Psychiatric Clinic North, Brønderslev Psychiatric Hospital, North Denmark Region, 9700 Brønderslev, Denmark.
Department of Clinical Medicine, Aalborg University, 9000 Aalborg, Denmark.
Medicina (Kaunas). 2021 Jun 16;57(6):627. doi: 10.3390/medicina57060627.
Emotional dysfunction is considered a key component in personality disorders; however, only few studies have examined the relationship between the two. In this study, emotional dysfunction was operationalized through the Affect Integration Inventory, and the aim was to examine the relationships between the level of affect integration and the levels of symptom distress, interpersonal problems, and personality functioning in patients diagnosed with personality disorder according to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition. Within a hospital-based psychiatric outpatient setting, 87 patients with personality disorder referred for treatment were identified for assessment with the Affect Integration Inventory and other measures (e.g., the Symptom Checklist-90, Revised, the Inventory of Interpersonal Problems 64 circumplex version, and the Severity Indices of Personality Problems). The analyses revealed that problems with affect integration were strongly and statistically significantly correlated with high levels of symptom distress, interpersonal problems, and maladaptive personality functioning. Additionally, low scores on the Affect Integration Inventory regarding discrete affects were associated with distinct and differentiated patterns of interpersonal problems. Taken together, emotional dysfunction, as measured by the Affect Integration Inventory, appeared to be a central component of the pathological self-organization associated with personality disorder. These findings have several implications for the understanding and psychotherapeutic treatment of personality pathology. Furthermore, they highlight the importance of considering the integration of discrete affects and their specific contributions in the conceptualization and treatment of emotional dysfunction in patients with personality disorders.
情感功能障碍被认为是人格障碍的一个关键组成部分；然而，仅有少数研究探讨了两者之间的关系。在这项研究中，通过情感整合量表来操作情感功能障碍，并旨在探讨在根据《精神障碍诊断与统计手册》第五版诊断为人格障碍的患者中，情感整合的水平与症状困扰、人际问题和人格功能的水平之间的关系。在一个基于医院的精神病门诊环境中，确定了 87 名患有人格障碍的患者接受评估，他们接受了情感整合量表和其他措施的评估（例如，症状清单-90 修订版、人际问题 64 环量表版和人格问题严重程度指数）。分析结果表明，情感整合问题与高水平的症状困扰、人际问题和适应不良的人格功能密切相关，具有统计学意义。此外，离散情感的情感整合量表得分较低与人际问题的独特和分化模式相关。总之，通过情感整合量表测量的情感功能障碍似乎是与人格障碍相关的病理性自我组织的核心组成部分。这些发现对理解和心理治疗人格病理学具有重要意义。此外，它们强调了在人格障碍患者的情感功能障碍的概念化和治疗中考虑离散情感的整合及其特定贡献的重要性。
