Department of Psychiatry and Behavioral Health.
Department of Psychiatry, University of Pittsburgh School of Medicine.
Personal Disord. 2018 May;9(3):197-206. doi: 10.1037/per0000289.
We examined event-contingent recording of daily interpersonal interactions in a diagnostically diverse sample of 101 psychiatric outpatients who were involved in a romantic relationship. We tested whether the unique effect of borderline personality disorder (BPD) symptoms on affective responses (i.e., hostility, sadness, guilt, fear, and positive affect) to perceptions of rejection or acceptance differed with one's romantic partner compared with nonromantic partners. BPD symptoms were associated with more frequent perceptions of rejection and less frequent perceptions of acceptance across the study. For all participants, perceptions of rejecting behavior were associated with higher within-person negative affect and lower within-person positive affect. As predicted, in interactions with romantic partners only, those with high BPD symptoms reported heightened hostility and, to a lesser extent, attenuated sadness in response to perceptions of rejection. BPD symptoms did not moderate associations between perceptions of rejection and guilt, fear, or positive affect across romantic and nonromantic partners. For all participants, perceived acceptance was associated with lower within-person negative affect and higher within-person positive affect. However, BPD symptoms were associated with attenuated positive affect in response to perceptions of accepting behavior in interactions with romantic partners only. BPD symptoms did not moderate associations between perceptions of acceptance and any of the negative affects across romantic and nonromantic partners. This study highlights the specificity of affective responses characteristic of BPD when comparisons are made with patients with other personality and psychiatric disorders. Implications for romantic relationship dysfunction are discussed. (PsycINFO Database Record
我们在一个由 101 名精神科门诊患者组成的诊断多样化样本中,检查了日常人际互动的事件相关记录,这些患者都处于恋爱关系中。我们测试了边缘型人格障碍(BPD)症状对被拒绝或被接纳的感知的情感反应(即敌意、悲伤、内疚、恐惧和积极情绪)的独特影响是否因与浪漫伴侣的关系而与与非浪漫伴侣的关系不同。在整个研究中,BPD 症状与更频繁地感知到拒绝和较少地感知到被接纳有关。对于所有参与者,感知到拒绝的行为与更高的个体内消极情绪和更低的个体内积极情绪有关。正如预测的那样,在与浪漫伴侣的互动中,那些 BPD 症状较高的人在感知到拒绝时报告了更高的敌意,而且在较小程度上,悲伤情绪减弱。BPD 症状并没有调节在浪漫和非浪漫伴侣之间,感知到拒绝与内疚、恐惧或积极情绪之间的关联。对于所有参与者,感知到被接纳与个体内更低的消极情绪和更高的个体内积极情绪有关。然而,在与浪漫伴侣的互动中,BPD 症状与感知到接受行为时积极情绪的减弱有关。BPD 症状并没有调节在浪漫和非浪漫伴侣之间,感知到接受与任何消极情绪之间的关联。这项研究强调了在与其他人格和精神障碍患者进行比较时,BPD 特征性的情感反应的特异性。讨论了对浪漫关系功能障碍的影响。(心理学信息数据库记录)