Conklin Carolyn Zittel, Bradley Rebekah, Westen Drew
Cambridge Hospital/Harvard Medical School, Cambridge, MA 02139, USA.
J Nerv Ment Dis. 2006 Feb;194(2):69-77. doi: 10.1097/01.nmd.0000198138.41709.4f.
Although difficulty with affect regulation is generally considered a core component of borderline personality disorder (BPD), surprisingly little research has focused on the nature of affect regulation and dysregulation in BPD. A random national sample of 117 experienced clinicians provided data on a randomly selected patient with BPD (N = 90) or dysthymic disorder (DD; N = 27). Clinicians described their patients using the Affect Regulation and Experience Q-sort-Questionnaire Version, a psychometric instrument designed for expert informants to assess affect and affect regulation. BPD and DD patients appear to differ in both the emotions they experience and the ways they regulate or fail to regulate them. Whereas DD patients are characterized by negative affect, BPD patients are characterized by both negative affect and affect dysregulation, which appear to be distinct constructs. BPD patients also show distinct patterns of affect regulation, and subtypes of BPD patients show distinct affect regulation profiles of potential relevance to treatment.
尽管情感调节困难通常被认为是边缘型人格障碍（BPD）的核心组成部分，但令人惊讶的是，很少有研究关注BPD中情感调节和失调的本质。一个由117名经验丰富的临床医生组成的全国随机样本，提供了关于随机抽取的BPD患者（N = 90）或心境恶劣障碍（DD；N = 27）患者的数据。临床医生使用情感调节与体验Q分类问卷版本来描述他们的患者，这是一种为专家信息提供者设计的心理测量工具，用于评估情感和情感调节。BPD和DD患者在他们所经历的情感以及调节或未能调节情感的方式上似乎都存在差异。DD患者的特征是消极情感，而BPD患者的特征是消极情感和情感失调，这似乎是不同的概念。BPD患者还表现出独特的情感调节模式，BPD患者的亚型表现出与治疗潜在相关的独特情感调节概况。
