Trait anxiety mediates between emotion dysregulation and core psychopathology in borderline personality disorder

Introduction Findings from previous studies have implicated various forms of emotion dysregulation (EDys), including difficulties in emotion regulation, as important for the development and maintenance of borderline personality disorder (BPD). In addition, comorbid anxiety and depressive psychopath...

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Main Authors: E. Kot, P. Grzegorzewski, B. Kostecka, J. Radoszewska, K. Kucharska
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822009452/type/journal_article
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author E. Kot
P. Grzegorzewski
B. Kostecka
J. Radoszewska
K. Kucharska
author_facet E. Kot
P. Grzegorzewski
B. Kostecka
J. Radoszewska
K. Kucharska
author_sort E. Kot
collection DOAJ
description Introduction Findings from previous studies have implicated various forms of emotion dysregulation (EDys), including difficulties in emotion regulation, as important for the development and maintenance of borderline personality disorder (BPD). In addition, comorbid anxiety and depressive psychopathology has been found to contribute to the severity of BPD symptoms in this disorder. Objectives This study aimed at extending extant research on the above issues by testing the mediational role of comorbid psychopathology (i.e., trait anxiety and depressive symptoms) in the relationship between EDys (specifically, difficulties in emotion regulation) and BPD symptoms in BPD patients. Methods 64 BPD female inpatients completed the Emotion Dysregulation Scale, STAI, CESD–R, and BPD Checklist. Results BPD symptoms were statistically significantly and strongly positively associated to EDys (rs = .55, p < .001) and to trait anxiety (rs = .52, p < .001). EDys and trait anxiety predicted the severity of BPD symptoms, R2 = 0.41, F(2, 61) = 20.90, p < .001. The examination of the indirect effect revealed a significant mediation, in which the association between EDys and BPD symptoms was mediated by trait-anxiety, B = 0.37, SE = 0.18, 95% CI = [0.10, 0.78]. However, the direct effect of EDys on BPD symptoms remained significant, B = 0.81, SE = 0.24, 95% CI = [0.32, 1.30]. Conclusions The severity of BPD symptoms is associated with EDys and with trait anxiety. Moreover, our findings show that the latter partially mediates the link between EDys and BPD symptoms, which suggests that trait anxiety may contribute to the severity of BPD symptoms. Disclosure No significant relationships.
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spelling doaj.art-add64fc4cade48a993de36603f6224c12023-11-17T05:08:44ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S372S37310.1192/j.eurpsy.2022.945Trait anxiety mediates between emotion dysregulation and core psychopathology in borderline personality disorderE. Kot0P. Grzegorzewski1B. Kostecka2J. Radoszewska3K. Kucharska4Institute of Psychiatry and Neurology, Department Of Neuroses, Personality Disorders, And Eating Disorders, Warsaw, PolandInstitute of Psychiatry and Neurology, Department Of Neuroses, Personality Disorders, And Eating Disorders, Warsaw, PolandMedical University of Warsaw, Ii Department Of Psychiatry, Warsaw, PolandUniversity of Warsaw, Faculty Of Psychology, Warsaw, PolandCardinal Stefan Wyszynski University in Warsaw, Institute Of Psychology, Warsaw, Poland Introduction Findings from previous studies have implicated various forms of emotion dysregulation (EDys), including difficulties in emotion regulation, as important for the development and maintenance of borderline personality disorder (BPD). In addition, comorbid anxiety and depressive psychopathology has been found to contribute to the severity of BPD symptoms in this disorder. Objectives This study aimed at extending extant research on the above issues by testing the mediational role of comorbid psychopathology (i.e., trait anxiety and depressive symptoms) in the relationship between EDys (specifically, difficulties in emotion regulation) and BPD symptoms in BPD patients. Methods 64 BPD female inpatients completed the Emotion Dysregulation Scale, STAI, CESD–R, and BPD Checklist. Results BPD symptoms were statistically significantly and strongly positively associated to EDys (rs = .55, p < .001) and to trait anxiety (rs = .52, p < .001). EDys and trait anxiety predicted the severity of BPD symptoms, R2 = 0.41, F(2, 61) = 20.90, p < .001. The examination of the indirect effect revealed a significant mediation, in which the association between EDys and BPD symptoms was mediated by trait-anxiety, B = 0.37, SE = 0.18, 95% CI = [0.10, 0.78]. However, the direct effect of EDys on BPD symptoms remained significant, B = 0.81, SE = 0.24, 95% CI = [0.32, 1.30]. Conclusions The severity of BPD symptoms is associated with EDys and with trait anxiety. Moreover, our findings show that the latter partially mediates the link between EDys and BPD symptoms, which suggests that trait anxiety may contribute to the severity of BPD symptoms. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822009452/type/journal_articleborderline personality disorderEmotion dysregulationtrait anxietydepressieve symptoms
spellingShingle E. Kot
P. Grzegorzewski
B. Kostecka
J. Radoszewska
K. Kucharska
Trait anxiety mediates between emotion dysregulation and core psychopathology in borderline personality disorder
European Psychiatry
borderline personality disorder
Emotion dysregulation
trait anxiety
depressieve symptoms
title Trait anxiety mediates between emotion dysregulation and core psychopathology in borderline personality disorder
title_full Trait anxiety mediates between emotion dysregulation and core psychopathology in borderline personality disorder
title_fullStr Trait anxiety mediates between emotion dysregulation and core psychopathology in borderline personality disorder
title_full_unstemmed Trait anxiety mediates between emotion dysregulation and core psychopathology in borderline personality disorder
title_short Trait anxiety mediates between emotion dysregulation and core psychopathology in borderline personality disorder
title_sort trait anxiety mediates between emotion dysregulation and core psychopathology in borderline personality disorder
topic borderline personality disorder
Emotion dysregulation
trait anxiety
depressieve symptoms
url https://www.cambridge.org/core/product/identifier/S0924933822009452/type/journal_article
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AT jradoszewska traitanxietymediatesbetweenemotiondysregulationandcorepsychopathologyinborderlinepersonalitydisorder
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