The effect of impulsivity, self-disgust and self-compassion in borderline features in adolescence: Study of sex differences
DOI:
https://doi.org/10.31211/rpics.2020.6.1.170Keywords:
Adolescence, Borderline features, Impulsivity, Self-compassion, Self-disgustAbstract
Background: Adolescence is a developmental stage with biological, psychological, and social changes that will influence the individual functioning in adulthood. Recently, research on borderline personality disorder (BPD) has been focusing on dysfunctional and inflexible features in early ages, since a personality disorder does not appear suddenly in adulthood. The developmental path should be better understood and explored. Objective: Accordingly, the current study aimed at analyzing the contribution of psychological processes, specifically impulsivity, self-disgust, and self-compassion, for understanding borderline features in adolescence. Methods: This study had a cross-sectional design and a sample of 440 adolescents from the general population (278 girls and 162 boys), with ages ranging between 14 and 17 years. In SPSS, we conducted Student’s t-tests, Pearson correlations, and linear regressions. Results: Girls presented higher levels of self-disgust and borderline features in comparison with boys and lower levels of self-compassion. Regression models to test the predictive value of impulsivity, self-disgust and self-compassion on borderline features were significant. The model explained 43% of borderline features for boys and 57% for girls. For girls, all variables (impulsivity, self-compassion, and self-disgust) presented a significant contribution, and for boys, only impulsivity and self-compassion were significant predictors. Conclusions: These results added evidence of important variables to understand better borderline features in adolescents and identified sex differences in these psychological mechanisms. This study has important implications for research, clinical practice, and prevention.
Downloads
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5ª ed.). American Psychiatric Association.
Aragonès, E., Salvador-Carulla, L., López-Muntaner, J., Ferrer, M., & Piñol, J. L. (2013). Registered prevalence of borderline personality disorder in primary care databases. Gaceta Sanitaria, 27(2), 171–174. https://doi.org/10.1016/j.gaceta.2011.12.006
Bluth, K., & Blanton, P. W. (2015). The influence of self-compassion on emotional well-being among early and older adolescent males and females. The Journal of Positive Psychology, 10(3), 219–230. https://doi.org/10.1080/17439760.2014.936967
Bluth, K., Campo, R. A., Futch, W. S., & Gaylord, S. A. (2017). Age and gender differences in the associations of self-compassion and emotional well-being in a large adolescent sample. Journal of Youth and Adolescence, 46(4), 840–853. https://doi.org/10.1007/s10964-016-0567-2
Bluth, K., Gaylord, S. A., Campo, R. A., Mullarkey, M. C., & Hobbs, L. (2016). Making friends with yourself: A mixed methods pilot study of a mindful self-compassion program for adolescents. Mindfulness, 7, 479–492. https://doi.org/10.1007/s12671-015-0476-6
Bradley, R., Conklin, C. Z., & Westen, D. (2005). The borderline personality diagnosis in adolescents: Gender differences and subtypes. Journal of Child Psychology and Psychiatry, 46(9), 1006–1019. https://doi.org/10.1111/j.1469-7610.2004.00401.x
Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002). Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder. Journal of Abnormal Psychology, 111(1), 198–202. https://doi.org/10.1037//0021-843x.111.1.198
Carreiras, D. (2014). The toxicity of the self: Developing a new measure and testing a comprehensive model of the nature of self-disgust [Tese de mestrado, Universidade de Coimbra]. Repositório Científico da Universidade de Coimbra. https://estudogeral.sib.uc.pt/handle/10316/27653
Carreiras, D., Loureiro, M., Sharp, C., Cunha, C., & Castilho, P. (2020). Validation of the Borderline Personality Features Scale for Children (BPFS-C) and for Parents (BPFS-P) for the Portuguese population [Manuscrito submetido para publicação]. Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra.
