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边缘型人格障碍患者的自我厌恶。与述情障碍、情绪调节障碍及共病精神病理学的关联。

Self-disgust in patients with borderline personality disorder. The associations with alexithymia, emotion dysregulation, and comorbid psychopathology.

作者信息

Kot Emilia, Kostecka Barbara, Radoszewska Joanna, Kucharska Katarzyna

机构信息

Department of Neuroses, Personality Disorders, and Eating Disorders, Institute of Psychiatry and Neurology, 9 Sobieskiego Street, Warsaw, 02-957, Poland.

II Department of Psychiatry, Medical University of Warsaw, 8 Kondratowicza Street, Warsaw, 03-242, Poland.

出版信息

Borderline Personal Disord Emot Dysregul. 2023 Aug 29;10(1):24. doi: 10.1186/s40479-023-00232-1.

Abstract

BACKGROUND

Self-disgust is a negative self-conscious emotion, which has been linked with borderline personality disorder (BPD). However, it has not yet been investigated in relation to both emotion dysregulation and alexithymia, which are recognized as crucial to BPD. Therefore, the aim of our study was to measure these variables and examine the possible mediational role of emotional alterations and comorbid anxiety and depression symptoms in shaping self-disgust in patients with BPD and healthy controls (HCs).

METHODS

In total, the study included 100 inpatients with BPD and 104 HCs. Participants completed: the Self-Disgust Scale (SDS), Disgust Scale - Revised (DS-R), Toronto Alexithymia Scale (TAS-20), Emotion Dysregulation Scale short version (EDS-short), Borderline Personality Disorder Checklist (BPD Checklist), State-Trait Anxiety Inventory (STAI), and Center for Epidemiologic Studies Depression Scale (CESD-R).

RESULTS

Inpatients with BPD showed higher self-disgust, alexithymia, emotion dysregulation, core and comorbid symptoms levels, and lower disgust sensitivity. Alexithymia, emotion dysregulation, and trait anxiety partially mediated between BPD diagnosis and self-disgust. The relationship between the severity of BPD symptoms and self-disgust was fully mediated by alexithymia, emotion dysregulation, depressive symptoms, and trait anxiety.

CONCLUSIONS

The results of our study may imply the contribution of emotion dysregulation, alexithymia, and comorbid psychopathology to self-referenced disgust in BPD.

摘要

背景

自我厌恶是一种消极的自我意识情绪,与边缘型人格障碍(BPD)有关。然而,尚未针对情绪调节障碍和述情障碍对其进行研究,而这两者被认为对BPD至关重要。因此,我们研究的目的是测量这些变量,并检验情绪改变以及共病的焦虑和抑郁症状在塑造BPD患者和健康对照者(HCs)的自我厌恶方面可能起到的中介作用。

方法

该研究总共纳入了100名BPD住院患者和104名HCs。参与者完成了:自我厌恶量表(SDS)、修订版厌恶量表(DS-R)、多伦多述情障碍量表(TAS-20)、情绪调节障碍量表简版(EDS-简版)、边缘型人格障碍检查表(BPD检查表)、状态-特质焦虑量表(STAI)以及流行病学研究中心抑郁量表(CESD-R)。

结果

BPD住院患者表现出更高的自我厌恶、述情障碍、情绪调节障碍、核心症状和共病症状水平,以及更低的厌恶敏感性。述情障碍、情绪调节障碍和特质焦虑在BPD诊断和自我厌恶之间起到部分中介作用。BPD症状严重程度与自我厌恶之间的关系完全由述情障碍、情绪调节障碍、抑郁症状和特质焦虑介导。

结论

我们研究的结果可能意味着情绪调节障碍、述情障碍和共病精神病理学对BPD中自我参照厌恶的影响。

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