Martino Francesca, Caselli Gabriele, Berardi Domenico, Fiore Francesca, Marino Erika, Menchetti Marco, Prunetti Elena, Ruggiero Giovanni Maria, Sasdelli Anna, Selby Edward, Sassaroli Sandra
Department of Medical and Surgical Sciences, DIMEC, University of Bologna, Italy.
Studi Cognitivi, Cognitive Psychotherapy School, Milano, Italy.
Personal Ment Health. 2015 Nov;9(4):277-87. doi: 10.1002/pmh.1310. Epub 2015 Sep 3.
Emotional instability and dyscontrolled behaviours are central features in borderline personality disorder (BPD). Recently, some cognitive dysfunctional mechanisms, such as anger rumination, have been found to increase negative emotions and promote dyscontrolled behaviours. Even though rumination has consistently been linked to BPD traits in non-clinical samples, its relationship with problematic behaviour has yet to be established in a clinical population.
The purpose of the study was to explore the relationships between emotional dysregulation, anger rumination and aggression proneness in a clinical sample of patients with BPD.
Enrolled patients with personality disorders (93 with BPD) completed a comprehensive assessment for personality disorder symptoms, anger rumination, emotional dysregulation and aggression proneness.
Anger rumination was found to significantly predict aggression proneness, over and above emotional dysregulation. Furthermore, both BPD diagnosis and anger rumination were significant predictors of aggression proneness.
Future research should examine whether clinical techniques aimed at reducing rumination are helpful for reducing aggressive and other dyscontrolled behaviours in treating patients with BPD.
情绪不稳定和行为失控是边缘型人格障碍（BPD）的核心特征。最近，一些认知功能失调机制，如愤怒反刍，已被发现会增加负面情绪并促进行为失控。尽管在非临床样本中反刍一直与BPD特质相关，但其与问题行为在临床人群中的关系尚未确立。
本研究的目的是探讨边缘型人格障碍患者临床样本中情绪调节障碍、愤怒反刍和攻击倾向之间的关系。
纳入的人格障碍患者（93例BPD患者）完成了对人格障碍症状、愤怒反刍、情绪调节障碍和攻击倾向的综合评估。
发现愤怒反刍显著预测攻击倾向，超出情绪调节障碍的影响。此外，BPD诊断和愤怒反刍都是攻击倾向的显著预测因素。
未来的研究应检验旨在减少反刍的临床技术是否有助于减少边缘型人格障碍患者治疗中的攻击性行为和其他行为失控。
