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

Published online by Cambridge University Press:  01 September 2022

E. Kot ,
P. Grzegorzewski ,
B. Kostecka ,
J. Radoszewska  and
K. Kucharska
E. Kot
Affiliation:
Institute of Psychiatry and Neurology, Department Of Neuroses, Personality Disorders, And Eating Disorders, Warsaw, Poland
P. Grzegorzewski
Affiliation:
Institute of Psychiatry and Neurology, Department Of Neuroses, Personality Disorders, And Eating Disorders, Warsaw, Poland
B. Kostecka
Affiliation:
Medical University of Warsaw, Ii Department Of Psychiatry, Warsaw, Poland
J. Radoszewska
Affiliation:
University of Warsaw, Faculty Of Psychology, Warsaw, Poland
K. Kucharska*
Affiliation:
Cardinal Stefan Wyszynski University in Warsaw, Institute Of Psychology, Warsaw, Poland
*
*Corresponding author.

Abstract

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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.

Keywords

borderline personality disorderEmotion dysregulationtrait anxietydepressieve symptoms
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S372 - S373
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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