Personality disorders最新文献

There is growing interest in expanding research on emotion regulation (ER) in borderline personality disorder (BPD) to examine interpersonal ER in addition to intrapersonal ER. Thus, this study used network analysis to examine the relations among BPD symptoms and both intrapersonal and interpersonal ER dimensions and identify the most central dimensions of ER to BPD pathology. Specifically, we estimated the structural relations among five dimensions of intrapersonal ER difficulties, four dimensions of interpersonal ER (i.e., interpersonal ER tendency and efficacy for both positive and negative emotions), and BPD emotional, behavioral, interpersonal, and cognitive symptom domains. Participants included a nationwide community sample of 916 adults who completed an online study. Results highlight the particular centrality of the intrapersonal ER dimension of difficulties controlling impulsive behaviors when distressed to both BPD symptoms and their relations to other ER dimensions, finding that this ER dimension was the most central bridge node in the network. Results also support the relative centrality of interpersonal ER efficacy for negative emotions, the intrapersonal ER dimension of difficulties accessing effective ER strategies, and BPD emotional symptoms. Finally, findings that the strongest bridge nodes in the network were difficulties controlling impulsive behaviors when distressed, interpersonal ER efficacy for negative emotions, and BPD emotional symptoms suggest that these two specific ER dimensions may connect the other dimensions of ER to BPD symptoms. These results suggest the potential utility of specifically targeting both interpersonal ER efficacy and difficulties controlling impulsive behaviors when distressed in treatments for ER among individuals with BPD. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Personality disorders (PDs) are well characterized by deficits in interpersonal and emotional functioning, highlighting the importance of examining their intersection, such as interpersonal emotion regulation (IER). Given the dyadic nature of IER, characterizing the individuals who help regulate emotions, and their perceptions of these interactions, may further elucidate the process of IER in individuals with personality pathology. We aimed to directly characterize network partners that aid in IER and compare perceptions between both IER seekers and regulators. Primary participants, who were recruited for elevated levels of personality pathology, including some evidence of elevated borderline personality features, nominated members of their social network (i.e., secondary participants) to participate. The final sample included 165 secondary participants (115 of whom were identified as IER partners by primary participants) associated with 73 primary participants. We examined the association between dimensions of primary and secondary personality pathology and measures of the primary participant's IER. Primary and secondary participants tended to agree on measures of IER frequency; however, there was less agreement on more subjective measures, such as the efficacy of IER and the willingness of the secondary participant. Additionally, disinhibition of the primary participant was associated with IER outcomes from both partner's perspectives, including reduced willingness and perceived efficacy from the secondary's perspective and increased efficacy and underestimation of the secondary's IER use from the primary's perspective. These results highlight the value of examining both individuals involved in IER. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Research on the dimensional approach to personality disorders in relation to psychosocial functioning is limited, particularly among adolescents. Since adolescence is a critical developmental period from the emergence of personality disorders, it is crucial to understand how both Criterion A (the level of personality functioning) and Criterion B (maladaptive personality traits) contribute to various domains of psychosocial functioning in this age group. To address this research gap, the current study evaluated the extent to which Criterion A and Criterion B of the alternative model for personality disorders predict psychosocial functioning in community-based sample adolescents over a 1-year period, beyond the overall psychopathology and baseline levels of psychosocial functioning. The study involved 855 adolescents aged 11-18 (M = 14.44, SD = 1.60; 62.5% female) at baseline and followed up 1 year later, achieving a 94% retention rate. Measurements included the assessments of the level of personality functioning, maladaptive personality traits, overall psychopathology, academic functioning, social functioning, and well-being. The findings indicated that while both Criterion A and Criterion B are associated with lower levels of psychosocial functioning 1 year later, their contributions varied across domains. Criterion A significantly predicted functioning in social and well-being domains, while Criterion B predicted social difficulties only. Neither Criterion A nor Criterion B was significant in predicting academic functioning. Psychoticism contributed to the experience of social rebuff, while detachment was uniquely linked to a lower quality of life. The results contribute to the understanding of how dimensionally defined personality pathology affects psychosocial functioning, adding a prospective perspective during adolescence. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

