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探讨人格特质和情绪调节对抑郁/焦虑障碍患者人格功能的作用。

Investigation of the role of personality traits and emotion regulation on personality functioning in patients with depression/anxiety disorder.

机构信息

University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.

出版信息

Personal Ment Health. 2023 Aug;17(3):232-245. doi: 10.1002/pmh.1577. Epub 2023 Jan 24.

DOI:10.1002/pmh.1577
PMID:36693422
Abstract

The relationship between the dimensional assessment of personality and difficulties in emotion regulation has yet to be made clear. The present study aimed to investigate the role of personality traits and emotion regulation on personality functioning. Difficulties in Emotion Regulation Scale (DERS), Beck Anxiety Inventory, Beck Depression Inventory, Personality Inventory for DSM-5 (PID-5) and Level of Personality Functioning Scale (LPFS) were rated for 220 patients with depression and/or anxiety disorder diagnosis and 100 healthy controls. Stepwise regression analyses (SRA) were used to find potential predictors of personality functioning, and generalized linear analyses (GLA) were used to find mediators between the traits and personality functioning. SRA results in the clinical group showed that higher depression, antagonism, difficulties in impulse control and difficulties in awareness predicted higher levels of dysfunction in personality. According to GLA results in the clinical group, the impulse subscale of DERS partially mediated the relationship between antagonism and level of impairment in personality functioning. Our results indicate that certain emotion regulation styles and personality traits play an important role in predicting personality functioning in the clinical sample of depression and anxiety patients. Future studies should focus on specific emotion dysregulation strategies and broaden the dimensional personality literature in different samples.

摘要

人格的维度评估与情绪调节困难之间的关系尚未明确。本研究旨在探讨人格特质和情绪调节对人格功能的作用。对 220 名抑郁症和/或焦虑症患者和 100 名健康对照者进行了情绪调节困难量表(DERS)、贝克焦虑量表、贝克抑郁量表、DSM-5 人格量表(PID-5)和人格功能水平量表(LPFS)的评定。采用逐步回归分析(SRA)寻找人格功能的潜在预测因子,采用广义线性分析(GLA)寻找特质与人格功能之间的中介因素。临床组的 SRA 结果显示,较高的抑郁、敌对、冲动控制困难和意识困难预测人格功能障碍程度较高。根据临床组的 GLA 结果,DERS 的冲动分量表部分中介了敌对与人格功能损伤程度之间的关系。我们的研究结果表明,某些情绪调节方式和人格特质在预测抑郁和焦虑患者临床样本的人格功能方面起着重要作用。未来的研究应关注特定的情绪失调策略,并在不同样本中扩展维度人格文献。

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