Department of Psychology, McGill University, Montreal, Quebec, Canada.
J Abnorm Psychol. 2012 Aug;121(3):680-91. doi: 10.1037/a0028513. Epub 2012 Jun 11.
This study examined whether the personality traits of self-criticism and dependency respectively moderated the effects of perceived inferiority and emotional insecurity on negative affect during interpersonal interactions in individuals with borderline personality disorder (BPD). A sample of 38 patients with BPD and matched community comparison participants completed event-contingent record forms after each significant interaction for a 20-day period. Multilevel models showed that, controlling for baseline levels of depressive symptoms and neuroticism, as well as lagged negative affect, event-level elevations in perceived inferiority and emotional insecurity were related to more negative affect in both groups. Event-level perceived inferiority was more strongly associated with negative affect in patients with BPD who reported higher levels of self-criticism, while event-level perceived emotional insecurity was more strongly associated with negative affect in patients with BPD who reported higher levels of dependency. No significant interactions emerged for the comparison group. These findings further our understanding of differences among patients with BPD and support the application of personality-vulnerability or diathesis-stress models in predicting negative affect in BPD. Results have implications for the design of therapies for patients with BPD.
本研究考察了在边缘型人格障碍（BPD）患者中，自我批判和依赖这两种人格特质是否分别调节了感知到的自卑和情绪不安全感对人际互动中消极情绪的影响。一个由 38 名 BPD 患者和匹配的社区对照组参与者组成的样本在 20 天的时间里，在每次重要互动后完成了基于事件的记录表格。多层次模型表明，在控制基线抑郁症状和神经质水平以及滞后的消极情绪的情况下，感知到的自卑和情绪不安全感的事件水平升高与两组参与者的更多消极情绪有关。在报告自我批判水平较高的 BPD 患者中，感知到的自卑事件水平与消极情绪的相关性更强，而在报告依赖水平较高的 BPD 患者中，感知到的情绪不安全感事件水平与消极情绪的相关性更强。对照组中没有出现显著的交互作用。这些发现进一步加深了我们对 BPD 患者之间差异的理解，并支持了人格脆弱性或素质应激模型在预测 BPD 中消极情绪的应用。研究结果对 BPD 患者治疗方案的设计具有启示意义。