There is growing recognition of the value of better understanding interpersonal emotion regulation (IER) in individuals with personality pathology, with some initial investigations providing preliminary information about IER in borderline personality disorder (BPD). We aimed to examine characteristics of IER across dimensional measures of personality pathology. In a sample recruited for elevated levels of personality pathology, specifically BPD features, (N = 95; 63% met criteria for at least one personality disorder), we examined the relations among interpersonal and emotional personality pathology domains (i.e., negative affect, detachment, and antagonism) and characteristics of IER (i.e., frequency, efficacy, and perceived willingness of partners to assist in IER) with social network partners. Overall, detachment was associated with a smaller network of IER partners, while negative affect was associated with greater frequency of IER. In multilevel models, participants reported higher IER frequency with partners with both greater relative positive relationship quality and greater relative negative relationship quality. However, partners with greater positive relationship quality and lower negative relationship quality were perceived as more efficacious and willing to help in the process of IER. We also examined the moderating role of personality pathology in the associations of partner quality and IER. All domains were associated with differences in the qualities of partners they perceive as most efficacious or willing. These results help broaden our understanding of IER across a range of personality pathology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Difficulties in emotion regulation (ER) are a core feature of borderline personality disorder (BPD). To date, studies in BPD have mainly focused on intrapersonal rather than interpersonal emotion regulation (ipER) strategies. Attention to social-affective distractors was found to interfere with working memory (WM) in BPD, which may contribute to impairments in ER. However, whether these difficulties might affect the use of ipER is an open question. This study aimed to investigate the associations between BPD symptoms, ipER strategies, basic WM, and social-affective interference on WM. One hundred twenty-four women with a wide range of BPD symptoms rated the frequency of using the ipER strategies, including enhancing positive affect, perspective-taking, soothing, and social modeling (Interpersonal Emotion Regulation Questionnaire). In a subsample of N = 70 women, we measured attentional impairments (omission errors) induced by social-affective distractors (neutral, happy, fearful, and angry faces) and performance during distractor-free trials within a modified Sternberg WM task. Women with more severe BPD symptoms reported less frequent use of enhancing positive affect and showed more omission errors, especially for distracting happy faces. Better performance during distractor-free trials was related to more frequent use of enhancing positive affect. Task performance largely accounted for the association between BPD symptoms and the use of enhancing positive affect. Findings suggest that BPD symptoms are associated with changes in specific domains of ipER, especially a reduced tendency to increase feelings of happiness and joy through others. Attentional deficits may be an important mechanism here. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

The current study examines how narcissism is associated with (dys)regulation and the corresponding interpersonal situations likely to set the dynamic (dys)regulatory processes in motion. To replicate and extend findings from Wright et al., 2017, we examined, in four samples with preregistered analyses (total person: N = 1,022; total observation: n = 35,975), whether narcissism amplifies the link between perceptions of the interacting partner's behavior and one's own negative emotions. Results were somewhat variable across samples and measures of narcissism. The most consistent findings showed that narcissism amplified the link between perceiving the interacting partner as dominant and one's own negative affect (partial replication of Wright et al., 2017). We also found that narcissism amplified the link between perceiving the interacting partner as cold and one's own negative affect. Both narcissistic grandiosity and vulnerability played a role in these findings, but when controlling for the shared variance in each, it was narcissistic vulnerability that played a unique role in these effects. These results suggest that people who are perceived as interpersonally dominant and/or cold pose a threat to narcissistic goals and that such a threat is likely to lead to increases in negative affect for people high in narcissism (particularly people high in narcissistic vulnerability). Points of convergence and divergence with findings from Wright et al. (2017) are discussed as are similarities and differences across samples within the study. The current study elucidates important future directions for examining the social contexts likely to lead to dysregulation in individuals high in narcissism. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Sexual minority men are more likely to be diagnosed with borderline personality disorder compared to their heterosexual counterparts. Minority stressors have been associated with criteria for borderline personality disorder (e.g., substance use, suicidality, impulsive behaviors, and interpersonal difficulties with rejection). However, to date, there are no known studies examining the association between traditional minority and intraminority stressors and borderline personality disorder symptomatology. The purpose of the study is to examine the association between traditional and intraminority stressors and borderline personality disorder symptomatology among sexual minority men. Data were collected from 312 sexual minority men (M_age = 24.00, SD = 4.04) via Qualtrics panels across the United States. A hierarchical linear regression was conducted with borderline personality disorder symptomatology as the outcome variable. Minority stressors (i.e., internalized homophobia, sexual orientation concealment, major discrimination, and day-to-day discrimination) were entered in Step 1, and intraminority stress was entered in Step 2. In Step 1, both major and day-to-day discrimination were significantly