Scientific Papers

Increases in negative affective arousal precede lower self-esteem in patients with borderline personality disorder but not in patients with depressive disorders: an experience sampling approach | Borderline Personality Disorder and Emotion Dysregulation


  • Abela JRZ, Payne AVL, Moussaly N. Cognitive vulnerability to depression in individuals with borderline personality disorder. J Pers Disord. 2003;17(4):319–29. https://doi.org/10.1521/pedi.17.4.319.23968.

    Article 
    PubMed 

    Google Scholar
     

  • Allen JG, Fonagy P, Bateman AW. Mentalizing in clinical practice. Washington, DC: American Psychiatric Publishing; 2008.

  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5-TR (5. ed., text revision). Washington, DC: American Psychiatric Publishing; 2022.

  • Asparouhov T, Hamaker EL, Muthén B. Dynamic structural equation models. Struct Equ Modeling. 2018;25(3):359–88. https://doi.org/10.1080/10705511.2017.1406803.

    Article 

    Google Scholar
     

  • Aspharouhov & Muthén. Bayesian Analysis Using Mplus: Technical Implementation. 2010. Available at https://www.statmodel.com/download/Bayes3.pdf.

  • Beck AT, Steer RA, Brown GK. Beck depression inventory revised (BDI-II). New York: Pearson; 1996.

  • Bohus M, Limberger MF, Frank U, Chapman AL, Kühler T, Stieglitz R-D. Psychometric properties of the Borderline Symptom List (BSL). Psychopathology. 2007;40(2):126–32. https://doi.org/10.1159/000098493.

    Article 
    PubMed 

    Google Scholar
     

  • Bringmann LF, Elmer T, Eronen MI. Back to basics: the importance of conceptual clarification in psychological science. Curr Dir Psychol Sci. 2022;31(4):340–6. https://doi.org/10.1177/09637214221096485.

    Article 

    Google Scholar
     

  • Brose A, Schmiedek F, Gerstorf D, Voelkle MC. The measurement of within-person affect variation. Emotion. 2020;20(4):677–99. https://doi.org/10.1037/emo0000583.

    Article 
    PubMed 

    Google Scholar
     

  • De Raedt R, Schacht R, Franck E, De Houwer J. Self-esteem and depression revisited: Implicit positive self-esteem in depressed patients? Behav Res Ther. 2006;44(7):1017–28. https://doi.org/10.1016/j.brat.2005.08.003.

  • Derogatis LR, Lipman RS, Covi L. SCL-90: an outpatient psychiatric rating scale, preliminary report. Psychopharmacol Bull. 1973;9:13–28.

    CAS 
    PubMed 

    Google Scholar
     

  • Dejonckheere E, Mestdagh M, Houben M, Rutten I, Sels L, Kuppens P, Tuerlinckx F. Complex affect dynamics add limited information to the prediction of psychological wellbeing. Nat Hum Behav. 2019;3:478–91.

    Article 
    PubMed 

    Google Scholar
     

  • Dixon-Gordon KL, Haliczer LA, Conkey LC. Emotion dysregulation and borderline personality disorder. In: Beauchaine TP, Crowell SE, editors. The Oxford handbook of emotion dysregulation. Oxford University Press; 2020. pp. 360–376. https://doi.org/10.1093/oxfordhb/9780190689285.013.26.

  • Daros AR, Williams GE. A meta-analysis and systematic review of emotion-regulation strategies in borderline personality disorder. Harv Rev Psychiatry. 2019;27(4):217–32. https://doi.org/10.1097/hrp.0000000000000212.

    Article 
    PubMed 

    Google Scholar
     

  • Ebner-Priemer UW, Sawitzki G. Ambulatory assessment of affective instability in borderline personality disorder: the effect of the sampling frequency. Eur J Psychol Assess. 2007;23(4):238–47. https://doi.org/10.1027/1015-5759.23.4.238.

