Villet Léa, Surjous Luc, Silva Jérôme, Alexandre Claire, Bydlowski Sarah, Lamas Claire, Belbèze Jean, Pham-Scottez Alexandra, Speranza Mario, Essadek Aziz, Ensink Karin, Corcos Maurice, Robin Marion
Department of Child and Adolescent psychopathology, Saint-Maurice Hospital, Paris, France.
Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, Paris, France.
Eur J Psychotraumatol. 2025 Dec;16(1):2524900. doi: 10.1080/20008066.2025.2524900. Epub 2025 Sep 2.
In Borderline Personality Disorder (BPD), the literature on emotion awareness revealed some discrepancies between some patients who are accurate in detecting emotional cues and others that are impaired at identifying them in themselves and others. Even though some links between childhood adversity and emotion regulation have been established, there is a need to understand the mechanisms underlying this association, and defense mechanisms, which are central to emotion regulation, and could play a key role in this pathway.: The purpose of this study is to compare levels of emotional awareness between adolescents with BPD and healthy controls and to investigate the influence of adversity (maltreatment and parental bonding) and defense mechanisms influence on emotional awareness in the two groups, as measured by the Level of Emotional Awareness Scale (LEAS). The study includes BPD adolescents ( = 41) and healthy controls (HC, = 67). No difference was observed between the LEAS in BPD and HC, but multivariate regression models analysed highlighted links between levels of emotional awareness and adversity: low levels of self-emotion awareness were associated with maltreatment and with maternal control, while high levels of emotional awareness were linked to low levels of maternal care. In BPD, immature defense mechanisms mediated the association between maltreatment and self-emotional awareness, suggesting a key role of defense mechanisms in maintaining a normal level of emotional awareness in the face of adversity.
在边缘型人格障碍（BPD）中，关于情绪意识的文献揭示了一些差异，有些患者能够准确检测情绪线索，而另一些患者在识别自身和他人的情绪线索方面存在障碍。尽管童年逆境与情绪调节之间已建立了一些联系，但仍需要了解这种关联背后的机制，以及防御机制，防御机制是情绪调节的核心，可能在这一途径中起关键作用。本研究的目的是比较BPD青少年与健康对照组之间的情绪意识水平，并通过情绪意识量表（LEAS）来调查逆境（虐待和亲子关系）及防御机制对两组情绪意识的影响。该研究纳入了41名BPD青少年和67名健康对照（HC）。BPD组和HC组在LEAS上未观察到差异，但多变量回归模型分析突出了情绪意识水平与逆境之间的联系：自我情绪意识水平低与虐待及母亲的控制有关，而高情绪意识水平与低母亲关怀有关。在BPD中，不成熟的防御机制介导了虐待与自我情绪意识之间的关联，表明防御机制在面对逆境时维持正常情绪意识水平方面起着关键作用。
