Using Negative Emotions to Trace the Experience of Borderline Personality Pathology: Interconnected Relationships Revealed in an Experience Sampling Study.

While emotional difficulties are highly implicated in borderline personality disorder (BPD), the dynamic relationships between emotions and BPD symptoms that occur in everyday life are unknown. The current paper examined the function of negative emotions as they relate to BPD symptoms in real time. Experience sampling methodology with 281 participants measured negative emotions and borderline symptoms, expressed as a spectrum of experiences, five times daily for two weeks. Overall, having a BDP diagnosis was associated with experiencing more negative emotions. Multilevel modeling supported positive concurrent relationships between negative emotions and BPD symptoms. Lagged models showed that even after 3 hours negative emotions and several symptoms continued to influence each other. Therefore, results indicated that negative emotions and BPD symptoms are intricately related; some evidenced long-lasting relationships. This research supports emotion-symptom contingencies within BPD and provides insight regarding the reactivity and functionality of negative emotions in borderline pathology.

[1]  M. Linehan,et al.  An Investigation of the Relationships among Negative Affect, Difficulties in Emotion Regulation, and Features of Borderline Personality Disorder , 2012, Journal of Psychopathology and Behavioral Assessment.

[2]  T. Trull,et al.  Analytic strategies for understanding affective (in)stability and other dynamic processes in psychopathology. , 2009, Journal of abnormal psychology.

[3]  O. Kernberg,et al.  Psychotherapy for borderline personality : focusing on object relations , 2006 .

[4]  T. Hergueta,et al.  The mini international neuropsychiatric interview , 1998, European Psychiatry.

[5]  Jeanette Taylor,et al.  Structure of borderline personality disorder symptoms in a nonclinical sample. , 2007, Journal of clinical psychology.

[6]  C. Glenn,et al.  Emotion dysregulation as a core feature of borderline personality disorder. , 2009, Journal of personality disorders.

[7]  J. Hennen,et al.  The Pain of Being Borderline: Dysphoric States Specific to Borderline Personality Disorder , 1998, Harvard review of psychiatry.

[8]  Joel Paris,et al.  Quarrelsome behavior in borderline personality disorder: influence of behavioral and affective reactivity to perceptions of others. , 2013, Journal of abnormal psychology.

[9]  T. Trull,et al.  The role of affective instability and impulsivity in predicting future BPD features. , 2007, Journal of personality disorders.

[10]  Masumi Iida,et al.  A Procedure for Evaluating Sensitivity to Within-Person Change: Can Mood Measures in Diary Studies Detect Change Reliably? , 2006, Personality & social psychology bulletin.

[11]  U. Ebner-Priemer,et al.  Sequences of emotions in patients with borderline personality disorder , 2008, Acta psychiatrica Scandinavica.

[12]  M. Sliwinski,et al.  Behavioral Landscapes and Change in Behavioral Landscapes: A Multiple Time-Scale Density Distribution Approach , 2013, Research in human development.

[13]  A Contingency-Oriented Approach to Understanding Borderline Personality Disorder: Situational Triggers and Symptoms. , 2015, Journal of personality disorders.

[14]  Practice guideline for the treatment of patients with borderline personality disorder. American Psychiatric Association. , 2001, The American journal of psychiatry.

[15]  D. Moskowitz,et al.  SPECIAL SERIES: Integrating Personality, Psychopathology, and Psychotherapy Using Interpersonal Assessment Affect Dysregulation in Individuals With Borderline Personality Disorder: Persistence and Interpersonal Triggers , 2010 .

[16]  P. Fonagy,et al.  Psychotherapy for Borderline Personality Disorder: Mentalization Based Treatment , 2004 .

[17]  Characteristics of borderline personality disorder in a community sample: comorbidity, treatment utilization, and general functioning. , 2013, Journal of personality disorders.

[18]  D. Kessler,et al.  Personality disorder , 2013, BMJ : British Medical Journal.

[19]  J. Oldham.  Guideline Watch: Practice Guideline for the Treatment of Patients With Borderline Personality Disorder , 2005 .

[20]  R. Levy,et al.  Emotion Regulation as a Mechanism of Change in an Acceptance-Based Emotion Regulation Group Therapy for Deliberate Self-Harm Among Women With Borderline Personality Pathology , 2012, Journal of Cognitive Psychotherapy.

[21]  D. Sheehan,et al.  The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. , 1998, The Journal of clinical psychiatry.

[22]  J. Maltsberger,et al.  Common Factors in Empirically Supported Treatments of Borderline Personality Disorder , 2011, Current psychiatry reports.

