Self-disgust in patients with borderline personality disorder. The associations with alexithymia, emotion dysregulation, and comorbid psychopathology

Abstract Background Self-disgust is a negative self-conscious emotion, which has been linked with borderline personality disorder (BPD). However, it has not yet been investigated in relation to both emotion dysregulation and alexithymia, which are recognized as crucial to BPD. Therefore, the aim of...

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Main Authors: Emilia Kot, Barbara Kostecka, Joanna Radoszewska, Katarzyna Kucharska
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Borderline Personality Disorder and Emotion Dysregulation
Subjects:
Online Access:https://doi.org/10.1186/s40479-023-00232-1
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author Emilia Kot
Barbara Kostecka
Joanna Radoszewska
Katarzyna Kucharska
author_facet Emilia Kot
Barbara Kostecka
Joanna Radoszewska
Katarzyna Kucharska
author_sort Emilia Kot
collection DOAJ
description Abstract Background Self-disgust is a negative self-conscious emotion, which has been linked with borderline personality disorder (BPD). However, it has not yet been investigated in relation to both emotion dysregulation and alexithymia, which are recognized as crucial to BPD. Therefore, the aim of our study was to measure these variables and examine the possible mediational role of emotional alterations and comorbid anxiety and depression symptoms in shaping self-disgust in patients with BPD and healthy controls (HCs). Methods In total, the study included 100 inpatients with BPD and 104 HCs. Participants completed: the Self-Disgust Scale (SDS), Disgust Scale – Revised (DS-R), Toronto Alexithymia Scale (TAS-20), Emotion Dysregulation Scale short version (EDS-short), Borderline Personality Disorder Checklist (BPD Checklist), State-Trait Anxiety Inventory (STAI), and Center for Epidemiologic Studies Depression Scale (CESD-R). Results Inpatients with BPD showed higher self-disgust, alexithymia, emotion dysregulation, core and comorbid symptoms levels, and lower disgust sensitivity. Alexithymia, emotion dysregulation, and trait anxiety partially mediated between BPD diagnosis and self-disgust. The relationship between the severity of BPD symptoms and self-disgust was fully mediated by alexithymia, emotion dysregulation, depressive symptoms, and trait anxiety. Conclusions The results of our study may imply the contribution of emotion dysregulation, alexithymia, and comorbid psychopathology to self-referenced disgust in BPD.
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spelling doaj.art-8186bcb5738c498fa80c9327cb36e3202023-11-19T12:24:40ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732023-08-0110111310.1186/s40479-023-00232-1Self-disgust in patients with borderline personality disorder. The associations with alexithymia, emotion dysregulation, and comorbid psychopathologyEmilia Kot0Barbara Kostecka1Joanna Radoszewska2Katarzyna Kucharska3Department of Neuroses, Personality Disorders, and Eating Disorders, Institute of Psychiatry and NeurologyII Department of Psychiatry, Medical University of WarsawFaculty of Psychology, University of WarsawInstitute of Psychology, Cardinal Stefan Wyszyński University in WarsawAbstract Background Self-disgust is a negative self-conscious emotion, which has been linked with borderline personality disorder (BPD). However, it has not yet been investigated in relation to both emotion dysregulation and alexithymia, which are recognized as crucial to BPD. Therefore, the aim of our study was to measure these variables and examine the possible mediational role of emotional alterations and comorbid anxiety and depression symptoms in shaping self-disgust in patients with BPD and healthy controls (HCs). Methods In total, the study included 100 inpatients with BPD and 104 HCs. Participants completed: the Self-Disgust Scale (SDS), Disgust Scale – Revised (DS-R), Toronto Alexithymia Scale (TAS-20), Emotion Dysregulation Scale short version (EDS-short), Borderline Personality Disorder Checklist (BPD Checklist), State-Trait Anxiety Inventory (STAI), and Center for Epidemiologic Studies Depression Scale (CESD-R). Results Inpatients with BPD showed higher self-disgust, alexithymia, emotion dysregulation, core and comorbid symptoms levels, and lower disgust sensitivity. Alexithymia, emotion dysregulation, and trait anxiety partially mediated between BPD diagnosis and self-disgust. The relationship between the severity of BPD symptoms and self-disgust was fully mediated by alexithymia, emotion dysregulation, depressive symptoms, and trait anxiety. Conclusions The results of our study may imply the contribution of emotion dysregulation, alexithymia, and comorbid psychopathology to self-referenced disgust in BPD.https://doi.org/10.1186/s40479-023-00232-1Personality disordersDisgustEmotion regulationDepressionAnxietySelf-conscious emotions
spellingShingle Emilia Kot
Barbara Kostecka
Joanna Radoszewska
Katarzyna Kucharska
Self-disgust in patients with borderline personality disorder. The associations with alexithymia, emotion dysregulation, and comorbid psychopathology
Borderline Personality Disorder and Emotion Dysregulation
Personality disorders
Disgust
Emotion regulation
Depression
Anxiety
Self-conscious emotions
title Self-disgust in patients with borderline personality disorder. The associations with alexithymia, emotion dysregulation, and comorbid psychopathology
title_full Self-disgust in patients with borderline personality disorder. The associations with alexithymia, emotion dysregulation, and comorbid psychopathology
title_fullStr Self-disgust in patients with borderline personality disorder. The associations with alexithymia, emotion dysregulation, and comorbid psychopathology
title_full_unstemmed Self-disgust in patients with borderline personality disorder. The associations with alexithymia, emotion dysregulation, and comorbid psychopathology
title_short Self-disgust in patients with borderline personality disorder. The associations with alexithymia, emotion dysregulation, and comorbid psychopathology
title_sort self disgust in patients with borderline personality disorder the associations with alexithymia emotion dysregulation and comorbid psychopathology
topic Personality disorders
Disgust
Emotion regulation
Depression
Anxiety
Self-conscious emotions
url https://doi.org/10.1186/s40479-023-00232-1
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