Schoenleber Michelle, Berghoff Christopher R, Tull Matthew T, DiLillo David, Messman-Moore Terri, Gratz Kim L
Department of Psychiatry and Human Behavior, University of Mississippi Medical Center.
Department of Psychology, University of Nebraska-Lincoln.
Personal Disord. 2016 Jul;7(3):211-20. doi: 10.1037/per0000145.
Extant research on emotional lability in borderline personality disorder (BPD) has focused almost exclusively on lability of individual emotions or emotion types, with limited research considering how different types of emotions shift together over time. Thus, this study examined the temporal dynamics of emotion in BPD at the level of both individual emotions (i.e., self-conscious emotions [SCE], anger, and anxiety) and mixed emotions (i.e., synchrony between emotions). One hundred forty-four women from the community completed a diagnostic interview and laboratory study involving 5 emotion induction tasks (each of which was preceded and followed by a 5-min resting period or neutral task). State ratings of SCE, anger, and anxiety were provided at 14 time points (before and after each laboratory task and resting period). Hierarchical linear modeling results indicate that women with BPD reported greater mean levels of SCE and Anxiety (but not Anger), and greater lability of Anxiety. Women with BPD also exhibited greater variability in lability of all 3 emotions (suggestive of within-group differences in the relevance of lability to BPD). Results also revealed synchrony (i.e., positive relations) between each possible pair of emotions, regardless of BPD status. Follow-up regression analyses suggest the importance of accounting for lability when examining the role of synchrony in BPD, as the relation of SCE-Anger synchrony to BPD symptom severity was moderated by Anger and SCE lability. Specifically, synchronous changes in SCE and Anger were associated with greater BPD symptom severity when large shifts in SCE were paired with minor shifts in Anger. (PsycINFO Database Record
现有的关于边缘型人格障碍（BPD）中情绪不稳定的研究几乎完全集中在个体情绪或情绪类型的不稳定上，而考虑不同类型情绪如何随时间共同变化的研究有限。因此，本研究在个体情绪（即自我意识情绪[SCE]、愤怒和焦虑）和混合情绪（即情绪之间的同步性）层面上考察了BPD中情绪的时间动态。144名来自社区的女性完成了一项诊断访谈和实验室研究，该研究包括5项情绪诱导任务（每项任务前后各有一个5分钟的休息期或中性任务）。在14个时间点（每个实验室任务和休息期前后）提供了SCE、愤怒和焦虑的状态评分。分层线性建模结果表明，患有BPD的女性报告的SCE和焦虑的平均水平更高（但愤怒不是），且焦虑的不稳定性更大。患有BPD的女性在所有三种情绪的不稳定性方面也表现出更大的变异性（表明在不稳定性与BPD相关性方面存在组内差异）。结果还揭示了每对可能情绪之间的同步性（即正相关），无论是否患有BPD。后续回归分析表明，在研究同步性在BPD中的作用时，考虑不稳定性很重要，因为SCE - 愤怒同步性与BPD症状严重程度的关系受到愤怒和SCE不稳定性的调节。具体而言，当SCE的大幅变化与愤怒的小幅变化配对时，SCE和愤怒的同步变化与更大的BPD症状严重程度相关。（PsycINFO数据库记录