    Article 

    Google Scholar
     

  • Ebner-Priemer UW, Houben M, Santangelo P, Kleindienst N, Tuerlinckx F, Oravecz Z, Verleysen G, Van Deun K, Bohus M, Kuppens P. Unraveling affective dysregulation in borderline personality disorder: a theoretical model and empirical evidence. J Abnorm Psychol. 2015;124(1):186–98. https://doi.org/10.1037/abn0000021.

    Article 
    PubMed 

    Google Scholar
     

  • Eid M, Courvoisier DS, Bolger N. Structural equation modeling of ambulatory assessment data. In: Mehl MR, Conner TS, Csikszentmihalyi M, editors. Handbook of research methods for studying daily life. New York: The Guilford Press; 2014. pp. 384–406.

  • Eid M, Diener E. Intraindividual variability in affect: reliability, validity, and personality correlates. J Pers Soc Psychol. 1999;76(4):662–76. https://doi.org/10.1037/0022-3514.76.4.662.

    Article 

    Google Scholar
     

  • Feliu-Soler A, Pascual JC, Elices M, Martín-Blanco A, Carmona C, Cebolla A, Simón V, Soler J. Fostering self-compassion and loving-kindness in patients with borderline personality disorder: a randomized pilot study. Clin Psychol Psychother. 2016;24(1):278–86. https://doi.org/10.1002/cpp.2000.

    Article 
    PubMed 

    Google Scholar
     

  • First MB, Spitzer RL, Gibbon M, Williams JBW. Structured clinical interview for DSM-IV axis I disorders, clinician version (SCID-CV). Washington, DC: American Psychiatric Press; 1996.

  • Fonagy P, Luyten P. A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder. Dev Psychopathol. 2009;21(4):1355–81. https://doi.org/10.1017/S0954579409990198.

    Article 
    PubMed 

    Google Scholar
     

  • Franke GH. SCL-90-R: Symptom Checkliste von L. R. Derogatis (Deutsche Version) [SCL-90-R: L. R. Derogatis’ symptom checklist (German version)]. Belz Test. 2000.

  • Fuchs T. Fragmented selves: temporality and identity in borderline personality disorder. Psychopathology. 2007;40(6):379–87. https://doi.org/10.1159/000106468.

    Article 
    PubMed 

    Google Scholar
     

  • Galanakis M, Palaiologou A, Patsi G, Velegraki I, Darviri C. A literature review on the connection between stress and self-esteem. Psychology. 2016;7:687–94. https://doi.org/10.4236/psych.2016.75071.

    Article 

    Google Scholar
     

  • Geldhof GJ, Preacher KJ, Zyphur MJ. Reliability estimation in a multilevel confirmatory factor analysis framework. Psychol Methods. 2014;19(1):72–91. https://doi.org/10.1037/a0032138.

    Article 
    PubMed 

    Google Scholar
     

  • Greenier KD, Kernis MH, McNamara CW, Waschull SB, Berry AJ, Herlocker CE, Abend TA. Individual differences in reactivity to daily events: examining the roles of stability and level of self-esteem. J Pers. 1999;67:187–208. https://doi.org/10.1111/1467-6494.00052.

    Article 

    Google Scholar
     

  • Hamaker EL, Asparouhov T, Brose A, Schmiedek F, Muthén B. At the frontiers of modeling intensive longitudinal data: dynamic structural equation models for the affective measurements from the COGITO study. Multivar Behav Res. 2018;53(6):820–41. https://doi.org/10.1080/00273171.2018.1446819.

    Article 
    CAS 

    Google Scholar
     

  • Harpøth TSD, Hepp J, Trull TJ, Bateman AW, Kongerslev MT, Simonsen E. Positive affect is associated with decreased symptom severity in the daily lives of individuals with borderline personality disorder. J Pers Disord. 2019;35(3):355–72. https://doi.org/10.1521/pedi_2019_33_453.

