Department of Psychology and Neuroscience, Temple University, Philadelphia, Pennsylvania, USA.
Clin Psychol Psychother. 2022 Sep;29(5):1655-1678. doi: 10.1002/cpp.2738. Epub 2022 Apr 9.
Borderline personality disorder (BPD) is associated with difficulties in emotion regulation (ER) abilities. Investigations of ER strategies in BPD have been less robust. This systematic review identified 55 studies comparing ER strategy use between individuals diagnosed with BPD versus psychiatric and non-psychiatric comparison groups. Individuals with BPD reported more frequent maladaptive and less frequent adaptive ER strategy use than non-psychiatric controls. Results were less consistent relative to psychiatric comparison groups, though individuals with BPD reported greater self-criticism and avoidance. Groups responded comparably to instructed use of adaptive (but not maladaptive) ER strategies. This body of research would benefit from further examination of the roles of psychiatric comorbidity and problematic behaviours in the relationship between BPD and ER strategies.
边缘型人格障碍(BPD)与情绪调节(ER)能力的困难有关。对 BPD 中的 ER 策略的研究还不够深入。本系统评价确定了 55 项研究,这些研究比较了 BPD 患者与精神科和非精神科对照组之间 ER 策略的使用情况。与非精神科对照组相比,BPD 患者报告更多的适应不良和较少的适应性 ER 策略使用。与精神病比较组相比,结果不太一致,但 BPD 患者报告了更多的自我批评和回避。两组对适应性(但不是适应性)ER 策略的指令性使用反应相似。这项研究需要进一步研究精神病共病和问题行为在 BPD 和 ER 策略之间关系中的作用。