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Specific or transdiagnostic? The occurrence of emotions and their association with distress in the daily life of patients with borderline personality disorder compared to clinical and healthy controls

Kockler, Tobias D. 1; Santangelo, Philip S. 1; Limberger, Matthias F. 1; Bohus, Martin; Ebner-Priemer, Ulrich W. 1
1 Institut für Sport und Sportwissenschaft (IfSS), Karlsruher Institut für Technologie (KIT)

Abstract (englisch):

Borderline personality disorder (BPD) is characterized by more frequent and more intense negative emotions and less frequent positive emotions in daily life than healthy controls (HC) experience, but there is limited empirical evidence regarding whether this is a transdiagnostic or disorder-specific finding and which specific emotions are especially distressing in BPD. We assessed participants’ current emotions and distress every 15 min over a 24-h period using e-diaries to investigate the frequency, intensity, and the associated distress of specific emotions. To test the disorder specificity, we used multilevel modeling to compare 43 female patients with BPD, 28 patients with posttraumatic stress disorder (PTSD), 20 patients with bulimia nervosa (BN), and 28 HC. Patients with BPD exhibited anger more frequently than any of the clinical or healthy control groups, demonstrating specificity. The quality of anger accounted for additional distress beyond the pure emotional intensity. In patients with BPD, joy was associated with reduced distress, which was not the case in HC or PTSD. However, the majority of the comparisons (anxiety, sadness, shame, disgust, jealousy, guilt, interest) revealed transdiagnostic patterns. ... mehr

DOI: 10.1016/j.psychres.2019.112692
Zitationen: 12
Web of Science
Zitationen: 13
Zitationen: 15
Zugehörige Institution(en) am KIT Institut für Sport und Sportwissenschaft (IfSS)
Publikationstyp Zeitschriftenaufsatz
Publikationsmonat/-jahr 02.2020
Sprache Englisch
Identifikator ISSN: 0165-1781
KITopen-ID: 1000105204
Erschienen in Psychiatry research
Verlag Elsevier
Band 284
Seiten Art.Nr. 112692
Vorab online veröffentlicht am 14.11.2019
Schlagwörter Borderline personality disorder, Ambulatory assessment, Emotion, Affective dysregulation, Distress
Nachgewiesen in Dimensions
Web of Science
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