    Article 

    Google Scholar
     

  • Heekerens JB, Schulze L, Enge J, Renneberg B, Roepke S. The temporal relation of arousal and perceived rejection in patients with borderline personality disorder and depressive disorders: an experience sampling approach. Personal Disord. 2022. Advance online publication. https://doi.org/10.1037/per0000546.

  • Heekerens JB, Schulze L, Enge J, Renneberg B, Roepke S. Affective arousal temporally precedes dissociation in patients with borderline personality disorder: A preliminary experience sampling study. Psychological Trauma: Theory, Research, Practice, and Policy. Advance online publication. 2023. https://doi.org/10.1037/tra0001516.

  • Hautzinger M, Keller F, Kühner C. Beck-Depressions-Inventar Revision (BDI-II). New York: Pearson; 2009.

  • Heimpel SA, Wood JV, Marshall MA, Brown JD. Do people with low self-esteem really want to feel better? Self-esteem differences in motivation to repair negative moods. J Pers Soc Psychol. 2002;82(1):128–47. https://doi.org/10.1037/0022-3514.82.1.128.

    Article 
    PubMed 

    Google Scholar
     

  • Jongerling J, Laurenceau J-P, Hamaker EL. A multilevel AR(1) model: allowing for inter-individual differences in trait-scores, inertia, and innovation variance. Multivar Behav Res. 2015;50(3):334–49. https://doi.org/10.1080/00273171.2014.1003772.

    Article 

    Google Scholar
     

  • Kaufman EA, Crowell SE. Biological and behavioral mechanisms of identity pathology development: an integrative review. Rev Gen Psychol. 2018;22(3):245–63. https://doi.org/10.1037/gpr0000138.

    Article 

    Google Scholar
     

  • Kaufman EA, Meddaoui B. Identity pathology and borderline personality disorder: an empirical overview. Curr Opin Psychol. 2021;37:82–8. https://doi.org/10.1016/j.copsyc.2020.08.015.

    Article 
    PubMed 

    Google Scholar
     

  • Kelley K. Methods for the behavioral, educational, and social sciences: an R package. Behav Res Methods. 2007;39(4):979–84. https://doi.org/10.3758/BF03192993.

    Article 
    PubMed 

    Google Scholar
     

  • Kelley K, Pornprasertmanit S. Confidence intervals for population reliability coefficients: Evaluation of methods, recommendations, and software for composite measures. Psychol Methods. 2016;21(1):69–92. https://doi.org/10.1037/a0040086.

  • Kernberg O. Borderline conditions and pathological narcissism. Lanham, Maryland: Jason Aronson; 1975.

  • Kernis MH, Whisenhunt CR, Waschull SB, Greenier AJ, Berry C. Multiple facets of self-esteem and their relations to depressive symptoms. Pers Soc Psychol Bull. 1998;24(6):657–68. https://doi.org/10.1177/0146167298246009.

    Article 

    Google Scholar
     

  • Kuppens P, Van Mechelen I, Nezlek JB, Dossche D, Timmermans T. Individual differences in core affect variability and their relationship to personality and psychological adjustment. Emotion. 2007;7(2):262–74. https://doi.org/10.1037/1528-3542.7.2.262.

    Article 
    PubMed 

    Google Scholar
     

  • Kockler TD, Santangelo PS, Limberger MF, Bohus M, Ebner-Priemer UW. Specific or transdiagnostic: the occurrence of emotions and their association with arousal in the daily life of patients with borderline personality disorder compared to clinical and healthy controls. Psychiatry Res. 2020;284:112–92. https://doi.org/10.1016/j.psychres.2019.112692.

    Article 

    Google Scholar
     

  • Kockler TD, Santangelo PS, Eid M, Kuehner C, Bohus M, Schmaedeke S, Ebner-Priemer UW. Self-esteem instability might be more characteristic of borderline personality disorder than affective instability: findings from an e-diary study with clinical and healthy controls. J Psychopathol Clin Sci. 2022;131(3):301–13. https://doi.org/10.1037/abn0000731.

