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依恋与边缘型人格障碍:对情境性社会情感过程的不同影响。

Attachment and Borderline Personality Disorder: Differential Effects on Situational Socio-Affective Processes.

作者信息

Kaurin Aleksandra, Beeney Joseph E, Stepp Stephanie D, Scott Lori N, Woods William C, Pilkonis Paul A, Wright Aidan G C

机构信息

Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.

Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

出版信息

Affect Sci. 2020 Sep;1(3):117-127. doi: 10.1007/s42761-020-00017-7. Epub 2020 Sep 18.

Abstract

Insecure attachment and borderline personality disorder (BPD) are defined by similar affective and interpersonal processes. Individuals diagnosed with BPD, however, represent only a subset of those described as insecurely attached, suggesting that attachment may hold broader relevance for socio-affective functioning. Based on a 21-day ecological momentary assessment protocol in a mixed clinical and community sample ( = 207) oversampled for BPD, we evaluate the discriminant validity of each construct as it influences daily interpersonal interactions. We find that insecure attachment is associated with elevated perceptions of interpersonal disaffiliation and maladaptive strategies for affect regulation, whereas enacted interpersonal hostility is more distinctive for BPD. In a series of sensitivity analyses, we further highlight potential caveats to these findings when studying both constructs concurrently. Together, our results suggest that both insecure attachment and BPD contribute to problematic affective and interpersonal processes, but that they do so at different stages of the unfolding social interaction, which has important implications for their maintenance and treatment.

摘要

不安全依恋和边缘型人格障碍(BPD)由相似的情感和人际过程所定义。然而,被诊断为BPD的个体只是那些被描述为不安全依恋者中的一部分,这表明依恋可能对社会情感功能具有更广泛的相关性。基于一项针对BPD进行过采样的混合临床与社区样本(n = 207)的21天生态瞬时评估方案,我们评估了每种结构在影响日常人际互动时的判别效度。我们发现,不安全依恋与对人际疏离的更高感知以及情感调节的适应不良策略相关,而表现出的人际敌意对于BPD来说更具独特性。在一系列敏感性分析中,我们进一步强调了同时研究这两种结构时这些发现的潜在注意事项。总之,我们的结果表明,不安全依恋和BPD都会导致有问题的情感和人际过程,但它们是在社会互动展开的不同阶段这样做的,这对它们的维持和治疗具有重要意义。

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