一项针对边缘型人格障碍症状的年轻成年门诊患者的经验回避、情绪调节障碍和痛苦耐受力的调查。

An investigation of experiential avoidance, emotion dysregulation, and distress tolerance in young adult outpatients with borderline personality disorder symptoms.

机构信息

Women's Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System.

Department of Psychology, University of Nevada.

出版信息

Personal Disord. 2012 Oct;3(4):415-422. doi: 10.1037/a0023703. Epub 2011 Jul 4.

Abstract

In this study we investigated 3 domains of emotional functioning--emotion dysregulation, distress tolerance, and experiential avoidance--in young adult outpatients with borderline personality disorder (BPD) symptoms. Participants were 40 young adult outpatients at a university counseling center who reported current suicidal ideation and met diagnostic criteria for BPD or experienced subthreshold BPD symptoms (i.e., met diagnostic criteria for 3 or 4 symptoms). Participants completed 3 self-report measures of emotional functioning-experiential avoidance (Acceptance and Action Questionnaire-2; Bond et al., 2011; Hayes et al., 2004), emotion dysregulation (Difficulties in Emotion Regulation Scale; Gratz & Roemer, 2004), and distress tolerance (Distress Tolerance Scale; Simons & Gaher, 2005)-and a behavioral measure of distress tolerance (Paced Auditory Serial Addition Task-Computerized; Lejuez, Kahler, & Brown, 2003), in addition to self-report measures of depression and BPD symptom severity. Partial correlations demonstrated that both emotion dysregulation and experiential avoidance were significantly associated with BPD symptom severity after accounting for depression. However, neither the self-report nor behavioral measure of distress tolerance were related to BPD symptom severity. A regression analysis with emotion dysregulation and experiential avoidance as independent variables revealed that only experiential avoidance was significantly associated with BPD symptom severity after controlling for depression symptoms. The current findings suggest that experiential avoidance may be a central process in BPD symptom severity. Future research directions are discussed.

摘要

在这项研究中,我们调查了 3 个情绪功能领域——情绪失调、痛苦容忍度和体验回避——在有边缘型人格障碍(BPD)症状的年轻成年门诊患者中。参与者为 40 名在大学咨询中心就诊的年轻成年门诊患者,他们报告目前有自杀意念,并符合 BPD 的诊断标准或经历了阈下 BPD 症状(即,符合 3 或 4 项症状的诊断标准)。参与者完成了 3 项自我报告的情绪功能测量——体验回避(接受与行动问卷-2;Bond 等人,2011 年;Hayes 等人,2004 年)、情绪失调(情绪调节困难量表;Gratz & Roemer,2004 年)和痛苦容忍度(痛苦容忍度量表;Simons & Gaher,2005 年)——以及一项痛苦容忍度的行为测量( paced auditory serial addition task-computerized;Lejuez、Kahler 和 Brown,2003 年),此外还有抑郁和 BPD 症状严重程度的自我报告测量。偏相关分析表明,在考虑到抑郁后,情绪失调和体验回避都与 BPD 症状严重程度显著相关。然而,无论是痛苦容忍度的自我报告还是行为测量都与 BPD 症状严重程度无关。一项以情绪失调和体验回避为自变量的回归分析表明,在控制抑郁症状后,只有体验回避与 BPD 症状严重程度显著相关。目前的研究结果表明,体验回避可能是 BPD 症状严重程度的一个核心过程。讨论了未来的研究方向。

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