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首页> 美国卫生研究院文献>other >Out of the Frying Pan Into the Fire: Mixed Affective Reactions to Social Proximity in Borderline and Avoidant Personality Disorders in Daily Life
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Out of the Frying Pan Into the Fire: Mixed Affective Reactions to Social Proximity in Borderline and Avoidant Personality Disorders in Daily Life

机译：走出煎锅走进火堆：对边缘化社交倾向和日常生活中回避型人格障碍的混合情感反应

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Social proximity typically helps individuals meet their belongingness needs, but several forms of psychopathology, including borderline and avoidant personality disorders (BPD and APD, respectively) are characterized by social difficulties. This experience-sampling study is one of the first to directly investigate the affective reactions of individuals with BPD and APD (compared with healthy controls [HC]) to social proximity in daily life. We examined both person-level and day-level reactions. At the person level, the rate of social proximity across the diary period was associated with diminished feelings of rejection, isolation, shame, and dissociation in the HC group. In contrast, it was not associated with any affective reaction in the BPD group, and was associated with decreased rejection and isolation on the one hand, but also with increased anxiety in the APD group. At the day level, we used multilevel regression to examine affective reactions when in social proximity. The HC group showed a consistent benefit when in social proximity. In contrast, both PD groups exhibited mixed affective reactions to social proximity; specifically, benefits (increased positive affect, decreased rejection, isolation, and dissociation) were interspersed with costs (increased shame for both PD groups; increased anger for BPD; increased anxiety for APD). The mixed reactions found in both PDs may contribute to the disturbed relationships of individuals with these disorders.
机译：社交亲密关系通常可以帮助个人满足归属感需求，但是社交障碍的特征是多种心理病理形式，包括边缘性和回避型人格障碍（分别为BPD和APD）。这项经验抽样研究是第一个直接调查BPD和APD个体（与健康对照[HC]相比）对日常生活中社会亲密感的情感反应之一。我们研究了个人和日常的反应。在人的层面上，整个HC小组中，日记期间的社交亲近率与拒绝感，孤立感，羞耻感和解体感减少有关。相比之下，它与BPD组中的任何情感反应均无关，并且一方面与减少的排斥和隔离有关，但与APD组中的焦虑增加有关。在日常工作中，我们使用多层次回归分析了在社交场合中的情感反应。 HC组在社交场合显示出持续的收益。相比之下，两个PD组对社交亲近表现出不同的情感反应。具体而言，收益（积极影响增加，拒绝，隔离和离异的减少）与成本（两个PD组的耻辱感增加；对BPD的愤怒增加；对APD的焦虑增加）散布。在两个PD中发现的混合反应可能导致这些疾病与个体的关系紊乱。

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