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Borderline Personality Disorder and Emotion Dysregulation

, 3:2

First Online: 24 February 2016Received: 04 November 2015Accepted: 10 February 2016

Abstract

BackgroundIndividuals with Borderline Personality Disorder BPD may experience a qualitatively distinct depression which includes -mental pain.- Mental pain includes chronic, aversive emotions, negative self-concept, and a sense of pervasive helplessness. The present study investigated whether mental pain is elevated in BPD compared to Depressive Disorders DD without BPD.

MethodsThe Orbach and Mikulincer Mental Pain Scale OMMP was administered to BPD N = 57, DD N = 22, and healthy controls N = 31. The OMMP assesses total mental pain, comprised of nine subtypes: irreversibility, loss of control, narcissistic wounds, emotional flooding, freezing, self-estrangement, confusion, social distancing, and emptiness. Co-occurring psychiatric diagnoses, depression severity, and other potentially confounding clinical and demographic variables were also assessed.

ResultsThe total Mental Pain score did not differentiate BPD from DD. Moreover, most of the subscales of the OMMP were not significantly different in BPD compared to DD. However, the elevation of mental pain subscale -narcissistic wounds,- characterized by feeling rejected and having low self-worth, was a specific predictor of BPD status and the severity of BPD symptoms.

ConclusionOn OMMP total score, mental pain was similarly elevated in BPD and DD. However, the narcissistic wounds sub-type of mental pain was a sensitive and specific diagnostic indicator of BPD and, therefore, may be an important aspect of BPD in need of increased focus in assessment and theoretical models.

KeywordsBorderline personality disorder Mental pain Depression AbbreviationsBDIBeck Depression Inventory

BHSBeck Hopelessness Scale

BPDBorderline Personality Disorder

DDDepressive Disorders

DSMDiagnostic Statistical Manual

ECTElectroconvulsive Therapy

HAM-DHamilton rating scale for Depression

HCHealthy Controls

MASTMulti-attitude Suicidal Tendencies Scale

MDDMajor Depressive Disorder

OMMPThe Orbach and Mikulincer Mental Pain Scale

SCID-Ithe structured clinical interview for DSM-IV Axis I Disorders

SCID-IIthe structured clinical interview for DSM-IV Axis II Disorders

SPSSstatistical program software package

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Autor: Eric A. Fertuck - Esen Karan - Barbara Stanley

Fuente: https://link.springer.com/







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