Attributional style in Borderline personality disorder is associated with self-esteem and loneliness.

Anna Schulze, Berit Rommelfanger, Elisabeth Schendel, Hannah Schott, Aimée Lerchl, Ruben Vonderlin, Stefanie Lis
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Abstract

Background: Attributions are the processes by which individuals explain the causes of positive and negative events. A maladaptive attributional style has been associated with reduced self-esteem, psychosocial functioning, and mental health. Although many psychosocial interventions target an individual's attributional style in mental disorders, studies of its alterations in Borderline Personality Disorder (BPD) are sparse. This study aimed to investigate the attributional style in patients with BPD in comparison to healthy control individuals (HC) and its association with self-esteem and psychosocial functioning.

Methods: The participants (32 patients with a diagnosis of BPD, 32 HC, groups were balanced for sex, age and education) assessed their attributional style in regard to locus of control, stability and globality for positive and negative scenarios. Attributional style was compared between groups and linked to self-reports of self-esteem, loneliness and psychosocial functioning in different social domains while controlling for BPD and depressive symptom severity.

Results: Individuals diagnosed with BPD reported a maladaptive attributional style for both positive and negative events. This was found to be strongly related with lower self-esteem and higher levels of loneliness, but not with psychosocial dysfunctions assessed in different social domains. The severity of BPD and depressive symptoms did not fully explain the association of attributional style with self-esteem and loneliness. In contrast, correcting for acute psychopathology actually strengthened the relationship between self-esteem and maladaptive inferring causality for positive events.

Conclusion: The differential association of attributional style for positive and negative events with self-esteem and psychosocial functioning highlights the importance of considering the different facets of inferring causality during psychosocial interventions. Our findings suggest that the significance of cognitive alterations may change with remission of acute BPD and depressive psychopathology, depending on the valence of an event.

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边缘型人格障碍患者的归因风格与自尊和孤独感有关。
背景介绍归因是个人解释积极和消极事件原因的过程。适应不良的归因风格与自尊、心理社会功能和心理健康的降低有关。尽管许多社会心理干预措施都针对精神障碍患者的归因风格,但有关边缘型人格障碍(BPD)患者归因风格改变的研究却很少。本研究旨在调查 BPD 患者的归因风格与健康对照组(HC)的比较及其与自尊和心理社会功能的关系:参与者(32 名确诊为 BPD 的患者和 32 名健康对照者,各组在性别、年龄和教育程度方面保持平衡)对其归因风格进行了评估,包括控制中心、稳定性和积极和消极情景下的全局性。在控制 BPD 和抑郁症状严重程度的前提下,对各组之间的归因风格进行比较,并将其与不同社会领域中的自尊、孤独感和社会心理功能的自我报告联系起来:结果:被诊断为 BPD 的患者对积极和消极事件的归因风格都是不适应的。研究发现,这种归因方式与较低的自尊和较高的孤独感密切相关,但与不同社会领域评估的心理社会功能障碍无关。BPD和抑郁症状的严重程度并不能完全解释归因风格与自尊和孤独的关系。相反,对急性精神病理学进行校正实际上加强了自尊与对积极事件因果关系的不良推断之间的关系:结论:积极和消极事件的归因风格与自尊和社会心理功能之间的不同关系,凸显了在社会心理干预过程中考虑因果关系推断的不同方面的重要性。我们的研究结果表明,认知改变的重要性可能会随着急性BPD和抑郁性精神病理学的缓解而改变,这取决于事件的价值取向。
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来源期刊
CiteScore
6.00
自引率
9.80%
发文量
30
审稿时长
28 weeks
期刊介绍: Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.
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