Carvalho, C. B., Nunes, C., Castilho, P., da Motta, C., Caldeira, S., & Pinto-Gouveia, J. (2015). Mapping non suicidal self-injury in adolescence: Development and confirmatory factor analysis of the impulse, self-harm and suicide ideation questionnaire for adolescents (ISSIQ-A). Psychiatry Research, 227(2–3), 238–245. https://doi.org/10.1016/j.psychres.2015.01.031
Chanen, A. M., Jovev, M., Djaja, D., McDougall, E., Yuen, H. P., Rawlings, D., & Jackson, H. J. (2008). Screening for borderline personality disorder in outpatient youth. Journal of Personality Disorders, 22(4), 353–364. https://doi.org/10.1521/pedi.2008.22.4.353
Chapman, A. L., Leung, D. W., & Lynch, T. R. (2008). Impulsivity and emotion dysregulation in borderline personality disorder. Journal of Personality Disorders, 22(2), 148–164. https://doi.org/10.1521/pedi.2008.22.2.148
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2ª ed.). Lawrence Erlbaum Associates.
Crick, N., Murray-Close, D., & Woods, K. (2005). Borderline personality features in childhood: A short-term longitudinal study. Development and Psychopathology, 17(4), 1051–1070. https://doi.org/10.1017/S0954579405050492
Cross, C. P., Copping, L. T., & Campbell, A. (2011). Sex differences in impulsivity: A meta-analysis. Psychological Bulletin, 137(1), 97–130. https://doi.org/10.1037/a0021591
Cunha, M. A., Xavier, A., & Castilho, P. (2016). Understanding self-compassion in adolescents: Validation study of the Self-Compassion Scale. Personality and Individual Diferences, 93, 56–62. https://doi.org/10.1016/j.paid.2015.09.023
Cunha, M., Martinho, M. I., Xavier, A., & Espírito-Santo, H. (2013). 1405 – Early memories of positive emotions and its relationships to attachment styles, self-compassion and psychopathology in adolescence Resumos do 21th European Congress of Psychiatry, 28(1). https://doi.org/10.1016/S0924-9338(13)76444-7
Dancey, C. P., & Reidy, J. (2017). Statistics without maths for psychology (7ª ed.). Pearson Education.
Ekman, P. (1992). An argument for basic emotions. Cognition and Emotion, 6(3–4), 169–200. https://doi.org/10.1080/02699939208411068
Fossati, A., Gratz, K. L., Maffei, C., & Borroni, S. (2014). Impulsivity dimensions, emotion dysregulation, and borderline personality disorder features among Italian nonclinical adolescents. Borderline Personality Disorder and Emotion Dysregulation, 1(1), Artigo 5. https://doi.org/10.1186/2051-6673-1-5
Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15(3), 199–208. https://doi.org/10.1192/apt.bp.107.005264
Guilherme, M. (2019). Amo ou odeio o meu eu? O impacto da autoaversão na adolescência [Tese de mestrado não publicada]. Universidade de Coimbra.
Guilherme, M., Carreiras, D., Cunha, M., & Castilho, P. (2020). Validation of the Multidimensional Self-Disgust Scale for adolescents (MSDS-A) [Manuscrito submetido para publicação]. Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra.
Guiomar, R. N. M. (2015). O impacto da auto-aversão na psicopatologia [Tese de mestrado, Universidade de Coimbra]. Repositório Científico da Universidade de Coimbra. https://estudogeral.sib.uc.pt/handle/10316/31912
Ille, R., Schöggl, H., Kapfhammer, H., Arendasy, M., Sommer, M., & Schienle, A. (2014). Self-disgust in mental disorders – Symptom-related or disorder-specific? Comprehensive Psychiatry, 55(4), 938–943. https://doi.org/10.1016/j.comppsych.2013.12.020
Johnson, J. G., Cohen, P., Kasen, S., Skodol, A. E., & Oldham, J. M. (2008). Cumulative prevalence of personality disorders between adolescence and adulthood. Acta Psychiatrica Scandinavica, 118(5), 410–413. https://doi.org/10.1111/j.1600-0447.2008.01231.x
Keng, S. L., & Wong, Y. Y. (2017). Association among self-compassion, childhood invalidation, and borderline personality disorder symptomatology in a Singaporean sample. Borderline Personality Disorder and Emotion Dysregulation, 4, Artigo 24. https://doi.org/10.1186/s40479-017-0075-3
Kline, R. (2005). Principles and practice of structural equation modelling (2ª ed.). The Guilford Press.
