Rosenthal M Zachary, Cukrowicz Kelly C, Cheavens Jennifer S, Lynch Thomas R
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA.
J Pers Disord. 2006 Jun;20(3):232-46. doi: 10.1521/pedi.2006.20.3.232.
Studies using the Thought Control Questionnaire (TCQ; Wells & Davies, 1994) suggest that the tendency to use self-punishment (e.g., shouting at oneself) in order to control unpleasant internal experiences (e.g., cognitive and emotional) is associated with psychopathology. To evaluate the role of self-punishment in borderline personality disorder (BPD), we first examined whether TCQ scales, including Self-Punishment, were different among adults with BPD (n = 31) when compared to those with other personality disorders (OPD; n = 24), elevated symptoms of major depressive disorder (MDD; n = 24), and healthy controls (n = 105). Findings indicated that Self-Punishment was elevated in the BPD group relative to other groups. Next, Self-Punishment was examined as a potential mediator in the relationship between negative affectivity and BPD symptom severity in all participants. Results indicated that Self-Punishment did not mediate this relationship, but did account for significant variance in BPD symptoms over and above negative affectivity. Implications and future research directions are discussed.
使用思维控制问卷（TCQ；Wells和Davies，1994）的研究表明，为控制不愉快的内在体验（如认知和情绪）而使用自我惩罚（如对自己大喊大叫）的倾向与精神病理学有关。为了评估自我惩罚在边缘型人格障碍（BPD）中的作用，我们首先考察了包括自我惩罚在内的TCQ量表在患有BPD的成年人（n = 31）与患有其他人格障碍（OPD；n = 24）、重度抑郁症（MDD）症状加重的成年人（n = 24）以及健康对照组（n = 105）之间是否存在差异。研究结果表明，BPD组的自我惩罚得分相对于其他组有所升高。接下来，我们将自我惩罚作为所有参与者中消极情感性与BPD症状严重程度之间关系的潜在中介因素进行了考察。结果表明，自我惩罚并未介导这种关系，但确实在消极情感性之外解释了BPD症状的显著变异。本文讨论了研究结果的意义和未来的研究方向。
