Clinical-Disaster Research Center, University of Mississippi, Kinard Hall, Suite 203, University, MS 38677-1848 USA.
Duke University Medical Center, 2213 Elba St., Rm 123, Durham, NC 27710 USA.
Borderline Personal Disord Emot Dysregul. 2016 Jul 20;3:6. doi: 10.1186/s40479-016-0041-5. eCollection 2016.
Emotion dysregulation is a critical transdiagnostic mental health problem that needs to be further examined in personality disorders (PDs). The current study examined dialectical behavior therapy (DBT) skills use, emotion dysregulation, and dysfunctional coping among adults who endorsed symptoms of cluster B PDs and psychopathy. We hypothesized that skills taught in DBT and emotion dysregulation are useful for adults with PDs other than borderline personality disorder (BPD).
Using a self-report questionnaire, we examined these constructs in three groups of community adults: those who reported symptoms consistent with borderline personality disorder (BPD; N = 29), those who reported symptoms consistent with any other cluster B PD (N = 22), and those with no reported cluster B PD symptoms (N = 77) as measured by the Personality Diagnostic Questionnaire-4 + .
Both PD groups reported higher emotion dysregulation and dysfunctional coping when compared to the no PD group. Only the BPD group had significantly lower DBT skills use. DBT skills use was found to be a significant predictor of cluster B psychopathology but only before accounting for emotion dysregulation. When added to the regression model, emotion dysregulation was found to be a significant predictor of cluster B psychopathology but DBT skills use no longer had a significant effect. Across all groups, DBT skills use deficits and maladaptive coping, but not emotion dysregulation, predicted different facets of psychopathy.
Emotion dysregulation and use of maladaptive coping are problems in cluster B PDs, outside of BPD, but not in psychopathy. Inability to use DBT skills may be unique to BPD. Because this study relied exclusively on self-report, this data is preliminary and warrants further investigation.
情绪失调是一个关键的跨诊断心理健康问题，需要进一步在人格障碍（PD）中进行研究。本研究考察了在有边缘型人格障碍（BPD）以外的 PD 症状的成年人中，辩证行为疗法（DBT）技能的使用、情绪失调和功能失调应对。我们假设，DBT 所教授的技能和情绪失调对于除 BPD 以外的 PD 患者是有用的。
使用自我报告问卷，我们在三组社区成年人中检查了这些结构：那些报告符合边缘型人格障碍（BPD；N=29）症状的人、那些报告符合任何其他 B 群 PD（N=22）症状的人和那些没有报告 B 群 PD 症状的人（N=77），由人格诊断问卷-4+测量。
与无 PD 组相比，两组 PD 患者都报告了更高的情绪失调和功能失调应对。只有 BPD 组的 DBT 技能使用显著较低。DBT 技能使用被发现是 B 群精神病理学的一个显著预测因素，但仅在考虑情绪失调之前。当添加到回归模型中时，情绪失调被发现是 B 群精神病理学的一个显著预测因素，但 DBT 技能使用不再有显著影响。在所有组中，DBT 技能使用缺陷和适应不良应对，而不是情绪失调，预测了不同的精神病理学方面。
情绪失调和使用适应不良应对是 B 群 PD 中的问题，除了 BPD 以外，而不是在精神变态中。无法使用 DBT 技能可能是 BPD 的独特特征。由于本研究仅依赖于自我报告，因此该数据是初步的，需要进一步研究。
