility, rejection-sadness, and disagreement-hostility associations were significantly stronger in the BPD group. Time-lagged analyses extended the original study, revealing that rejection was associated with subsequent hostility and sadness more strongly in the BPD group, as was disagreement with subsequent hostility and fear. Though small, we argue that the observed group differences reflect meaningful pervasive responses in a daily life context. Future research should consider these when implementing affect regulation strategies that are applicable in interpersonal contexts for all individuals, but particularly those with BPD.
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