边缘型人格障碍患者的自我厌恶。与述情障碍、情绪失调和共病精神病理的关系。

IF 4 2区 医学 Q1 PSYCHIATRY
Emilia Kot, Barbara Kostecka, Joanna Radoszewska, Katarzyna Kucharska
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引用次数: 1

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,还没有研究它与情绪失调和述情障碍的关系,这被认为是BPD的关键。因此,我们研究的目的是测量这些变量,并检查情绪改变和共病焦虑和抑郁症状在BPD患者和健康对照(hc)中形成自我厌恶的可能中介作用。方法:本研究共纳入100例BPD和104例hc住院患者。参与者完成了自我厌恶量表(SDS)、厌恶量表修订(DS-R)、多伦多述情障碍量表(TAS-20)、情绪失调简易量表(EDS-short)、边缘型人格障碍量表(BPD)、状态-特质焦虑量表(STAI)和流行病学研究中心抑郁量表(CESD-R)。结果:BPD患者自我厌恶、述情障碍、情绪失调、核心症状及合并症水平较高,厌恶敏感性较低。述情障碍、情绪失调和特质焦虑在BPD诊断与自我厌恶之间的部分中介作用。BPD症状严重程度与自我厌恶之间的关系由述情障碍、情绪失调、抑郁症状和特质焦虑完全介导。结论:我们的研究结果可能暗示情绪失调、述情障碍和共病精神病理对BPD患者自我参照厌恶的贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Self-disgust in patients with borderline personality disorder. The associations with alexithymia, emotion dysregulation, and comorbid psychopathology.

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.

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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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