a Borderline Personality Disorder Service , Centre for Addiction and Mental Health , Toronto , Ontario , Canada.
Psychother Res. 2013;23(6):658-73. doi: 10.1080/10503307.2013.838653. Epub 2013 Oct 24.
This exploratory study examined specific emotion processes and cognitive problem-solving processes in individuals with borderline personality disorder (BPD), and assessed the relationship of these changes to treatment outcome. Emotion and cognitive problem-solving processes were assessed using the Toronto Alexithymia Scale, the Linguistic Inquiry Word Count, the Derogatis Affect Balance Scale, and the Problem Solving Inventory. Participants who showed greater improvements in affect balance, problem solving, and the ability to identify and describe emotions showed greater improvements on treatment outcome, with affect balance remaining statistically significant under the most conservative conditions. The results provide preliminary evidence to support the theory that specific improvements in emotion and cognitive processes are associated with positive treatment outcomes (symptom distress, interpersonal functioning) in BPD. The implications for treatment are discussed.
本探索性研究考察了边缘型人格障碍（BPD）个体中特定的情绪过程和认知问题解决过程，并评估了这些变化与治疗结果的关系。使用多伦多述情障碍量表、语言探究词频分析、Derogatis 情感平衡量表和问题解决清单评估情绪和认知问题解决过程。在情感平衡、问题解决和识别及描述情绪能力方面表现出更大改善的参与者，在治疗结果上显示出更大的改善，在最保守的条件下，情感平衡仍然具有统计学意义。结果提供了初步证据，支持这样一种理论，即情绪和认知过程的特定改善与 BPD 的积极治疗结果（症状困扰、人际关系功能）相关。讨论了治疗的意义。
