Comparando la contribución del afecto, la regulación emocional y la autoeficacia en variables emocionales y conductuales en personas con trastorno límite de la personalidad

• Autores: Elena Crespo Delgado, Carlos Suso, Azucena García Palacios
• Localización: Psicología conductual = behavioral psychology: Revista internacional de psicología clínica y de la salud, ISSN 1132-9483, Vol. 28, Nº. 2, 2020, págs. 193-208
• Idioma: español
• Títulos paralelos:
  • Comparing the contribution of affect, emotion regulation, and self-efficacy in emotional and behavioral outcomes of individuals with borderline personality disorder
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• Resumen
  • español

    El afecto positivo y negativo, la regulación emocional y la autoeficacia son mecanismos importantes en el trastorno límite de la personalidad (TLP), pero su contribución no está clara. Nuestro objetivo fue explorar su papel con relación a las siguientes variables: hospitalizaciones psiquiátricas, conductas suicida y depresión. Se analizó la contribución única del afecto positivo y negativo, la regulación emocional y la autoeficacia en las variables descritas en una muestra de 88 mujeres con TLP. El afecto positivo (β= -0,40; p< 0,001) y negativo (β = 0,54; p< 0,001) contribuyeron de manera única a la depresión. La supresión emocional fue el único predictor del número de hospitalizaciones (β = -0,29; p< 0,05). La autoeficacia se relacionó de forma única con los intentos de suicidio (= -0,26; p < 0,05) al controlar las demás variables. El afecto positivo y negativo, la regulación emocional y la autoeficacia son mecanismos psicológicos importantes asociados de forma única con variables emocionales y conductuales problemáticas en el TLP. Esto ayudará a orientar las intervenciones de forma eficaz y personalizar los tratamientos para las personas con este trastorno

  • English

    Positive and negative affect, emotion regulation and self-efficacy are important mechanisms in borderline personality disorder (BPD), but their contribution is still not clear. Our goal was to explore their role in relation to typical BPD outcomes: psychiatric hospitalizations, suicidal behaviors and depression. The sample comprised 88 women with BPD. The unique contribution of positive and negative affect, the regulation of emotions and self-efficacy in outcomes were analyzed. Positive (= -.40, p< .001) and negative (= .54, p< .001) affect contributed uniquely to depression. Emotion suppression was the only predictor of the number of hospitalizations (= -.29, p<.05). Self-efficacy was uniquely related to suicide attempts (= -.26, p< .05) when controlling the rest of the variables. Positive and negative affect, emotion regulation and selfefficacy are important psychological mechanisms uniquely associated with specific emotional and behavioral outcomes in BPD. These findings will help to design interventions in a more effective way and tailor treatments for individuals with this disorder.

