Menninger Clinic.
Department of Psychology, University of Houston.
Personal Disord. 2014 Apr;5(2):125-36. doi: 10.1037/per0000038. Epub 2013 Dec 23.
While studies have documented significant associations between insecure attachment, emotion dysregulation, and borderline personality disorder (BPD) features, no research to date has empirically delineated the specific mechanisms by which these constructs are related. The present study brings together 2 lines of research that have hitherto separately examined attachment disturbance and emotion dysregulation as they respectively manifest in the pathogenesis of BPD, and explores the complex relations between the 2 well-established correlates of borderline traits in a clinical sample of adolescents (N = 228). We examined the adolescents' use of positive and negative emotion regulation strategies, along with their maternal and paternal attachment security. Results indicated that positive and negative emotion regulation strategies were differentially implicated in the link between attachment insecurity and BPD features. Attachment security functioned as a buffer against adolescent BPD by enhancing positive emotion regulation strategies, while negative emotion regulation strategies served to dilute the protective effect of attachment and positive regulation strategies, culminating in clinically significant levels of borderline traits. Findings are discussed with regard to interventions in the developmental trajectory of BPD as it unfolds during adolescence.
虽然研究已经记录了不安全依恋、情绪调节障碍和边缘型人格障碍（BPD）特征之间的显著关联，但迄今为止，没有研究从实证上阐明这些结构之间相关的具体机制。本研究汇集了迄今分别研究依恋障碍和情绪调节障碍的两条研究线，它们分别表现为 BPD 发病机制中的作用，并在青少年的临床样本中探索了 BPD 特征的两个公认相关因素（N=228）之间的复杂关系。我们检查了青少年使用积极和消极情绪调节策略的情况，以及他们的母婴依恋安全性。结果表明，积极和消极情绪调节策略在依恋不安全感与 BPD 特征之间的联系中具有不同的作用。依恋安全性通过增强积极的情绪调节策略来缓冲青少年的 BPD，而消极的情绪调节策略则削弱了依恋和积极调节策略的保护作用，导致具有临床意义的边缘特征水平。研究结果与青少年时期 BPD 发展轨迹中的干预措施有关。