Krawitz, R. (2012). Behavioural treatment of severe chronic self-loathing in people with borderline personality disorder. Part 2: Self-compassion and other interventions. Australasian Psychiatry, 20(6), 501–506. https://doi.org/10.1177/1039856212459586
Krieger, T., Alteinstein, D., Baettig, I., Doerig, N., & Holtforth, M. G. (2013). Self-compassion in depression: Associations with depressive symptoms, rumination, and avoidance in depressed outpatients. Behavior Therapy, 44(3), 501–513. https://doi.org/10.1016/j.beth.2013.04.004
Leichsenring, F., Leibing, E., Kruse, J., New, A. S., & Leweke, F. (2011). Borderline personality disorder. Lancet, 377(9759), 74–84. https://doi.org/10.1016/S0140-6736(10)61422-5
Lewinsohn, P. M., Rohde, P., Seeley, J. R., & Klein, D. N. (1997). Axis II psychopathology as a function of Axis I disorders in childhood and adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 36(12), 1752–1759. https://doi.org/10.1097/00004583-199712000-00024
Loess, P. (2015). Self-compassion as a moderator of the relationship between emotion dysregulation and borderline personality. [Tese de mestrado, Universidade de Montana - Missoula]. Arquivo da Universidade de Montana. https://scholarworks.umt.edu/etd/4526
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-u
Marsh, I. C., Chan, S. W. Y., & MacBeth, A. (2018). Self-compassion and psychological distress in adolescents – A meta-analysis. Mindfulness, 9, 1011–1027. https://doi.org/10.1007/s12671-017-0850-7
Morey, L. C., Warner, M. B., & Boggs, C. D. (2002). Gender bias in the personality disorders criteria: An investigation of five bias indicators. Journal of Psychopathology and Behavioral Assessment, 24, 55–65. https://doi.org/10.1023/A:1014005308914
Neff, K. (2003). Self-compassion: An alternative conceptualization of a healthy attitude towards oneself. Self and Identity, 2(2), 85–101. https://doi.org/10.1080/15298860309032
Neff, K. D. (2016). The Self-Compassion Scale is a valid and theoretically coherent measure of self-compassion. Mindfulness, 7, 264–274. https://doi.org/10.1007/s12671-015-0479-3
Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the Mindful Self-Compassion Program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923
Neff, K. D., Rude, S. S., & Kirkpatrick, K. L. (2007). An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality, 41(4), 908–916. https://doi.org/10.1016/j.jrp.2006.08.002
Olatunji, B. O., David, B., & Ciesielski, B. G. (2012). Who am I to judge? Self-disgust predicts less punishment of severe transgressions. Emotion, 12(1), 169–173. https://doi.org/10.1037/a0024074
Overton, P. G., Markland, F. E., Taggart, H. S., Bagshaw, G. L., & Simpson, J. (2008). self-disgust mediates the relationship between dysfunctional cognitions and depressive symptomatology. Emotion, 8(3), 379–385. https://doi.org/10.1037/1528-3542.8.3.379
Pais-Ribeiro, J. L., Honrado, A., & Leal, I. (2004). Contribuição para o estudo da adaptação portuguesa da Escala de Ansiedade, Depressão e Stress (EADS) de 21 itens de Lovibond e Lovibond. Psicologia, Saúde e Doença, 5(2), 229–239. https://bit.ly/2AwXixR
Paris, J. (2009). Borderline personality disorder. In P. H. Blaney & T. Millon (Eds.) Oxford textbook of psychopathology (2ª ed., pp. 723–737). Oxford University Press.
