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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Linking Daily-Life Interpersonal Stressors and Health Problems Via Affective Reactivity in Borderline Personality and Depressive Disorders
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Linking Daily-Life Interpersonal Stressors and Health Problems Via Affective Reactivity in Borderline Personality and Depressive Disorders

机译：通过在边界人格和抑郁症中的情感反应性联系日常生活的人际压力源和健康问题

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摘要

Objective Borderline personality disorder (BPD) is associated with unstable interpersonal relationships, affective instability, and physical health problems. In individuals with BPD, intense affective reactions to interpersonal stressors may contribute to the increased prevalence of health problems. Methods BPD (n = 81) and depressed participants (DD; n = 50) completed six daily ambulatory assessment prompts for 28 days. At each prompt, participants reported interpersonal stressors (disagreements, rejections, feeling let down), negative affect, and health problems in four domains (gastrointestinal, respiratory, aches, depressive symptoms). In multilevel moderated mediation models, we examined the indirect effects of interpersonal stressors on health problems via negative affect, by group. Results Interpersonal stressors were positively associated with negative affect in both groups (beta values > 0.12, p values 0.01, p values 0.02, p values < .090). Conclusions Interpersonal stressors may contribute to increased physical health problems via an inability to regulate affective responses to such events. This pathway may be stronger in several health domains for those with BPD and may contribute to an elevated risk of morbidity and mortality in this disorder, suggesting a target for intervention to reduce these risks.
机译：目标边界人格障碍（BPD）与不稳定的人际关系，情感不稳定和身体健康问题有关。在具有BPD的个体中，对人际压力源的强烈情感反应可能导致健康问题的患病率增加。方法BPD（n = 81）和抑郁的参与者（DD; n = 50）完成了六个日常的动物评估提示28天。在每个提示中，参与者报告了四个域（胃肠，呼吸道，疼痛，抑郁症状）的人际压力源（分歧，拒绝，感觉，感觉令人沮丧），负面影响和健康问题。在多级调节调解模型中，我们通过群体通过负面影响检查了人际压力源对健康问题的间接影响。结果人际关系压力源与两组中的阴性影响正相关（β值> 0.12，P值0.01，P值0.02，P值<.090）。结论人际关系压力源可能通过无法调节对此类事件的情感响应来增加身体健康问题。对于具有BPD的人的几个健康域，这种途径可能更强大，并且可能有助于这种疾病中发病率和死亡率的升高，表明干预以减少这些风险的目标。

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