    Article 
    PubMed 

    Google Scholar
     

  • Lai MH. Composite reliability of multilevel data: It’s about observed scores and construct meanings. Psychol Methods. 2021;26(1):90–102. https://doi.org/10.1037/met0000287.

    Article 
    PubMed 

    Google Scholar
     

  • Linehan M. Cognitive-behavioral treatment of borderline personality disorder. Diagnosis and treatment of mental disorders. New York: Guilford Press; 1993.

  • Linehan MM. DBT training manual (2nd ed.). New York: Guilford Press; 2014.

  • Lynch TR, Chapman AL, Rosenthal MZ, Kuo JR, Linehan MM. Mechanisms of change in dialectical behavior therapy: theoretical and empirical observations. J Clin Psychol. 2006;62(4):459–80. https://doi.org/10.1002/jclp.20243. PMID: 16470714.

    Article 
    PubMed 

    Google Scholar
     

  • Luyckx K, Schwartz SJ, Berzonsky MD, Soenens B, Vansteenkiste M, Smits I, Goossens L. Capturing ruminative exploration: extending the four-dimensional model of identity formation in late adolescence. J Res Pers. 2008;42(1):58–82. https://doi.org/10.1016/j.jrp.2007.04.004.

    Article 

    Google Scholar
     

  • Marcia JE. Development and validation of ego-identity status. J Pers Soc Psychol. 1966;3(5):551–8. https://doi.org/10.1037/h0023281.

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • McDonald RP. Test theory: a unified treatment. Mahwah: Erlbaum; 1999.


    Google Scholar
     

  • Mneimne M, Fleeson W, Arnold EM, Furr RM. Differentiating the everyday emotion dynamics of borderline personality disorder from major depressive disorder and bipolar disorder. Personal Disord Theory Res Treat. 2018;9(2):192–6. https://doi.org/10.1037/per0000255.

    Article 

    Google Scholar
     

  • Muthén B, Asparouhov T. Bayesian structural equation modeling: a more flexible representation of substantive theory. Psychol Methods. 2012;17(3):313–35. https://doi.org/10.1037/a0026802.

    Article 
    PubMed 

    Google Scholar
     

  • Muthén LK, Muthén B. Mplus user’s guide: eighth edition. Los Angeles: Muthén & Muthén; 1998–2022.

  • Neacsiu AD, Eberle JW, Kramer R, Wiesmann T, Linehan M. Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: a pilot randomized controlled trial. Behav Res Ther. 2014;59:40–51. https://doi.org/10.1016/j.brat.2014.05.005.

    Article 
    PubMed 

    Google Scholar
     

  • Neff KD. Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self Identity. 2003;2(2):85–101. https://doi.org/10.1080/15298860309032.

    Article 

    Google Scholar
     

  • Nezlek JB, Kuppens P. Regulating positive and negative emotions in daily life. J Personal. 2008;76(3):561–79. https://doi.org/10.1111/j.1467-6494.2008.00496.x.

  • Orth U, Robins RW. Understanding the link between low self-esteem and depression. Curr Dir Psychol Sci. 2013;22:455–60. https://doi.org/10.1177/0963721413492763.

    Article 

    Google Scholar
     

  • Pollock PH, Broadbent M, Clarke S, Dorrian A, Ryle A. The Personality Structure Questionnaire (PSQ): a measure of the multiple self states model of identity disturbance in cognitive analytic therapy. Clin Psychol Psychother. 2001;8(1):59–72. https://doi.org/10.1002/cpp.250.

    Article 

    Google Scholar
     

  • Pyszczynski T, Greenberg J, Solomon S, Arndt J, Schimel J. Why do people need self-esteem? A theoretical and empirical review. Psychol Bull. 2004;130(3):435–68. https://doi.org/10.1037/0033-2909.130.3.435.

    Article 
    PubMed 

    Google Scholar
     

  • R Core Team. R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing; 2022. https://www.R-project.org/.

