Yale-NUS College, Singapore.
Psychological Services Branch, Ministry of Education, Singapore.
Behav Res Ther. 2017 Oct;97:43-51. doi: 10.1016/j.brat.2017.07.004. Epub 2017 Jul 8.
Borderline personality disorder (BPD) is a severe mental condition characterized by a range of cognitive and behavioral vulnerabilities, including chronic shame and deficits in social problem solving (SPS) abilities. Little research however, has examined strategies that may alleviate shame and SPS deficits among individuals with BPD traits. Using a laboratory experimental approach, the present study compared the effects of a brief mindfulness versus loving-kindness meditation (LKM) induction on shame and SPS abilities in a sample of adults with high BPD traits. Eighty-eight participants underwent a shame induction procedure involving recall of a negative autobiographical memory. They were then randomly assigned to 10 min of mindful breathing or LKM, or a no-instruction condition. Shame and SPS abilities were assessed via visual analogue scales and the Means-Ends Problem Solving task respectively. Results indicated that there were significant decreases in shame from pre-to post-regulation in the mindfulness group versus the LKM and no-instruction groups. Groups did not differ on changes in SPS abilities from pre-to post-regulation. Overall, the findings support the efficacy of mindfulness as a strategy to regulate shame among individuals with BPD traits, and raises questions with regard to the utility of LKM in modulating shame in the context of high emotional arousal.
边缘型人格障碍(BPD)是一种严重的精神疾病,其特征是存在一系列认知和行为方面的弱点,包括慢性羞耻感和社交问题解决(SPS)能力缺陷。然而,很少有研究探讨可能缓解具有 BPD 特征的个体的羞耻感和 SPS 缺陷的策略。本研究采用实验室实验方法,比较了短暂的正念与慈爱冥想(LKM)诱导对高 BPD 特征的成年人羞耻感和 SPS 能力的影响。88 名参与者进行了一项羞耻感诱导程序,涉及回忆一个负面的自传记忆。然后,他们被随机分配到正念呼吸 10 分钟、LKM 或无指导条件。通过视觉模拟量表和手段-目的问题解决任务分别评估羞耻感和 SPS 能力。结果表明,与 LKM 和无指导组相比,正念组在调节后羞耻感显著降低。从调节前到调节后,各组 SPS 能力的变化没有差异。总的来说,这些发现支持正念作为一种调节具有 BPD 特征的个体羞耻感的策略的有效性,并提出了关于在高情绪唤醒背景下 LKM 调节羞耻感的有效性的问题。