Department of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada.
Behav Res Ther. 2019 Sep;120:103447. doi: 10.1016/j.brat.2019.103447. Epub 2019 Jul 26.
Borderline personality disorder (BPD) treatments emphasize emotion labeling to decrease negative emotion and facilitate emotion regulation. However, no studies have examined emotion labeling in BPD or its impact on intentional emotion regulation. The present study examined the impact of emotion labeling on emotion and intentional emotion regulation attempts across self-reported and physiological indices (i.e., skin conductance response [SCR], respiratory sinus arrhythmia [RSA]) in BPD and healthy control (HC) groups. Participants listened to emotionally-evocative scripts and were either instructed to type the emotions that they were experiencing (labeling) or the objects they could imagine seeing in the script (control) into a computer. Following this, they were instructed to use either mindfulness or cognitive reappraisal to decrease their emotion. Self-reported, RSA, and SCR indices of negative emotion were collected throughout and analyzed using generalized estimating equations. Findings indicated that the BPD group experienced higher RSA during emotion labeling compared to the control task, but the HC group did not. HCs reported lower negative emotion after emotion labeling when implementing both emotion regulation strategies compared to the control task, but the BPD group did not. These findings suggest that emotion labeling may activate emotion regulatory systems in BPD and can potentiate intentional emotion regulation in HCs.
边缘型人格障碍（BPD）的治疗强调情绪标签化，以减少负面情绪并促进情绪调节。然而，目前尚无研究考察 BPD 中的情绪标签化或其对意图性情绪调节的影响。本研究通过自我报告和生理指标（即皮肤电反应[ SCR ]、呼吸窦性心律失常[ RSA ]）考察了情绪标签化对 BPD 和健康对照组（HC）的情绪和意图性情绪调节尝试的影响。参与者听取了情感唤起的脚本，并被指示在计算机上输入他们正在经历的情绪（标签化）或他们可以想象在脚本中看到的对象（对照）。之后，他们被指示使用正念或认知重评来降低自己的情绪。通过广义估计方程收集了自我报告、RSA 和 SCR 负性情绪指标，并进行了分析。研究结果表明，与对照任务相比，BPD 组在情绪标签化过程中表现出更高的 RSA，但 HC 组没有。与对照任务相比，HC 组在实施两种情绪调节策略后，情绪标签化后的负面情绪报告较低，但 BPD 组没有。这些发现表明，情绪标签化可能会激活 BPD 中的情绪调节系统，并增强 HC 中的意图性情绪调节。
