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是否具有个体差异?情境调节边缘型人格障碍对自发性沉思和痛苦的影响。

Is It Personal? Context Moderates BPD Effects on Spontaneous Rumination and Distress.

机构信息

Cleveland State University, Cleveland, Ohio.

出版信息

J Pers Disord. 2020 Apr;34(2):161-180. doi: 10.1521/pedi_2018_32_387. Epub 2018 Sep 4.

Abstract

Borderline personality disorder (BPD) is associated with the use of maladaptive emotion regulation (ER) that predicts unstable interpersonal relationships and emotion dysregulation. Rumination, a maladaptive cognitive ER response, may be one mechanism by which those with BPD experience emotion dysregulation. However, it remains unclear whether emotion dysregulation is linked to rumination in general, or to rumination during interpersonal situations that often prove challenging for those with BPD. The present study examined whether interpersonal exclusion conferred an increased risk to spontaneously ruminate among those with elevated BPD features relative to an impersonal negative mood induction, and whether spontaneous rumination mediated the effects of BPD features on distress reactivity. Overall, BPD features predicted stronger tendencies to spontaneously ruminate and higher levels of distress following interpersonal exclusion; spontaneous rumination following interpersonal exclusion mediated the effects of BPD features on distress. These findings highlight the importance of context when examining ER outcomes.

摘要

边缘型人格障碍(BPD)与不适应的情绪调节(ER)有关,这种调节预测了不稳定的人际关系和情绪失调。反刍,一种不适应的认知 ER 反应,可能是 BPD 患者经历情绪失调的一种机制。然而,目前尚不清楚情绪失调是与一般的反刍有关,还是与在人际情境中反刍有关,而这些人际情境往往对 BPD 患者构成挑战。本研究考察了在人际排斥的情况下,相对于非人际负面情绪诱发,BPD 特征升高的个体是否会增加自发反刍的风险,以及自发反刍是否会中介 BPD 特征对痛苦反应的影响。总体而言,BPD 特征预测了在人际排斥后更强的自发反刍倾向和更高的痛苦水平;人际排斥后自发反刍中介了 BPD 特征对痛苦的影响。这些发现强调了在考察 ER 结果时考虑情境的重要性。

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