  • Renneberg B, Herm K, Hahn A, Staebler K, Lammers C-H, Roepke S. Perception of social participation in borderline personality disorder. Clin Psychol Psychother. 2012;19(6):473–80. https://doi.org/10.1002/cpp.772.

    Article 
    PubMed 

    Google Scholar
     

  • Renneberg B, Schmidt-Rathjens C, Hippin R, Backenstrass M, Fydrich T. Cognitive characteristics of patients with borderline personality disorder: development and validation of a self-report inventory. J Behav Ther Exp Psychiatry. 2005;36(3):173–82. https://doi.org/10.1016/j.jbtep.2005.05.001.

    Article 
    PubMed 

    Google Scholar
     

  • Renneberg B, Seehausen A. Fragebogen zu Gedanken und Gefühlen (FGG). Z Klin Psychol Psychother. 2010;39(3):170–8. https://doi.org/10.1026/1616-3443/a000031.

    Article 

    Google Scholar
     

  • Roche MJ, Jacobson NC, Pincus AL. Using repeated daily assessments to uncover oscillating patterns and temporally-dynamic triggers in structures of psychopathology: applications to the DSM–5 alternative model of personality disorders. J Abnorm Psychol. 2016;125(8):1090–102. https://doi.org/10.1037/abn0000177.

    Article 
    PubMed 

    Google Scholar
     

  • Roepke S, Schröder-Abé M, Schütz A, Jacob G, Dams A, Vater A, Rüter A, Merkl A, Heuser I, Lammers CH. Dialectic behavioural therapy has an impact on self-concept clarity and facets of self-esteem in women with borderline personality disorder. Clin Psychol Psychother. 2011;18(2):148–58. https://doi.org/10.1002/cpp.684.

    Article 
    PubMed 

    Google Scholar
     

  • Rosenberg M. Society and the adolescent self-image. Princeton: Princeton University Press; 1965.

  • Santangelo PS, Bohus M, Ebner-Priemer UW. Ecological momentary assessment in borderline personality disorder: a review of recent findings and methodological challenges. J Pers Disord. 2014;28(4):555–76. https://doi.org/10.1521/pedi_2012_26_067.

    Article 
    PubMed 

    Google Scholar
     

  • Santangelo PS, Holtmann J, Hosoya G, Bohus M, Kockler TD, Koudela-Hamila S, Eid M, Ebner-Priemer UW. Within- and between-persons effects of self-esteem and affective state as antecedents and consequences of dysfunctional behaviors in the everyday lives of patients with borderline personality disorder. Clin Psychol Sci. 2020;8(3):428–49. https://doi.org/10.1177/2167702620901724.

    Article 

    Google Scholar
     

  • Santangelo PS, Kockler TD, Zeitler ML, Knies R, Kleindienst N, Bohus M, Ebner-Priemer UW. Self-esteem instability and affective instability in everyday life after remission from borderline personality disorder. Borderline Personal Disord Emot Dysregul. 2020;7(1):25. https://doi.org/10.1186/s40479-020-00140-8.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Santangelo P, Reinhard I, Mussgay L, Steil R, Sawitzki G, Klein C, Trull TJ, Bohus M, Ebner-Priemer UW. Specificity of affective instability in patients with borderline personality disorder compared to posttraumatic stress disorder, bulimia nervosa, and healthy controls. J Abnorm Psychol. 2014;123(1):258–72. https://doi.org/10.1037/a0035619.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Santangelo PS, Reinhard I, Koudela-Hamila S, Bohus M, Holtmann J, Eid M, Ebner-Priemer UW. The temporal interplay of self-esteem instability and affective instability in borderline personality disorder patients’ everyday lives. J Abnorm Psychol. 2017;126(8):1057–65. https://doi.org/10.1037/abn0000288.

    Article 
    PubMed 

    Google Scholar
     

  • Schuurman NK, Hamaker EL. Measurement error and person-specific reliability in multilevel autoregressive modeling. Psychol Methods. 2019;24(1):70–91. https://doi.org/10.1037/met0000188.

