Department of Psychology, University of Toronto Scarborough, Toronto, Ontario, Canada.
Department of Psychology, University of Denver, Denver, Colorado.
J Pers Disord. 2020 Apr;34(2):199-215. doi: 10.1521/pedi_2018_32_390. Epub 2018 Sep 4.
Individuals with borderline personality disorder (BPD) report using cognitive reappraisal less often than healthy individuals despite the long-term benefits of the emotion regulation strategy on emotional stability. Individuals with BPD, mixed anxiety and/or depressive disorders (MAD), and healthy controls (HC) completed an experimental task to investigate the tactics contained in cognitive reappraisal statements vocalized for high and low emotional intensity photographs. Self-reported effectiveness after using cognitive reappraisal to decrease negative emotions was also evaluated. Although BPD and MAD used a similar number of cognitive reappraisal tactics, they perceived themselves as less effective at reducing their negative emotions compared to HC. During cognitive reappraisal, BPD and MAD uttered fewer words versus HC, while BPD uttered fewer words versus MAD. Results suggest that individuals with BPD and MAD are less fluent and perceive themselves as less effective than HC when using cognitive reappraisal to lower negative emotions regardless of stimulus intensity.
边缘型人格障碍（BPD）个体报告说，他们使用认知重评的频率低于健康个体，尽管这种情绪调节策略对情绪稳定有长期益处。BPD、混合焦虑和/或抑郁障碍（MAD）以及健康对照组（HC）个体完成了一项实验任务，以调查针对高、低情绪强度照片的认知重评陈述中包含的策略。还评估了使用认知重评来降低负面情绪后的自我报告效果。尽管 BPD 和 MAD 使用了类似数量的认知重评策略，但与 HC 相比，他们认为自己在降低负面情绪方面的效果较差。在认知重评期间，BPD 和 MAD 与 HC 相比，说出的单词较少，而 BPD 与 MAD 相比，说出的单词较少。结果表明，无论刺激强度如何，BPD 和 MAD 个体在使用认知重评来降低负面情绪时，表达流利程度较差，且自我评估的效果不如 HC。