[23]  Eshkol Rafaeli,et al.  The rejection-rage contingency in borderline personality disorder. , 2011, Journal of abnormal psychology.

[24]  Donna D. Whitsett,et al.  An approach to test for individual differences in the effects of situations without using moderator variables. , 2014, Journal of experimental social psychology.

[25]  L. F. Barrett,et al.  Experience Sampling Methods: A Modern Idiographic Approach to Personality Research. , 2009, Social and personality psychology compass.

[26]  Michael F. Armey,et al.  Changes in ecological momentary assessment reported affect associated with episodes of nonsuicidal self-injury. , 2011, Behavior therapy.

[27]  T. Trull,et al.  Analysis of affective instability in ecological momentary assessment: Indices using successive difference and group comparison via multilevel modeling. , 2008, Psychological methods.

[28]  M. Mehl,et al.  Handbook of research methods for studying daily life , 2012 .

[29]  M. Weishaar,et al.  Schema Therapy: A Practitioner's Guide , 2003 .

[30]  F. Frankenburg,et al.  The subsyndromal phenomenology of borderline personality disorder: a 10-year follow-up study. , 2007, The American journal of psychiatry.

[31]  W. Fleeson,et al.  A guide for data cleaning in experience sampling studies. , 2012 .

[32]  W. Fleeson,et al.  The structure of borderline personality disorder symptoms: a multi-method, multi-sample examination. , 2014, Personality disorders.

[33]  P. Caputi,et al.  Borderline personality disorder subtypes: A factor analysis of the DSM‐IV criteria , 2012 .

[34]  I. Myin-Germeys,et al.  Psychotic reactivity in borderline personality disorder , 2010, Acta psychiatrica Scandinavica.

[35]  M. Crowe.  Never good enough--part 1: Shame or borderline personality disorder? , 2004, Journal of psychiatric and mental health nursing.

[36]  U. Ebner-Priemer,et al.  Dissociative symptoms are positively related to stress in borderline personality disorder , 2007, Acta psychiatrica Scandinavica.

[37]  G. Downey,et al.  From negative to positive and back again: polarized affective and relational experience in borderline personality disorder. , 2012, Journal of abnormal psychology.

[38]  B. Mowry,et al.  Structured interview for DSM-IV personality: SIDP-IV , 1998 .

[39]  Kenneth N. Levy,et al.  The relational context of aggression in borderline personality disorder: using adult attachment style to predict forms of hostility. , 2008, Journal of clinical psychology.

[40]  D. Strunk,et al.  A comparison of three theoretically important constructs: what accounts for symptoms of borderline personality disorder? , 2012, Journal of clinical psychology.

[41]  Corinna N. Scheel,et al.  Effects of Shame Induction in Borderline Personality Disorder , 2013, Cognitive Therapy and Research.

[42]  Lori N. Scott,et al.  Preoccupied attachment and emotional dysregulation: specific aspects of borderline personality disorder or general dimensions of personality pathology? , 2013, Journal of personality disorders.

[43]  Carl W Lejuez,et al.  Thought suppression mediates the relationship between negative affect and borderline personality disorder symptoms. , 2005, Behaviour research and therapy.

[44]  T. McGlashan,et al.  Confirmatory factor analysis of the DSM-IV criteria for borderline personality disorder: Findings from the Collaborative Longitudinal Personality Disorders Study , 2016 .

[45]  P. Links,et al.  Affective instability and suicidal ideation and behavior in patients with borderline personality disorder. , 2007, Journal of personality disorders.

[46]  C. Lejuez,et al.  An experimental investigation of emotional reactivity and delayed emotional recovery in borderline personality disorder: the role of shame. , 2010, Comprehensive psychiatry.

[47]  Corinna N. Scheel,et al.  Time course of anger and other emotions in women with borderline personality disorder: a preliminary study. , 2008, Journal of behavior therapy and experimental psychiatry.

[48]  A. Hamm,et al.  Emotional Vulnerability in Borderline Personality Disorder Is Cue Specific and Modulated by Traumatization , 2011, Biological Psychiatry.

[49]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[50]  Janice R. Kuo,et al.  State affective instability in borderline personality disorder assessed by ambulatory monitoring , 2007, Psychological Medicine.

[51]  T. Trull,et al.  Affective instability: measuring a core feature of borderline personality disorder with ecological momentary assessment. , 2008, Journal of abnormal psychology.

[52]  R. Krueger,et al.  Handbook of research methods in personality psychology , 2007 .

[53]  John Hunsley,et al.  A Guide to Assessments That Work , 2008 .