    Article 
    PubMed 

    Google Scholar
     

  • Schwartz SJ, Zamboanga BL, Weisskirch RS, Rodriguez L. The relationships of personal and ethnic identity exploration to indices of adaptive and maladaptive psychosocial functioning. Int J Behav Dev. 2009;33(2):131–44. https://doi.org/10.1177/0165025408098018.

    Article 

    Google Scholar
     

  • Selby EA, Anestis MD, Bender TW, Joiner TE. An exploration of the emotional cascade model in borderline personality disorder. J Abnorm Psychol. 2009;118(2):375–87. https://doi.org/10.1037/a0015711.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Shafir R, Schwartz N, Blechert J, Sheppes G. Emotional intensity influences pre-implementation and implementation of distraction and reappraisal. Soc Cogn Affect Neurosci. 2015;10(10):1329–37.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Song J, Howe E, Oltmanns JR, Fisher AJ. Examining the concurrent and predictive validity of single items in ecological momentary assessments. 2022. Preprint available at https://psyarxiv.com/p2fqu.

  • Sowislo JF, Orth U. Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychol Bull. 2013;139:213-40. https://doi.org/10.1037/a0028931.

  • Sowislo JF, Orth U, Meier LL. What constitutes vulnerable self-esteem? Comparing the prospective effects of low, unstable, and contingent self-esteem on depressive symptoms. J Abnorm Psychol. 2014;123:737–53. https://doi.org/10.1037/a0037770.

    Article 
    PubMed 

    Google Scholar
     

  • Tolpin LH, Cimbolic Gunthert K, Cohen LH, O’Neill SC. Borderline personality features and instability of daily negative affect and self-esteem. J Pers. 2014;72:111–38. https://doi.org/10.1111/j.0022-3506.2004.00258.x.

  • Trull TJ, Solhan MB, Tragesser SL, Jahng S, Wood PK, Piasecki TM, Watson D. Affective instability: Measuring a core feature of borderline personality disorder with ecological momentary assessment. J Abnorm Psychol. 2008;117(3)647–61. https://doi.org/10.1037/a0012532.

  • Trull TJ, Ebner-Priemer UW. Ambulatory assessment in psychopathology research: a review of recommended reporting guidelines and current practices. J Abnorm Psychol. 2020;129(1):56–63. https://doi.org/10.1037/abn0000473.

    Article 
    PubMed 

    Google Scholar
     

  • Winter D, Bohus M, Lis S. Understanding negative self-evaluations in borderline personality disorder: a review of self-related cognitions, emotions, and motives. Curr Psychiatry Rep. 2017;19(3):1–17. https://doi.org/10.1007/s11920-017-0771-0.

    Article 

    Google Scholar
     

  • Wittchen H‑U, Zaudig M, Fydrich T. Strukturiertes Klinisches Interview für DSM-IV: Achse I und II [Structured clinical interview for DSM-IV: Axis I and II]. Göttingen: Hogrefe; 1997.

  • Wilkinson-Ryan T, Westen D. Identity disturbance in borderline personality disorder: an empirical investigation. Am J Psychiatry. 2000;157(4):528–41. https://doi.org/10.1176/appi.ajp.157.4.528.

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • World Health Organization. International statistical classification of diseases and related health problems. 11th edn. 2019. https://icd.who.int/.

  • Zeigler-Hill V, Abraham J. Borderline personality features: instability of self-esteem and affect. J Soc Clin Psychol. 2006;25(6):668–87. https://doi.org/10.1111/j.1467-6494.2005.00371.x.

    Article 

    Google Scholar
     

  • Zetschke U, Bürkner PC, Bohländer J, Renneberg B, Roepke S, Schulze L. Daily affect regulation in borderline personality disorder and major depression. 2021. Preprint available at https://psyarxiv.com/6edcj/.



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