Don't Make Me Angry: Frustration-Induced Anger and Its Link to Aggression in Women With Borderline Personality Disorder.

anger emotion regulation interpersonal dysfunction negative affect reactive aggression

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2021
Historique:
received: 14 04 2021
accepted: 03 05 2021
entrez: 14 6 2021
pubmed: 15 6 2021
medline: 15 6 2021
Statut: epublish

Résumé

Aggression is a prominent interpersonal dysfunction of individuals with borderline personality disorder (BPD). In BPD aggression is predominantly reactive in nature, often triggered by frustration, provocation, or social threat and is associated with intense anger and an inability to regulate this strong, negative emotion. Building on previous research, we were interested in investigating negative emotionality in general and anger in particular in women with BPD before and after frustration induction. To achieve this, 60 medication-free women with BPD and 32 healthy women rated the intensity of negative emotions (angry, frustrated, upset, embarrassed, nervous) before and after performing a Titrated Mirror Tracing Task, which reliably induces frustration and distress. As expected, women with BPD reported significantly greater intensity of negative emotions before and after frustration than healthy women. Specifically, they showed a significantly stronger frustration-induced increase in anger, while other negative emotions remained unaffected by frustration induction. This anger increase was significantly related to aggressive behavior reported in the 2 weeks prior to the experiment, as well as to the level of frustration experienced in the experiment itself, but not with emotion dysregulation. The current data confirm the important role of frustration-induced anger independent of emotion dysregulation in BPD, in particular with regard to aggression, a prominent interpersonal dysfunction of this disorder. These findings underline the importance of interventions with particular focus on anger.

Identifiants

pubmed: 34122197
doi: 10.3389/fpsyt.2021.695062
pmc: PMC8195331
doi:

Types de publication

Journal Article

Langues

eng

Pagination

695062

Informations de copyright

Copyright © 2021 Bertsch, Back, Flechsenhar, Neukel, Krauch, Spieß, Panizza and Herpertz.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Clin Psychol Psychother. 2018 Mar;25(2):188-194
pubmed: 29024226
Nat Rev Dis Primers. 2018 May 24;4:18029
pubmed: 29795363
J Pers Soc Psychol. 1988 Jun;54(6):1063-70
pubmed: 3397865
Curr Psychiatry Rep. 2013 Jan;15(1):335
pubmed: 23250816
Personal Disord. 2014 Jul;5(3):278-88
pubmed: 24635753
J Pers Disord. 2012 Jun;26(3):452-67
pubmed: 22686232
J Pers Disord. 2007 Oct;21(5):518-35
pubmed: 17953504
Aggress Behav. 2018 May;44(3):246-256
pubmed: 29368395
Compr Psychiatry. 2011 Nov-Dec;52(6):744-53
pubmed: 21257162
Personal Disord. 2015 Jul;6(3):278-91
pubmed: 26191822
Psychiatry Res. 2007 Apr 15;150(3):265-75
pubmed: 17321599
BJPsych Open. 2020 Dec 14;7(1):e17
pubmed: 33308363
J Pers Disord. 2009 Dec;23(6):541-54
pubmed: 20001173
Arch Gen Psychiatry. 1994 Mar;51(3):215-24
pubmed: 8122958
Psychopathology. 2018;51(2):76-82
pubmed: 29539627
Borderline Personal Disord Emot Dysregul. 2015 Apr 09;2:7
pubmed: 26401309
Psychiatry Res. 2020 Feb;284:112692
pubmed: 31784065
Psychiatry Res. 2017 Mar;249:321-326
pubmed: 28152466
J Behav Ther Exp Psychiatry. 2008 Sep;39(3):391-402
pubmed: 18171575
J Nerv Ment Dis. 1991 Mar;179(3):157-61
pubmed: 1997664
J Neuropsychiatry Clin Neurosci. 1991 Spring;3(2):S44-51
pubmed: 1821222
J Psychiatry Neurosci. 2016 Jan;41(1):16-26
pubmed: 26269211
Psychiatry Res. 2018 Jan;259:323-329
pubmed: 29101874
Biol Psychiatry. 2017 Aug 15;82(4):257-266
pubmed: 28388995
Borderline Personal Disord Emot Dysregul. 2014 Sep 09;1:12
pubmed: 26401296
Psychiatry Res. 2002 Oct 10;112(2):153-9
pubmed: 12429361
Nervenarzt. 2004 Sep;75(9):888-95
pubmed: 15378249
Aggress Behav. 2012 Jul-Aug;38(4):322-33
pubmed: 25363699
J Psychiatr Res. 2008 Jul;42(9):717-26
pubmed: 17868698
Annu Rev Psychol. 2002;53:27-51
pubmed: 11752478
J Pers Disord. 2017 Apr;31(2):256-272
pubmed: 27064852
J Pers Disord. 2017 Oct;31(5):647-670
pubmed: 28072041
Psychol Med. 2013 Sep;43(9):1953-63
pubmed: 23149223
Personal Ment Health. 2015 Nov;9(4):277-87
pubmed: 26337923

Auteurs

Katja Bertsch (K)

Department of Psychology, Ludwig-Maximilians-University Munich, Munich, Germany.
Department of General Psychiatry, Medical Faculty, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany.

Sarah Back (S)

Department of Psychology, Ludwig-Maximilians-University Munich, Munich, Germany.

Aleya Flechsenhar (A)

Department of Psychology, Ludwig-Maximilians-University Munich, Munich, Germany.

Corinne Neukel (C)

Department of General Psychiatry, Medical Faculty, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany.

Marlene Krauch (M)

Department of General Psychiatry, Medical Faculty, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany.

Karen Spieß (K)

Department of General Psychiatry, Medical Faculty, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany.

Angelika Panizza (A)

Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany.

Sabine C Herpertz (SC)

Department of General Psychiatry, Medical Faculty, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany.

Classifications MeSH