TY - JOUR
T1 - Emotion dysregulation mediates the relation between borderline personality disorder symptoms and later physical health symptoms
AU - Gratz, Kim L.
AU - Weiss, Nicole H.
AU - McDermott, Michael J.
AU - Dilillo, David
AU - Messman-Moore, Terri
AU - Tull, Matthew T.
N1 - Funding Information:
From Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, Mississippi (K. L. G., M. T. T.); Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (N. H. W.); Department of Psychology, University of Louisiana at Lafayette, Lafayette, Louisiana (M. J. M.); Department of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska (D. D.); and Department of Psychology, Miami University, Oxford, Ohio (T. M.-M.). This research was supported by National Institute of Child Health and Human Development Grant R01 HD062226, awarded to the fourth author (D.D.). Work on this article by the second author (N.H.W.) was supported by National Institute on Drug Abuse Grant T32 DA019426. Address correspondence to Kim L. Gratz, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, 2500 North State St., Jackson, MS 39216. E-mail: KLGratz@aol.com
Publisher Copyright:
© 2017 The Guilford Press.
PY - 2017/8
Y1 - 2017/8
N2 - Despite evidence of a relation between borderline personality disorder (BPD) pathology and physical health problems, the mechanisms underlying this relation remain unclear. Given evidence that emotion dysregulation may affect physical health by altering physiological functioning, one mechanism that warrants examination is emotion dysregulation. This study examined BPD symptoms as a prospective predictor of physical health symptoms 8 months later and the mediating role of emotion dysregulation in this relation. Participants completed three assessments over an 8-month period, including a BPD diagnostic interview. Results of analyses examining baseline predictors of later physical health symptoms revealed a significant unique association between baseline BPD symptom severity and physical health symptoms 8 months later, above and beyond baseline physical health symptoms, depression and anxiety symptoms, and emotion dysregulation. Moreover, structural equation modeling revealed a significant indirect relation of BPD symptoms at Wave 1 to physical health symptoms at Wave 3 through emotion dysregulation at Wave 2.
AB - Despite evidence of a relation between borderline personality disorder (BPD) pathology and physical health problems, the mechanisms underlying this relation remain unclear. Given evidence that emotion dysregulation may affect physical health by altering physiological functioning, one mechanism that warrants examination is emotion dysregulation. This study examined BPD symptoms as a prospective predictor of physical health symptoms 8 months later and the mediating role of emotion dysregulation in this relation. Participants completed three assessments over an 8-month period, including a BPD diagnostic interview. Results of analyses examining baseline predictors of later physical health symptoms revealed a significant unique association between baseline BPD symptom severity and physical health symptoms 8 months later, above and beyond baseline physical health symptoms, depression and anxiety symptoms, and emotion dysregulation. Moreover, structural equation modeling revealed a significant indirect relation of BPD symptoms at Wave 1 to physical health symptoms at Wave 3 through emotion dysregulation at Wave 2.
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U2 - 10.1521/pedi_2016_30_252
DO - 10.1521/pedi_2016_30_252
M3 - Article
C2 - 27322577
AN - SCOPUS:85028346177
VL - 31
SP - 433
EP - 448
JO - Journal of Personality Disorders
JF - Journal of Personality Disorders
SN - 0885-579X
IS - 4
ER -