Tags

Type your tag names separated by a space and hit enter

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.
Psychiatry Res. 2020 02; 284:112692.PR

Abstract

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. The distress-enhancing or distress-reducing effects of anger and joy might represent an important part of affective dysregulation in BPD.

Authors+Show Affiliations

Chair of Applied Psychology/Mental mHealth Lab, Institute of Sport and Sports Science, Karlsruhe Institute of Technology. Hertzstr. 16, 76187 Karlsruhe, Germany. Electronic address: tobias.kockler@kit.edu.Chair of Applied Psychology/Mental mHealth Lab, Institute of Sport and Sports Science, Karlsruhe Institute of Technology. Hertzstr. 16, 76187 Karlsruhe, Germany.Chair of Applied Psychology/Mental mHealth Lab, Institute of Sport and Sports Science, Karlsruhe Institute of Technology. Hertzstr. 16, 76187 Karlsruhe, Germany.Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg. J5, 68159 Mannheim, Germany.Chair of Applied Psychology/Mental mHealth Lab, Institute of Sport and Sports Science, Karlsruhe Institute of Technology. Hertzstr. 16, 76187 Karlsruhe, Germany.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31784065

Citation

Kockler, Tobias D., et al. "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." Psychiatry Research, vol. 284, 2020, p. 112692.
Kockler TD, Santangelo PS, Limberger MF, et al. 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. Psychiatry Res. 2020;284:112692.
Kockler, T. D., Santangelo, P. S., Limberger, M. F., Bohus, M., & Ebner-Priemer, U. W. (2020). 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. Psychiatry Research, 284, 112692. https://doi.org/10.1016/j.psychres.2019.112692
Kockler TD, et al. 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. Psychiatry Res. 2020;284:112692. PubMed PMID: 31784065.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Kockler,Tobias D, AU - Santangelo,Philip S, AU - Limberger,Matthias F, AU - Bohus,Martin, AU - Ebner-Priemer,Ulrich W, Y1 - 2019/11/14/ PY - 2019/07/28/received PY - 2019/11/12/revised PY - 2019/11/14/accepted PY - 2019/12/1/pubmed PY - 2020/9/25/medline PY - 2019/12/1/entrez KW - Affective dysregulation KW - Ambulatory assessment KW - Borderline personality disorder KW - Distress KW - Emotion SP - 112692 EP - 112692 JF - Psychiatry research JO - Psychiatry Res VL - 284 N2 - 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. The distress-enhancing or distress-reducing effects of anger and joy might represent an important part of affective dysregulation in BPD. SN - 1872-7123 UR - https://www.unboundmedicine.com/medline/citation/31784065/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_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-1781(19)31602-6 DB - PRIME DP - Unbound Medicine ER -