Bornovalova Marina A, Gratz Kim L, Daughters Stacey B, Nick Bettina, Delany-Brumsey Ayesha, Lynch Thomas R, Kosson David, Lejuez C W
Department of Psychology, University of Maryland, College Park, MD 20742, USA.
J Psychiatr Res. 2008 Jul;42(9):717-26. doi: 10.1016/j.jpsychires.2007.07.014. Epub 2007 Sep 14.
The concept of emotion dysregulation has been integrated into theory and treatment for borderline personality disorder (BPD), despite limited empirical support. Expanding upon existing research on the relationship between emotion dysregulation and BPD, the present study utilized a multimodal approach to the assessment of emotion dysregulation (including two behavioral measures of the willingness to tolerate emotional distress, and a self-report measure of emotion dysregulation broadly defined) to examine the relationship between emotion dysregulation and BPD among inner-city substance users in residential treatment (n=76, with 25 meeting criteria for BPD). Results provide laboratory-based evidence for heightened emotion dysregulation in BPD, extending extant research on BPD to underserved clinical populations. Specifically, the presence of a BPD diagnosis among a sample of inner-city inpatient substance users was associated with both higher scores on the self-report measure of emotion dysregulation and less willingness to tolerate emotional distress on the behavioral measures of emotion dysregulation. Moreover, both self-report and behavioral measures of emotion dysregulation accounted for unique variance in BPD status, suggesting the importance of utilizing comprehensive assessments of emotion dysregulation within studies of BPD. Findings suggest the need to further explore the role of emotion dysregulation in the development and maintenance of BPD among inner-city substance users in residential treatment.
尽管实证支持有限，但情绪调节障碍的概念已被纳入边缘型人格障碍（BPD）的理论和治疗中。本研究在现有关于情绪调节障碍与BPD关系研究的基础上进行拓展，采用多模态方法评估情绪调节障碍（包括两种容忍情绪困扰意愿的行为测量方法，以及一种广义定义的情绪调节障碍自我报告测量方法），以检验住院治疗的市中心药物使用者中情绪调节障碍与BPD之间的关系（n = 76，其中25人符合BPD标准）。研究结果为BPD中情绪调节障碍加剧提供了基于实验室的证据，将现有的BPD研究扩展到了服务不足的临床人群。具体而言，市中心住院药物使用者样本中BPD诊断的存在，与情绪调节障碍自我报告测量得分较高以及情绪调节障碍行为测量中容忍情绪困扰的意愿较低均相关。此外，情绪调节障碍的自我报告和行为测量均解释了BPD状态的独特变异，这表明在BPD研究中使用情绪调节障碍综合评估的重要性。研究结果表明，有必要进一步探讨情绪调节障碍在住院治疗的市中心药物使用者中BPD发展和维持中的作用。