positively associated with borderline personality disorder symptomatology. In Step 2, intraminority stress was significantly positively associated with borderline personality disorder symptomatology, and day-to-day discrimination remained significant. These findings warrant clinicians to evaluate both minority and intraminority stressors, which may be an additional risk factor in the development and/or maintenance of borderline personality disorder symptomatology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Interpersonal coordination processes facilitate interpersonal synchrony through a continuous mutual adaption and corepresentation of self and others' actions. Such a process has been found to enhance prosocial behaviors, affiliation, and trust. While research has investigated the general underlying cognitive and social mechanisms that facilitate interpersonal synchrony, much less is known about how interpersonal impairments influence it in various psychopathological conditions-such as borderline personality disorder (BPD). In this study, we investigated the role of the social cognitive processes of individuals with high BPD traits during a synchronized interaction task. Participants (N = 206) were recruited from the general population. BPD traits were assessed, and interpersonal synchrony was measured with a finger-tapping task. Participants were instructed to interact with a virtual partner (VP) that varied its adaptivity level in response to their taps across different conditions of adaptivity (α), ranging from nonadaptive to overly adaptive. After each interaction, the perception of synchrony and affect were assessed. Results showed an overall main significant effect of the adaptivity of the VP on interpersonal synchrony and the interaction experience, such that when VP adaptivity increased, asynchrony and perceived synchrony decreased. High levels of BPD traits were associated with higher asynchrony and variability, depending on the level of VP adaptivity, and an overall more negative perception of synchrony and affect. These findings show that high BPD traits are associated with reduced interpersonal synchrony during interaction. Consistent with these findings, interventions might consider the potential role of interpersonal synchrony in building the therapeutic relationship. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Individuals with borderline personality disorder (BPD) often hold pervasive and negative self-views and experience feelings of low connectedness toward others despite effective treatment. This study aimed to identify neural and affective mechanisms of identity disturbance in BPD that contribute to difficulties in relating to others. Participants diagnosed with BPD (N = 34) and nonclinical controls (NCC; N = 35) completed a within-subject social feedback task inside a magnetic resonance imaging scanner. Participants received character evaluations, supposedly from a panel of three members who provided either predominantly negative, intermediate, or positive feedback. Multilevel analysis and event-related functional magnetic resonance imaging analysis compared the BPD and NCC group on mood, affiliation, and neural responses to the feedback and the panel. Results indicate that people with BPD had more negative self-views and reported lower mood after negative and intermediate feedback compared to NCC. People with BPD also felt less close to the member providing predominantly positive feedback compared to NCC, which appeared to be mediated by degree of fearful attachment. People with BPD showed altered bold responses to social feedback in temporal parietal junction and the anterior cingulate cortex compared to NCC. Findings indicate that people with BPD experience pervasive negative self-views that may interfere with forming relationships. New interactions may reinforce a fearful pattern of relating as existing (negative) views of the self are activated and subject to confirmation. These complexities have important clinical implications for the therapeutic alliance. Balancing a supportive and expressive stance may foster the therapeutic alliance while challenging negative self-views. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Dissociation describes a state of altered consciousness in which self-related functions are no longer integrated. In its extreme form, the self is perceived as detached from the physical body, resulting in so-called out-of-body experiences (OBEs). It has been previously proposed that altered bottom-up sensory integration contributes to this kind of dissociative self-experience, which is supported by results on the experimental induction of OBEs in nonclinical individuals by appropriate visuotactile stimulation. Borderline personality disorder (BPD) is characterized by disturbed body representation which covaries with clinical dissociation levels; however, whether dissociative self-experiences in BPD also rely on bottom-up sensory processes is unknown. In the present study, we experimentally induced OBEs in a sample of 22 participants with the diagnosis of current BPD (cBPD) as well as 16 individuals with remitted BPD and 20 nonclinical controls. Results revealed higher proneness for OBEs in cBPD compared to both other groups. Processing of affective sensory information, in terms of pain and emotional acoustic stimuli, was not influenced by experimentally provoked dissociative self-experiences. Changes in clinical dissociation were significantly related to the extent of experimentally induced body-self detachment in the cBPD group. Our results suggest that altered processing of exteroceptive sensory information contributes to clinically relevant dissociative self-experiences in BPD, which appears to normalize when the disorder is in its remitted stage. We discuss our results in the context of altered weighting of exteroceptive and interoceptive information in a predictive coding framework. (PsycInfo Database Record (c) 2025 APA, all rights reserved).