Prospective relationships between positive emotion dysregulation and borderline personality disorder features among women experiencing intimate partner violence.

Kanika Mehrotra, Alexa M Raudales, Gabriella Epshteyn, Katherine L Dixon-Gordon, Jessica R Peters, Nicole H Weiss
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Abstract

Emotion dysregulation is a core feature of borderline personality disorder (BPD). However, there is a dearth of literature examining the association between the dysregulation of positive emotions and BPD. The present study assesses the reciprocal and longitudinal associations between positive emotion dysregulation and BPD features. Participants were 149 community women currently experiencing intimate partner violence and using substances (Mage = 40.3, 30.8% Black). BPD was assessed at baseline via a clinician-administered diagnostic interview. Participants self-reported on positive emotion dysregulation and BPD features at baseline and 1-month follow-up sessions. Positive emotion dysregulation did not significantly predict BPD features at 1-month follow-up when controlling for initial BPD features (β = -.09, SE = 0.07, p = .21, confidence interval [CI] [-0.23, 0.10]). However, BPD features did significantly predict positive emotion dysregulation at 1-month follow-up, when controlling for initial positive emotion dysregulation (β = .25, SE = 0.10, p = .01, CI [0.07, 0.44]). This study offers initial insight into the nature of the association between BPD and positive emotion dysregulation over time among women experiencing intimate partner violence and using substances. Findings highlight the role of BPD features in the exacerbation of positive emotion dysregulation, which may inform targeted assessments and treatments in this area. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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经历亲密伴侣暴力的女性中积极情绪失调与边缘型人格障碍特征之间的前瞻性关系。
情绪失调是边缘型人格障碍(BPD)的一个核心特征。然而,研究积极情绪失调与 BPD 之间关系的文献却非常缺乏。本研究评估了积极情绪失调与 BPD 特征之间的相互关系和纵向关系。研究对象是 149 名目前正遭受亲密伴侣暴力并使用药物的社区妇女(年龄 = 40.3,30.8% 为黑人)。在基线时,通过临床医生主持的诊断访谈对 BPD 进行评估。参与者在基线和 1 个月的随访中自我报告了积极情绪失调和 BPD 特征。在控制了最初的 BPD 特征后,积极情绪失调并不能显著预测 1 个月随访时的 BPD 特征(β = -.09, SE = 0.07, p = .21, 置信区间 [CI] [-0.23, 0.10])。然而,如果控制了最初的积极情绪失调(β = .25,SE = 0.10,p = .01,CI [0.07,0.44]),BPD 特征确实能显著预测 1 个月随访时的积极情绪失调。本研究初步揭示了在遭受亲密伴侣暴力并使用药物的女性中,随着时间的推移,BPD 与积极情绪失调之间关联的性质。研究结果强调了BPD特征在加重积极情绪失调中的作用,这可能会为该领域的针对性评估和治疗提供参考。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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