Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorder

Abstract Background Affect instability is a core symptom of borderline personality disorder (BPD). Ecological momentary assessment allows for an understanding of real-time changes in affect in response to various daily stressors. The purpose of this study was to explore changes in affect in response...

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Main Authors: Sadia R. Chaudhury, Hanga Galfalvy, Emily Biggs, Tse-Hwei Choo, J. John Mann, Barbara Stanley
Format: Article
Language:English
Published: BMC 2017-05-01
Series:Borderline Personality Disorder and Emotion Dysregulation
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40479-017-0059-3
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author Sadia R. Chaudhury
Hanga Galfalvy
Emily Biggs
Tse-Hwei Choo
J. John Mann
Barbara Stanley
author_facet Sadia R. Chaudhury
Hanga Galfalvy
Emily Biggs
Tse-Hwei Choo
J. John Mann
Barbara Stanley
author_sort Sadia R. Chaudhury
collection DOAJ
description Abstract Background Affect instability is a core symptom of borderline personality disorder (BPD). Ecological momentary assessment allows for an understanding of real-time changes in affect in response to various daily stressors. The purpose of this study was to explore changes in affect in response to specific stressors and coping strategies in subjects with BPD utilizing ecological momentary assessment (EMA) methodology. Methods Subjects (n = 50) with BPD were asked to complete real-time assessments about stressors experienced, affect felt, and coping strategies employed six times per day for a 1-week period. Mixed effect regression models were used to measure the effect of stressors and coping strategies on affect change. Results While most stressors led to experiencing more negative affect, only being in a disagreement was independently associated with increased negative affect. Among coping strategies, only doing something good for oneself independently reduced negative affect, controlling for all other coping strategies used. Conclusions These findings provide valuable insights into affective instability in BPD and can help inform treatment with individuals with the disorder.
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spelling doaj.art-40ac5603925141049d319ed7d3f684252022-12-22T00:13:50ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732017-05-01411910.1186/s40479-017-0059-3Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorderSadia R. Chaudhury0Hanga Galfalvy1Emily Biggs2Tse-Hwei Choo3J. John Mann4Barbara Stanley5New York State Psychiatric Institute/Columbia UniversityNew York State Psychiatric Institute/Columbia UniversityNew York State Psychiatric Institute/Columbia UniversityNew York State Psychiatric Institute/Columbia UniversityNew York State Psychiatric Institute/Columbia UniversityNew York State Psychiatric Institute/Columbia UniversityAbstract Background Affect instability is a core symptom of borderline personality disorder (BPD). Ecological momentary assessment allows for an understanding of real-time changes in affect in response to various daily stressors. The purpose of this study was to explore changes in affect in response to specific stressors and coping strategies in subjects with BPD utilizing ecological momentary assessment (EMA) methodology. Methods Subjects (n = 50) with BPD were asked to complete real-time assessments about stressors experienced, affect felt, and coping strategies employed six times per day for a 1-week period. Mixed effect regression models were used to measure the effect of stressors and coping strategies on affect change. Results While most stressors led to experiencing more negative affect, only being in a disagreement was independently associated with increased negative affect. Among coping strategies, only doing something good for oneself independently reduced negative affect, controlling for all other coping strategies used. Conclusions These findings provide valuable insights into affective instability in BPD and can help inform treatment with individuals with the disorder.http://link.springer.com/article/10.1186/s40479-017-0059-3Borderline personality disorderAffectCopingEcological momentary assessment
spellingShingle Sadia R. Chaudhury
Hanga Galfalvy
Emily Biggs
Tse-Hwei Choo
J. John Mann
Barbara Stanley
Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorder
Borderline Personality Disorder and Emotion Dysregulation
Borderline personality disorder
Affect
Coping
Ecological momentary assessment
title Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorder
title_full Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorder
title_fullStr Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorder
title_full_unstemmed Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorder
title_short Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorder
title_sort affect in response to stressors and coping strategies an ecological momentary assessment study of borderline personality disorder
topic Borderline personality disorder
Affect
Coping
Ecological momentary assessment
url http://link.springer.com/article/10.1186/s40479-017-0059-3
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