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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

22-09-2020

A Day in the Life of Borderline Personality Disorder: A Preliminary Analysis of Within-Day Emotion Generation and Regulation

Auteurs: Matthew W. Southward, Stephen A. Semcho, Nicole E. Stumpp, Destiney L. MacLean, Shannon Sauer-Zavala

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 4/2020

Abstract

In Linehan’s (1993) biosocial theory, borderline personality disorder (BPD) results in part from frequent, intense, negative emotions and maladaptive behavioral responses to those emotions. We conducted a secondary data analysis of an intensive single-case experimental design to explore hourly relations among behavioral responses and emotions in BPD. Eight participants with BPD (M_age = 21.57, 63% female; 63% Asian-American) reported their emotions and behaviors hourly on two days. Participants reported a neutral-to-negative average emotional state with substantial variability each day. This emotional state was characterized most frequently by anxiety and joy. Participants tended to “dig into”, or savor, experiences of joy, but problem-solve around, push away, or accept anxiety. Acceptance predicted hour-by-hour increases in negative emotion intensity, and pushing emotions away predicted hour-by-hour increases in positive emotion intensity. These results suggest that anxiety dominates the emotional experiences of people with BPD and co-occurs with a variety of emotion regulation strategies, while joy co-occurs with strategies designed to prolong emotional experiences. Despite its general adaptiveness, acceptance may be less effective, and pushing emotions away may be more effective, than other emotion regulation strategies at improving momentary negative emotions for those with BPD. We discuss the preliminary nature of these findings and encourage future researchers to build on them in larger samples with more severe presentations of BPD.

vorige artikel Low Self-Esteem and Impairments in Emotion Recognition Predict Behavioural Problems in Children

volgende artikel Learning the Affective Value of Others in Schizophrenia: Examining the Role of Negative Symptoms and Cognitive Deficits

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Here, we use the phrases “likely” BPD and “likely” bipolar disorder because participants in these studies were not diagnosed with BPD or bipolar disorder but instead met thresholds on self-report questionnaires indicating the likely presence of these disorders.

Although we note that Ebner-Priemer et al. (2015) also included two independent datasets of 50 women with BPD from the US and 42 women with BPD from Germany.

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Titel: A Day in the Life of Borderline Personality Disorder: A Preliminary Analysis of Within-Day Emotion Generation and Regulation
Auteurs: Matthew W. Southward
Stephen A. Semcho
Nicole E. Stumpp
Destiney L. MacLean
Shannon Sauer-Zavala
Publicatiedatum: 22-09-2020
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 4/2020
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-020-09836-1

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