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Within- and Between-Persons Effects of Self-Esteem and Affective State as Antecedents and Consequences of Dysfunctional Behaviors in the Everyday Lives of Patients With Borderline Personality Disorder

Santangelo, Philip S. 1; Holtmann, Jana; Hosoya, Georg; Bohus, Martin; Kockler, Tobias D. 1; Koudela-Hamila, Susanne 1; Eid, Michael; Ebner-Priemer, Ulrich W. 1
1 Institut für Sport und Sportwissenschaft (IfSS), Karlsruher Institut für Technologie (KIT)


Dysfunctional behaviors are conceptualized as maladaptive affective coping attempts in borderline personality disorder (BPD). The recent benefits-and-barriers model extended the affective function assumption by adding self-esteem as a barrier to engaging in dysfunctional behaviors. Patients with BPD (N = 119) carried e-diaries to report their current selfesteem, emotional valence, tense arousal, and whether they engaged in dysfunctional behaviors 12 times a day for 4 days. Dynamic structural equation modeling revealed that on the within-person level, high momentary negative affect predicted dysfunctional behaviors, and on the between-person level, low trait self-esteem predicted dysfunctional behaviors. We also found an association between engaging in dysfunctional behaviors and momentary self-esteem and trait levels of valence and tense arousal. Moreover, our results indicate a deterioration of, rather than relief from, negative affective state after dysfunctional behaviors. These findings highlight the importance of emotion-regulation skills and reestablishing a positive self-view as important treatment targets to reduce dysfunctional behaviors in BPD.

Postprint §
DOI: 10.5445/IR/1000119760
Veröffentlicht am 06.11.2020
DOI: 10.1177/2167702620901724
Zitationen: 10
Zitationen: 12
Cover der Publikation
Zugehörige Institution(en) am KIT Institut für Sport und Sportwissenschaft (IfSS)
Publikationstyp Zeitschriftenaufsatz
Publikationsmonat/-jahr 05.2020
Sprache Englisch
Identifikator ISSN: 2167-7026, 2167-7034
KITopen-ID: 1000119760
Erschienen in Clinical psychological science
Verlag SAGE Publications
Band 8
Heft 3
Seiten 428–449
Vorab online veröffentlicht am 05.05.2020
Schlagwörter borderline personality disorder, dysfunctional behavior, e-diary, benefits-and-barriers model, emotion-regulation model, dynamic structural equation modeling
Nachgewiesen in Scopus
Web of Science
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