Johannes Bodo Heekerens, Lars Schulze, Juliane Enge, Babette Renneberg, Stefan Roepke
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Diagnosis and treatment of mental disorders, 1993), while others suggest that changes in self-esteem should precede changes in affective states (Kernberg, Borderline conditions and pathological narcissism, 1975).</p><p><strong>Methods: </strong>In this study, we investigated the temporal relations between negative affective arousal states and current self-esteem in daily life. Patients with BPD (n = 42) or depressive disorders (DD; n = 40), and non-clinical controls (NCC; n = 40) were assessed every 15 min for 13 h.</p><p><strong>Results: </strong>As expected, dynamic structural equation modeling showed higher levels of average daily negative affective arousal and lower levels of average daily self-esteem in the BPD group compared with the NCC group, and scores in the DD group were in-between the BPD and the NCC groups. In line with predictions based on Linehan's (Cognitive-behavioral treatment of borderline personality disorder. Diagnosis and treatment of mental disorders, 1993) model of affective dysregulation in BPD, negative affective arousal (t) and subsequent self-esteem (t+ 1) were significantly linked only in the BPD group, implying that higher negative affective arousal is followed by lower current self-esteem in the next measurement (ca. 15 min later). Importantly, self-esteem (t) and subsequent negative affective arousal (t + 1) were not significantly related (Kernberg, Borderline conditions and pathological narcissism, 1975).</p><p><strong>Conclusions: </strong>Our findings suggest close dynamic temporal relations between affective instability and self-esteem instability in BPD, which highlights the importance of providing patients with means to effectively modulate high negative affective arousal states.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":null,"pages":null},"PeriodicalIF":4.0000,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546701/pdf/","citationCount":"0","resultStr":"{\"title\":\"Increases in negative affective arousal precede lower self-esteem in patients with borderline personality disorder but not in patients with depressive disorders: an experience sampling approach.\",\"authors\":\"Johannes Bodo Heekerens, Lars Schulze, Juliane Enge, Babette Renneberg, Stefan Roepke\",\"doi\":\"10.1186/s40479-023-00229-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Instability in self-esteem and instability in affect are core features of borderline personality disorder (BPD). 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引用次数: 0
摘要
背景:自尊不稳定和情感不稳定是边缘型人格障碍的核心特征。几十年来,研究人员和理论家一直对这些结构之间的时间动力学感兴趣。一些人假设情感状态的变化应该先于自尊的变化(Linehan,边缘型人格障碍的认知行为治疗。精神障碍的诊断和治疗,1993),而另一些人则认为自尊的变化应该早于情感状态的改变(Kernberg,borderline conditions and pathical自恋,1975)。方法:在本研究中,我们研究了日常生活中消极情感唤醒状态与当前自尊之间的时间关系。BPD患者(n = 42)或抑郁症(DD;n = 40)和非临床对照(NCC;n = 40)每15分钟评估一次,持续13小时。结果:正如预期的那样,动态结构方程模型显示,与NCC组相比,BPD组的平均每日负性情感唤起水平更高,平均每日自尊水平更低,DD组的得分介于BPD组和NCC组之间。根据Linehan(边缘型人格障碍的认知行为治疗。精神障碍的诊断和治疗,1993)模型对BPD中情感失调、负面情感唤醒(t)和随后的自尊(t)的预测+ 1) 仅在BPD组中存在显著联系,这意味着在下一次测量中(约15分钟后),负性情感唤醒越高,当前自尊越低。重要的是,自尊(t)和随后的负面情感唤起(t + 1) 没有显著相关性(Kernberg,Borderline conditions and pathical自恋,1975)。结论:我们的研究结果表明,BPD中的情感不稳定和自尊不稳定之间存在密切的动态时间关系,这突出了为患者提供有效调节高负性情感唤醒状态的方法的重要性。
Increases in negative affective arousal precede lower self-esteem in patients with borderline personality disorder but not in patients with depressive disorders: an experience sampling approach.
Background: Instability in self-esteem and instability in affect are core features of borderline personality disorder (BPD). For decades, researchers and theorists have been interested in the temporal dynamics between these constructs. Some hypothesize that changes in affective states should precede changes in self-esteem (Linehan, Cognitive-behavioral treatment of borderline personality disorder. Diagnosis and treatment of mental disorders, 1993), while others suggest that changes in self-esteem should precede changes in affective states (Kernberg, Borderline conditions and pathological narcissism, 1975).
Methods: In this study, we investigated the temporal relations between negative affective arousal states and current self-esteem in daily life. Patients with BPD (n = 42) or depressive disorders (DD; n = 40), and non-clinical controls (NCC; n = 40) were assessed every 15 min for 13 h.
Results: As expected, dynamic structural equation modeling showed higher levels of average daily negative affective arousal and lower levels of average daily self-esteem in the BPD group compared with the NCC group, and scores in the DD group were in-between the BPD and the NCC groups. In line with predictions based on Linehan's (Cognitive-behavioral treatment of borderline personality disorder. Diagnosis and treatment of mental disorders, 1993) model of affective dysregulation in BPD, negative affective arousal (t) and subsequent self-esteem (t+ 1) were significantly linked only in the BPD group, implying that higher negative affective arousal is followed by lower current self-esteem in the next measurement (ca. 15 min later). Importantly, self-esteem (t) and subsequent negative affective arousal (t + 1) were not significantly related (Kernberg, Borderline conditions and pathological narcissism, 1975).
Conclusions: Our findings suggest close dynamic temporal relations between affective instability and self-esteem instability in BPD, which highlights the importance of providing patients with means to effectively modulate high negative affective arousal states.
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.