• Referencias bibliográficas
  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision).Washington,...
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Arlington, VA: Author.
  • Ammerman, B. A., Jacobucci, R., & McCloskey, M. S. (2018). Using exploratory data mining to identify important correlates of nonsuicidal...
  • Armey, M. F., & Crowther, J. H. (2008). A comparison of linear versus non-linear models of aversive self-awareness, dissociation, and...
  • Axelrod, S. R., Perepletchikova, F., Holtzman, K., & Sinha, R. (2011). Emotion regulation and substance use frequency in women with...
  • Barnicot, K., Gonzalez, R., McCabe, R., & Priebe, S. (2016). Skills use and common treatment processes in dialectical behavior...
  • Beblo T., Fernando, S., Klocke, S., Griepenstroh J, Aschenbrenner S, & Driessen M. (2012). Increased suppression of negative...
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory-II. San Antonio, 78, 490-498.
  • Bradley, B., DeFife, J.A., Guarnaccia, C., Phifer, J., Fani, N., Ressler, K.J., & Westen, D. (2011). Emotion dysregulation...
  • Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002). Reasons for suicide attempts and nonsuicidal self-injury in ...
  • Brown, M. Z., Linehan, M. M., Comtois, K. A., Murray, A., & Chapman, A. L. (2009). Shame as a prospective predictor of self-inflicted...
  • Brunner, R., Parzer, P., Haffner, J., Steen, R., Roos, J., Klett, M., & Resch, F. (2007). Prevalence and psychological correlates of...
  • Caballo, V. E. (2001). Tratamientos cognitivo-conductuales para los trastornos de la personalidad [Cognitive-behavioral treatments...
  • Cabello, R., Salguero, J. M., Fernández-Berrocal, P., & Gross, J. J. (2013). A Spanish adaptation of the Emotion...
  • Chapman, A. L., Rosenthal, M. Z., & Leung, D. W. (2009). Emotion suppression in borderline personality disorder: An experience sampling...
  • Chesney, M. A., Neilands, T. B., Chambers, D. B., Taylor, J. M., & Folkman, S. (2006). A validity and reliability study...
  • Choi-Kain, L. W., Albert, E. B., & Gunderson, J. G. (2016). Evidence-based treatments for borderline personality disorder:...
  • Choi-Kain, L. W., Finch, E. F., Masland, S. R., Jenkins, J. A., & Unruh, B. T. (2017). What works in the treatment...
  • Chu, C., Victor, S. E., & Klonsky, E. D. (2016). Characterizing positive and negative emotional experiences in young adults...
  • Clarkin, J. F., Levy, K.N., Lenzenweger, M.F.& Kernberg O.F. (2007). Evaluating three treatments for borderline personality...
  • Comtois, K. A., Russo, J., Snowden, M., Srebnik, D., Ries, R., & Roy-Byrne, P. (2003). Factors associated with high use of public...
  • Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating...
  • Daros, A. R., Guevara, M. A., Uliaszek, A. A., McMain, S. F., & Ruocco, A. C. (2018). Cognitive emotion regulation...
  • Ebner-Priemer, U. W., Kuo, J., Kleindienst, N., Welch, S. S., Reisch, T., Reinhard, I., Lieb, K., Linehan, M., & Bohus, M. (2007)....
  • First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Benjamin, L. S. (1996). Structured Clinical Interview...
  • First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Benjamin, L. S. (1997). Entrevista clínica estructurada para los trastornos...
  • Fox, A. R. Hammond & Mezuli (2017). Emotional reactivity as a vulnerability for nonsuicidal self-Injury in young adults: The ...
  • García-Palacios, A. Navarro-Haro, M.,Guillén, V., Marco, H., & Botella, C. (2010). Estudio preliminar sobre la eficacia...
  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor...
  • Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271-299.
  • Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39, 281-291.
  • Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships,...
  • Heath, N. L., Joly, M., & Carsley, D. (2016). Coping self-efficacy and mindfulness in non-suicidal self-injury. Mindfulness,...
  • Hilt, L. M., Nock, M. K., Lloyd-Richardson, E. E., & Prinstein, M. J. (2008). Longitudinal study of nonsuicidal self-injury among young...
  • Holmes, E. A., Ghaderi, A., Harner, C. J., Ramchandani, P. G., Cuijpers, P., Morrison, A. P., Roiser, J. P., Bockting,...
  • Hörz, S., Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. (2010). Ten-year use of mental health services by patients...
  • IBM Corp. (2013). IBM SPSS Statistics for Windows (version 22.0) [computer software]. Armonk, NY: Author.
  • Kellogg, S. H., & Young, J. E. (2006). Schema therapy for borderline personality disorder. Journal of Clinical...
  • Krueger, R. F. (1999). The structure of common mental disorders. Archives of General Psychiatry, 56, 921-926.
