Prospective associations between features of borderline personality disorder, emotion dysregulation, and aggression.

Abstract

Difficulties with emotion regulation and behavioral instability, including impulsive aggression, are seen as core dimensions underlying borderline personality disorder (BPD). Although both BPD and antisocial personality disorder (ASPD) are associated with impulsivity and aggressive behavior, difficulties regulating emotions may be associated uniquely with BPD and may explain distinctive associations between BPD and aggression. This study was designed to examine the unique prospective associations between BPD symptoms at baseline, difficulties with emotion regulation and trait impulsivity, and psychological and physical aggression (both perpetration and victimization) over the course of a year after controlling for ASPD symptoms in a mixed clinical and community sample of adults (N = 150). Results of a multivariate path analysis demonstrated that associations between BPD symptoms at baseline and later psychological and physical aggression were fully mediated by difficulties with emotion regulation. Although BPD symptoms also predicted trait impulsivity, impulsivity did not predict aggression after controlling for emotion dysregulation. ASPD symptoms were directly associated with physical assault perpetration and victimization but were not associated with emotion dysregulation, impulsivity, or psychological aggression. These findings suggest that although both BPD and ASPD are associated with aggressive behaviors, associations between BPD symptoms and aggression are mediated uniquely by difficulties regulating emotions.

Perbedaan Tingkat Perilaku Agresi Berdasarkan Jenis Kelamin pada Siswa Sekolah Menengah Kejuruan Kota Yogyakarta

“…Sebaliknya, siswa yang memiliki kemampuan mengelola emosi yang rendah akan cenderung kesulitan meregulasi emosi untuk meminimalisir munculnya perilaku agresi, sehingga regulasi emosi menjadi salah satu unsur penting bagi siswa untuk memunculkan atau meminimalisir perilaku agresi. Hal ini dikarenakan regulasi emosi memiliki pengaruh yang lebih besar terhadap perilaku agresi (Garofalo, Holden, Zeigler-Hill, & Velotti, 2016;Roberton, Daffern, & Bucks, 2012;Scott, Stepp, & Pilkonis, 2014).…”

Metacognition as a predictor of change in the treatment for borderline personality disorder: A preliminary pilot study.

“…BPD patients often use dysfunctional, nonmentalistic strategies (Bateman & Fonagy, 2004) in order to regulate unpleasant emotional states and psychological suffering, such as self-injury or substance abuse (Linehan, 1993;Scott, Stepp, & Pilkonis, 2014). This can be described as poor metacognitive mastery and can be demonstrated by low levels on the Mastery subscale of the MAS-R .…”

Suicide attempts in bipolar I patients: impact of comorbid personality disorders

“…Additionally, some studies have reported that individuals with cluster B PDs exhibit greater inability to modulate emotional expression or maintain suitable behavior in the presence of intense negative affect, 34,35 characteristics that have not been described for clusters A and C. This difficulty in emotional adjustment may lead to SB as well as to problems in the workplace. Thus, our results are consistent with other studies that have shown an association between SA and lack of a paid occupation.…”