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人格障碍中的情绪失调。

Emotion Dysregulation in Personality Disorders.

机构信息

Department of Psychology, York University, Toronto, ON, Canada.

Department of Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, MA, USA.

出版信息

Curr Psychiatry Rep. 2023 May;25(5):223-231. doi: 10.1007/s11920-023-01418-8. Epub 2023 Apr 10.


DOI:10.1007/s11920-023-01418-8
PMID:37036627
Abstract

PURPOSE OF REVIEW: This manuscript aims to take stock of emotion dysregulation and personality disorder (PD) research, review key findings, and highlight future directions. RECENT FINDINGS: Most emotion dysregulation research in PDs has focused on borderline personality disorder (BPD). BPD is characterized by high baseline negative emotion and the use of maladaptive emotion regulation strategies, but several other emotion dysregulation components may not be pervasively evident in the disorder. Trends in the BPD field that add nuance to the study of emotion dysregulation suggest that BPD may involve problems in the flexible, contextually based selection/implementation of emotion regulation strategies, as well as the development of appropriate emotion regulatory goals. Furthermore, relational stressors may elicit and maintain emotion dysregulation in BPD. Less research has examined emotion dysregulation in other PDs, but several PDs may involve deficits in emotional processes (e.g., lower behavioral inhibition and resistance of emotion-related impulses), particularly in interpersonal contexts. Emotion dysregulation is a nuanced and contextual problem which, for some PDs, may be particularly nested within interpersonal contexts. The BPD field and the increasing nuance of the study of emotion dysregulation within it points to key future research directions for the broader PD field.

摘要

目的综述:本文旨在总结情绪失调和人格障碍(PD)的研究,综述关键发现,并强调未来的方向。

最近的发现:PD 中大多数情绪失调的研究都集中在边缘型人格障碍(BPD)上。BPD 的特点是基线时的高负性情绪和使用适应不良的情绪调节策略,但该障碍中可能并非普遍存在其他几个情绪失调成分。BPD 领域的一些趋势为情绪失调的研究增加了细微差别,表明 BPD 可能涉及到情绪调节策略的灵活、基于情境的选择/实施方面的问题,以及适当的情绪调节目标的发展。此外,人际关系压力源可能会引发和维持 BPD 中的情绪失调。关于其他 PD 中的情绪失调研究较少,但一些 PD 可能涉及情绪过程的缺陷(例如,较低的行为抑制和对情绪相关冲动的抵制),尤其是在人际情境中。情绪失调是一个复杂和情境化的问题,对于某些 PD 来说,它可能特别嵌套在人际情境中。BPD 领域以及其中对情绪失调研究的日益细微差别,为更广泛的 PD 领域指明了未来的关键研究方向。

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本文引用的文献

[1]
Emotion regulation in substance use disorders: a systematic review and meta-analysis.

Addiction. 2023-1

[2]
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[3]
Dialectical Behavior Therapy for Suicidal Self-Harming Youth: Emotion Regulation, Mechanisms, and Mediators.

J Am Acad Child Adolesc Psychiatry. 2021-9

[4]
Is borderline personality disorder really an emotion dysregulation disorder and, if so, how? A comprehensive experimental paradigm.

Psychol Med. 2022-9

[5]
Anxiety sensitivity and emotion regulation as mechanisms of successful CBT outcome for anxiety-related disorders in a naturalistic treatment setting.

J Affect Disord. 2020-4-15

[6]
Emotion regulation as the mediator of reductions in anxiety and depression in the Unified Protocol (UP) for transdiagnostic treatment of emotional disorders: double-blind randomized clinical trial.

Trends Psychiatry Psychother. 2019-10-17

[7]
How do I want to feel? The link between emotion goals and difficulties in emotion regulation in borderline personality disorder.

Br J Clin Psychol. 2019-9-25

[8]
A Meta-analysis and Systematic Review of Emotion-Regulation Strategies in Borderline Personality Disorder.

Harv Rev Psychiatry. 2019

[9]
Borderline personality disorder and emotion dysregulation.

Dev Psychopathol. 2019-6-6

[10]
Flexible, yet firm: A model of healthy emotion regulation.

J Soc Clin Psychol. 2018-4

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