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Fuchshuber J, Doering S, Schmitz-Riol S, Herpertz J, Buchheim A, Hörz-Sagstetter S, Rentrop M, Fischer-Kern M, Buchheim P, Taylor J, Tmej A, Weihs K, Lane RD. Emotion word repertoire in the adult attachment interview is linked to reduced suicide attempts in patients with borderline personality disorder. Heliyon 2024; 10:e36907. [PMID: 39281595 PMCID: PMC11401185 DOI: 10.1016/j.heliyon.2024.e36907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Revised: 08/20/2024] [Accepted: 08/23/2024] [Indexed: 09/18/2024] Open
Abstract
Background This study explored the association between emotion word repertoire (EWR), attachment, reflective functioning and personality organization (PO) and suicidal behavior in borderline personality disorder (BPD) patients. Methods The current study performed a secondary data analysis from a randomized control trial for BPD patients (all female; n = 87; age: m = 27; SD = 7.42). EWR was assessed via machine-scoring transcripts of Adult Attachment Interviews (AAI) for affective words using the VETA electronic scoring software for the Levels of Emotional Awareness Scale (LEAS). Generated scores were related to impairments in PO (Structured Interview for Personality Organization; STIPO), attachment organization (AAI) and mentalization (Reflective Functioning Scale), general symptom severity (Brief Symptom Inventory; BSI-53), self-harm and suicidal behavior. Independent effects of the investigated predictors were studied using Bayesian path analysis. Results Corrected for education, findings in Bayesian path analysis suggest an independent negative association between EWR and suicide attempts (BE = -.32; 95 % CI [-.51, -.12]) and positive associations of deficits in PO with psychiatric symptoms (BE = .23; 95 % CI [.01, .44]) as well as suicide attempts (BE = .30; 95 % CI [.08, .49]). Discussion The findings underscore the potential role of high EWR and PO as a protective factor for suicidal behavior in individuals with BPD.
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Affiliation(s)
- J Fuchshuber
- Department of Psychoanalysis and Psychotherapy, Medical University Vienna, Austria
- Comprehensive Center for Clinical Neurosciences and Mental Health, Medical University Vienna, Austria
- Center for Integrative Addiction Research (CIAR), Grüner Kreis Society, Vienna, Austria
| | - S Doering
- Department of Psychoanalysis and Psychotherapy, Medical University Vienna, Austria
- Comprehensive Center for Clinical Neurosciences and Mental Health, Medical University Vienna, Austria
| | - S Schmitz-Riol
- Faculty of Psychology, University of Vienna, Vienna, Austria
| | - J Herpertz
- Institute for Translational Psychiatry, University of Münster, Münster, Germany
| | - A Buchheim
- Department of Clinical Psychology II, Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - S Hörz-Sagstetter
- Psychologische Hochschule Berlin (PHB), Am Köllnischen Park 2, 10179, Berlin, Germany
| | - M Rentrop
- Clinic and Polyclinic for Psychiatry and Psychotherapy, Klinikum rechts der Isar, Munich, Germany
- Technical University of Munich, Munich, Germany
- kbo-Inn-Salzach Clinic, Wasserburg am Inn, Germany
| | - M Fischer-Kern
- Department of Psychoanalysis and Psychotherapy, Medical University Vienna, Austria
- Comprehensive Center for Clinical Neurosciences and Mental Health, Medical University Vienna, Austria
| | - P Buchheim
- Department of Psychosomatic Medicine and Psychotherapy, Technical University of Munich, Munich, Germany
| | - J Taylor
- Department of Astronomy and Astrophysics, University of Toronto, Toronto, Canada
| | - A Tmej
- Department of Psychoanalysis and Psychotherapy, Medical University Vienna, Austria
- Comprehensive Center for Clinical Neurosciences and Mental Health, Medical University Vienna, Austria
| | - K Weihs
- Department of Psychiatry, University of Arizona, Tucson, AZ, USA
| | - R D Lane
- Department of Psychiatry, University of Arizona, Tucson, AZ, USA
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Gomes SDS, Ferreira PDC, Pereira N, Simão AMV. A comparative analysis of adolescents' emotions and emotion regulation strategies when witnessing different cyberbullying scenarios. Heliyon 2024; 10:e29705. [PMID: 38698999 PMCID: PMC11064084 DOI: 10.1016/j.heliyon.2024.e29705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 04/07/2024] [Accepted: 04/14/2024] [Indexed: 05/05/2024] Open
Abstract
The search for greater popularity and acceptance by peers increases the use of social networks that may cause cyberbullying. The high number of adolescents who observe this phenomenon may help reduce the negative impact on the victims. Emotion regulation is an important predictor of adolescents' psychological adjustment and social competence to adopt a prosocial behavior. Bystanders of these incidents may misinterpret what they see, due to specific cyberbullying characteristics which may influence emotion regulation negatively. Studies about emotions and emotion regulations in bystanders are scarce. Therefore, this study aims to investigate the emotional reactions and emotional regulation strategies of bystanders while witnessing various cyberbullying scenarios (posting photographs, direct threats, offences to integrity, threats to share personal information), as well as to focus on different behavior, victim characteristics, aggressor traits, and spectator reactions. A convenience sample of 143 adolescents (from 12 to 17 years old) was used. Results showed that worry and sadness were the most expressed emotions in all scenarios (mainly for girls) and posting a photograph was considered more concerning for girls and boys both. To regulate emotions, participants used distraction (especially seven graders) and rumination strategies. Nonetheless, when posting a photo without permission, they all adopted prosocial behavior (boys and girls) because they considered it more serious. Seventh graders adopted less prosocial behavior than eighth graders. In short, girls were more prosocial than boys. Boys may have more difficulty in regulating emotions properly and it may contribute to not intervening. Also, younger adolescents may have experienced less emotional maturity. Therefore, developing programs based on socio-emotional skills, which increase awareness of the seriousness of cyberbullying, can teach youth how to deal with emotions in order to regulate them effectively, thus increasing emotional maturity.
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Affiliation(s)
| | | | - Nádia Pereira
- CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Portugal
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Kramer U, Timulak L. Introduction to the Special Section ‘Innovative counselling and psychotherapy research methods’: Defining the future of counselling and psychotherapy research. COUNSELLING & PSYCHOTHERAPY RESEARCH 2020. [DOI: 10.1002/capr.12317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Ueli Kramer
- Department of Psychiatry University of Lausanne Lausanne Switzerland
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