Providence VA Medical Center, Providence, Rhode Island.
Department of Psychology, Clark University, Worcester, Massachusetts.
J Nerv Ment Dis. 2021 Jan;209(1):13-16. doi: 10.1097/NMD.0000000000001246.
Individuals diagnosed with borderline personality disorder (BPD) experience significant and pervasive impairment in interpersonal, social, and vocational functioning, and accumulating evidence suggests that impairments in functioning often persist despite significant decreases in symptom severity. Previous research indicates that shame-proneness and guilt-proneness are associated with symptoms of BPD that can affect functioning (such as aggression toward others), but very few studies have examined the impact of shame-proneness and guilt-proneness on validated measures of psychosocial functioning. Forty women with BPD completed measures of shame-proneness and guilt-proneness, psychosocial functioning, and BPD symptom severity. Results from multiple regression analyses indicate that women with BPD who tend to experience higher levels of shame-proneness and lower levels of guilt-proneness report poor performance in school and work settings and in interpersonal relationships. Strengths of the study include the use of a validated measure of functioning as the primary outcome. Limitations and future directions are discussed.
个体被诊断为边缘型人格障碍（BPD）会在人际关系、社交和职业功能方面出现显著且普遍的损伤，越来越多的证据表明，尽管症状严重程度显著下降，但功能损伤往往持续存在。先前的研究表明，羞耻感和内疚感与 BPD 的症状有关，这些症状会影响功能（例如对他人的攻击），但很少有研究探讨羞耻感和内疚感对经过验证的心理社会功能测量的影响。40 名患有 BPD 的女性完成了羞耻感和内疚感、心理社会功能和 BPD 症状严重程度的测量。多元回归分析的结果表明，表现出较高水平羞耻感和较低水平内疚感的 BPD 女性报告在学校和工作环境以及人际关系中表现不佳。该研究的优势包括使用经过验证的功能测量作为主要结果。还讨论了局限性和未来方向。
