Peters Jessica R, Geiger Paul J
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University.
Department of Psychology, University of Kentucky.
Personal Disord. 2016 Jul;7(3):303-8. doi: 10.1037/per0000176. Epub 2016 Feb 11.
Shame has emerged as a particularly relevant emotion to the maintenance and exacerbation of borderline personality disorder (BPD) features; however, little attention has been paid to the potentially differing effects of other forms of self-conscious affect. While guilt has been demonstrated to have adaptive functions in the social psychology literature, it has not been previously explored whether a lack of socially adaptive guilt might also contribute to BPD-related dysfunction. The present study examined the relationship between BPD features and self-conscious emotions in a sample of undergraduate students (n = 839). Increased shame and decreased guilt independently accounted for significant variance in the association between BPD features and anger, hostility, and externalization of blame. Only increased shame significantly mediated the association between BPD features and anger rumination, and only decreased guilt significantly mediated the relationship between BPD features and aggression. These findings suggest BPD and its associated problems with anger and externalizing may be characterized not only by high levels of shame, but also by lower levels of guilt. Clinical implications include the need to differentiate between self-conscious emotions and teach adaptive responses to warranted guilt. (PsycINFO Database Record
羞耻已成为与边缘型人格障碍（BPD）特征的维持和加剧特别相关的一种情绪；然而，很少有人关注其他形式的自我意识情感可能存在的不同影响。虽然在社会心理学文献中已证明内疚具有适应性功能，但此前尚未探讨缺乏社会适应性内疚是否也可能导致与BPD相关的功能障碍。本研究在一组本科生样本（n = 839）中考察了BPD特征与自我意识情感之间的关系。羞耻感增加和内疚感降低分别独立地在BPD特征与愤怒、敌意及责备外化之间的关联中占显著变异。只有羞耻感增加显著中介了BPD特征与愤怒沉思之间的关联，只有内疚感降低显著中介了BPD特征与攻击行为之间的关系。这些发现表明，BPD及其与愤怒和外化相关的问题可能不仅以高水平的羞耻感为特征，还以较低水平的内疚感为特征。临床意义包括需要区分自我意识情感，并教导对合理内疚的适应性反应。（PsycINFO数据库记录 ）
