Emotion regulation, depression and self-harming behaviours in people with borderline personality disorder: the moderating role of action vs. state orientation
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SWPS University of Social Sciences and Humanities, Wroclaw, Poland
Department of Psychiatry, Poznan University of Medical Sciences, Poznan, Poland
Specialist Hospital Dr. J. Babinski, Krakow, Poland
Submission date: 2015-08-19
Final revision date: 2015-11-19
Acceptance date: 2015-11-29
Online publication date: 2016-01-11
Publication date: 2016-03-18
Current Issues in Personality Psychology 2016;4(1):41-49
The aim of this research is to determine the level of emotion regulation, studied through the method of variable action orientation vs. state and its relationship with depressiveness and dimension of the reasons for living and self-harming behaviour of patients with borderline personality disorder.

Participants and procedure
The research studied 61 patients diagnosed with an emotionally unstable personality of borderline type. The research used the Polish adaptation of tests to measure the action vs. state orientation (SSI-K), the self-harming behaviour (SHI), depression (BDI) and the reasons for living vs. suicidal tendency (RFL-I).

In people with borderline personality disorder, the level of emotion regulation (action vs. state orientation), reasons for living and depression are predictors of self-harming behaviour. The experience of a depressive episode or lack thereof does not have a relationship with the increase of self-harming. Analysis of the interaction between variables showed that the reasons for living and the action orientation after failure are related to the reduction of self-harming behaviour in all subjects. In depressed people, state orientation is associated with an increase in the action orientation with decreased self-destructive behaviours.