  • Larsen, J. T., Hershfield, H., Stastny, B. J., & Hester, N. (2017). On the relationship between positive and negative affect: Their...
  • Laurenssen, E. M. P., Smits, M. L., Bales, D. L., Feenstra, D. J., Eeren, H. V, Noom, M. J., Köster, M. A., Lucas, Z.,...
  • Leichsenring, F., Leibing, E., Kruse, J., New, A. S., & Leweke, F. (2011). Borderline personality disorder. The Lancet, 377, 74-84.
  • Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. The Lancet,...
  • Lightsey Jr, O. R., Burke, M., Ervin, A., Henderson, D., & Yee, C. (2006). Generalized self-efficacy, self-esteem, ...
  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder.New York, NY: Guilford. Linehan, M. M.,...
  • Luberto, C. M., Cotton, S., McLeish, A. C., Mingione, C. J., & O’Bryan, E. M. (2014). Mindfulness skills and emotion...
  • Marks, R., Allegrante, J. P., & Lorig, K. (2005). A review and synthesis of research evidence for self-efficacy-enhancing interventions...
  • McRae, K. (2016). Cognitive emotion regulation: A review of theory and scientific findings. Current Opinion in Behavioral Sciences, 10, 119-124.
  • Medrano, L. A., Flores-Kanter, E., Moretti, L., & Pereno, G.L. (2016). Effects of induction of positive and negative emotional states...
  • Meuldijk, D., McCarthy, A., Bourke, M. E., & Grenyer, B. F. (2017). The value of psychological treatment...
  • Mou, D., Kleiman, E. M., Fedor, S., Beck, S., Huffman, J. C., & Nock, M. K. (2018). Negative affect is more strongly associated with...
  • National Health and Medical Research Council. (2013). Clinical practice guideline for the management of borderline personality...
  • Navarro-Haro, M. V., Wessman, I., Botella, C., & Garcia Palacios, A. (2015). The role of emotion regulation strategies...
  • Ng, M. Y., & Weisz, J. R. (2016). Annual research review: Building a science of personalized intervention for youth mental health....
  • Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131, 925-971.
  • Salsman, N. L., & Linehan, M. M. (2012). An investigation of the relationships among negative affect, difficulties ...
  • Sandín, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A., & Valiente, R. M. (1999). Escalas PANAS de afecto...
  • Sanjuán, P., Pérez, A. M., & Bermúdez, J. (2000). Escala de autoeficacia general: Datos psicométricos de la adaptación...
  • Sanz, J., Navarro, M. E., & Vázquez, C. (2003). Adaptación española del Inventario para la depresión de Beck-II (BDI-II):...
  • Selby, E. A., Anestis, M. D., Bender, T. W., & Joiner Jr, T. E. (2009). An exploration of the emotional cascade model...
  • Selby, E. A., & Joiner, T. E. (2009). Cascades of emotion: The emergence of borderline personality disorder from emotional...
  • Shaikh, U., Qamar, I., Jafry, F., Hassan, N., Shagufta, S., Islamail, Y., & Ahmed, S. (2017). Patients with borderline...
  • Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982) en Sherer et al 1982....
  • Stoffers, J., Völlm, B. A., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2012). Psychological therapies for people...
  • Troy, A. S., Shallcross, A. J., Brunner, A., Friedman, R., & Jones, M. C. (2018). Cognitive reappraisal and acceptance:...
  • Trull, T. J., Solhan, M. B., Tragesser, S. L., Jahng, S., Wood, P. K., Piasecki, T. M., & Watson, D. (2008). Affective instability:...
  • Von Ceumern-Lindenstjerna, I. A., Brunner, R., Parzer, P., Mundt, C., Fiedler, P., & Resch, F. (2010). Attentional bias...
  • Wang, Y. M., Chen, J., & Han, B. Y. (2017). The effects of cognitive reappraisal and expressive suppression on memory...
  • Watson, D., & Clark, L. A. (1992). Affects separable and inseparable: On the hierarchical arrangement of the negative...
  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect:...
  • Weinberg, I., Ronningstam, E., Goldblatt, M. J., Schechter, M., & Maltsberger, J. T. (2011). Common factors in empirically...
  • Witt, S. H., Streit, F., Jungkunz, M., Frank, J., Awasthi, S., Reinbold, C. S., et al. (2017). Genome-wide association ...
  • Wolff, J. C., Thompson, E., Thomas, S. A., Nesi, J., Bettis, A. H., Ransford, B., et al. (2019). Emotion dysregulation and non-suicidal...
  • Yamasaki, K., Sasaki, M., Uchida, K., & Katsuma, L. (2011). Effects of positive and negative affect and emotional suppression on short-term...
  • Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. New York, NY: Guilford. Zittel-Conklin,...
  • Zitel-Conklin, C., Bradley, R., & Westen, D. (2006). Affect regulation in borderline personality disorder. The...