High levels of reasons for living in interaction with the action orientation have a negative relationship with the self-harming behaviour of patients diagnosed with borderline personality disorder. Among those subjects, depressive patients, a statistically lower level of self-harm is related to the action orientation. These results suggest that therapeutic treatment is important to activate both reasons for living as well as action orientation as effective dimensions in preventing self-harming.
Baumann, N., Kaschel, R., & Kuhl J. (2007): Affect sensitivity and affect regulation in dealing with positive and negative affect. Journal of Research in Personality, 41, 239-248.
Beck, A. T., & Steer, R. A. (1990). Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation.
Blasczyk-Schiep, S. (2004). Selbssteuerung und Suizidrisiko [Self-regulation and suicidal risk]. Bern, New York: Peter Lang.
Bradley, R., Conklin, C., & Westen, D. (2006). Affect regulation in Borderline Personality Disorder. Journal of Nervous & Mental Disease, 194, 69-77.
Cohen, J., Cohen, P., West, S., & Aiken, L. (2003). Applied multiple regression / correlation analysis for the behavioural sciences (3th ed.). New York: Erlbaum.
Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: elaborating and extending Linehan’s theory. Psychological Bulletin, 135, 495-510.
Cheavens, J. S., Rosenthal, M. Z., Daughters, S. D., Novak, J., Kossen, D., Lynch, T. R., & Lejuez, C. W. (2005): An analogue investigation of the relationships among perceived parental criticism, negative affect, and borderline personality disorder features: the role of thought suppression. Behaviour Research and Therapy, 43, 257-268.
Henry, C., Mitropoulou, V., New, A. S., Koenigsberg, H. W., Silverman, J., & Siever, L. J. (2001): Affective instability and impulsivity in borderline personality and bipolar II disorders: Similarities and differences. Journal of Psychiatry Research, 35, 307-312.
Herr, M. R., Rosenthal, N. Z., Geiger, P. J., & Erikson, K. (2013). Difficulties with emotion regulation mediate the relationship between borderline personality disorder symptom severity and interpersonal problems. Personality and Mental Health, 7, 191-202. DOI: 10.1002/pmh.1204.
Holm, A. L., & Severinsson, E. (2010). Desire to survive emotional pain related to self-harm: a Norwegian hermeneutic study. Nursing Health Sciences, 12, 52-57.
Kliem, S., Kröger, C., & Kosfelder, J. (2010). Dialectical Behavior Therapy for Borderline Personality Disorder: A meta-analysis using mixed-effects modeling. Journal of Consulting and Clinical Psychology, 78, 936-951.
Koenigsberg, H. W., Harvey, P. D., Mitropoulou, V., Schmeidler, J., & New, A. S. (2002). Characterizing affective instability in borderline personality disorder. American Journal of Psychiatry, 159, 784-788.
Koons, C. R., Robins, C. J., Tweed, J. L., Lynch, T. R., Gonzales, A. M., Morse, J. Q., & Bastian, L. A. (2001). Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavior Therapy, 32, 371-390.
Köhling, J. (2015). Quality and severity of depression in borderline personality disorder: A systematic review and meta-analysis. Clinical Psychology Review, 37, 13-25.
Kuhl, J., & Fuhrmann, A. (1998). Decomposing Self-Regulation and Self-Control: The Volitional Competencies Inventory. In: J. Heckhausen, & C. S. Dweck (eds.), Motivation and Self-Regulation Across the Life Spean (pp. 15-49). Cambridge: Cambridge University Press.
Kuhl, J. (2001). Motivation und Persönlichkeit [Motivation and personality]. Göttingen: Hogrefe.
Kuhl, J., & Beckmann, J. (1994). Volition and Personality: Action vs. state orientation. Göttingen: Hogrefe.
Levine, D., Marziali, E., & Hood, J. (1997). Emotion processing in borderline personality disorders. Journal of Nervous Mental Disorder, 185, 240-246.
Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. Lancet, 364, 453-461.
Linehan, M. M. (1993a). Skills training manual for treating borderline personality disorder. New York, NY: Guilford Press.
Linehan, M. M. (1993b). Cognitive behavioral treatment of borderline personality disorder. New York: Guilford Press.
Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060-1064.
Linehan, M. M., Goodstein, J. L., Nielsen, S. L., & Chiles, J. A. (1983). Reasons for staying alive when you are thinking of killing yourself: The Reasons for Living Inventory. Journal of Consulting and Clinical Psychology, 51, 276-286.
Meyer, J., & Morey, L. (2015). Borderline personality features and associated difficulty in emotion perception: An examination of accuracy and bias. Personality and Mental Health, 9, 227-240.
Millon, T., Grossman, S., Millon, C. M., Meagher, S., & Ramnath, R. (2000). Personality disorders in modern life (2th ed.). New Jersey: Wiley.
Reisch, T., Ebner-Priemer, U., Tschacher, W., Bohus, M., & Linehan, M. M. (2008). Sequences of emotions in patients with borderline personality disorder. Acta Psychiatrica Scandindinavia, 118, 42-48.
Rietdijk, E., Van den Bosch, L., Verheul, R., Koeter, M., & Van den Brink, W. (2001). Predicting self-damaging and suicidal behaviors in female Borderline patients: Reasons for living, coping, and Depressive Personality Disorder. Journal of Personality Disorders, 15, 512-520.
Rosenthal, M. Z., Cheavens, J. S., Lejuyez, C. W., & Lynch, T. R. (2005). Thought suppression mediates the relationship between negative affect and borderline personality disorder symptoms. Behavioral Research and Therapy, 43, 1173-1185.
Russell, J. J., Moskowitz, D. S., Paris, J., Sookman, D., & Zuroff, D. C. (2007). Stability and variability of affective experience and interpersonal behavior in Borderline Personality Disorder. Journal of Abnormal Psychology, 116, 578-588.
Sansone, R. A., Wiederman, M. W., & Sansone, L. A. (1998). The Self-Harm Inventory (SHI): Development of a scale for identifying self-destructive behavior and borderline personality disorder. Journal of Clinical Psychology, 54, 973-983.
Shea, M. T., Widiger, T. A., & Klein, M. H. (1992). Comorbidity of personality disorders and depression: Implications for treatment. Journal of Consulting and Clinical Psychology, 60, 857-868.
Stone, M. H. (2006). Management of borderline personality disorder: a review of psychotherapeutic approaches. World Psychiatry, 5, 15-20.
van den Bosch, L. M. C., Koeter, M. W. J., Stijnen, T., Verheul, R., & van den Brink, W. (2005). Sustained efficacy of dialectical behaviour therapy for borderline personality disorder. Behaviour Research and Therapy, 43, 1231-1241.
Yen, S., Zlotnick, C., & Costello, E. (2002). Affect regulation in women with borderline personality disorder traits. Journal of Nervous and Mental Disease, 190, 693-696.
Zanarini, M. C., Frankenburg, F. R., Dubo, E. D, Sickel, A. E., Trikha, A., Levin, A., & Reynolds, V. (1998). Axis I comorbidity of borderline personality disorder. American Journal of Psychiatry, 155, 1733-1739.
Zimmerman, M., & Mattia, J. I. (1999). Differences between clinical and research practice in diagnosing borderline personality disorder. American Journal of Psychiatry, 156, 1570-1574.
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