Plener, P. L., Schumacher, T. S., Munz, L. M., & Groschwitz, R. C. (2015). The longitudinal course of non-suicidal self-injury and deliberate self-harm: a systematic review of the literature. Borderline Personality Disorder Emotional Dysregulation, 2. Artigo 2. https://doi.org/10.1186/s40479-014-0024-3
Powell, P. A., Simpson, J., & Overton, P. G. (2015). An introduction to the revolting self: Self-disgust as an emotion schema. In P. A. Powell, P. G. Overton, & J. Simpson (Eds.), The revolting self. Perspectives on the psychological, social, and clinical implications of self-directed disgust (pp. 1–24). Karnac Books.
Power, M. J., & Dalgleish, T. (2008). Cognition and emotion: From order to disorder (2ª ed.). Psychology Press.
Scheibner, H. J., Daniels, A., Guendelman, S., Utz, F., & Bermpohl, F. (2018). Self-compassion mediates the relationship between mindfulness and borderline personality disorder symptoms. Journal of Personality Disorders, 32(6), 838–856. https://doi.org/10.1521/pedi_2017_31_331
Schienle, A., Haas-Krammer, A., Schöggl, H., Kapfhammer, H.-P., & Ille, R. (2013). Altered state and trait disgust in borderline personality disorder. Journal of Nervous & Mental Disease, 201(2), 105–108. https://doi.org/10.1097/NMD.0b013e31827f64da
Sebastian, A., Jacob, G., Lieb, K., & Tüscher, O. (2013). Impulsivity in borderline personality disorder: A matter of disturbed impulse control or a facet of emotional dysregulation? Current Psychiatry Reports, 15. Artigo 339. https://doi.org/10.1007/s11920-012-0339-y
Sharp, C., & Bleiberg, E. (2007). Borderline personality disorder in children and adolescents. In A. Martin and F. R., Volkmar, & M. Lewis (Eds.), Lewis’s child and adolescent psychiatry: Comprehensive textbook (4ª ed., pp. 680–691). Lippincott Williams and Wilkins.
Sharp, C., Steinberg, L., Temple, L., & Newlin, E. (2014). An 11-item measure to assess borderline traits in adolescents: Refinement of the BPFSC using IRT. Personality Disorders: Theory, Research, and Treatment, 5(1), 70–78. https://doi.org/10.1037/per0000057
Swartz, M., Blazer, D., George, L., & Winfield, I. (1990). Estimating the Prevalence of borderline personality disorder in the community. Journal of Personality Disorders, 4(3), 257–272. https://doi.org/10.1521/pedi.1990.4.3.257
Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K., & Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: Gender, prevalence, and comorbidity with substance dependence disorders. Journal of Personality Disorders, 24(4), 412–426. https://doi.org/10.1521/pedi.2010.24.4.412
Warren, R. (2015). Commentary on emotional processing in a ten-session general psychiatric treatment for borderline personality disorder: A case study. Personality and Mental Health, 9(1), 84–86. https://doi.org/10.1002/pmh.1290
Xavier, A., Pinto-Gouveia, J., & Cunha, M. (2016). The protective role of self-compassion on risk factors for non-suicidal self-injury in adolescence. School Mental Health, 8, 476–485. https://doi.org/10.1007/s12310-016-9197-9
Yarnell, L. M., Stafford, R. E., Neff, K. D., Reilly, E. D., Knox, M. C., & Mullarkey, M. (2015). Meta-analysis of gender differences in self-compassion. Self and Identity, 14(5), 499–520. https://doi.org/10.1080/15298868.2015.1029966
Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2006). Prediction of the 10-year course of borderline personality disorder. American Journal of Psychiatry, 163(5), 827–832. https://doi.org/10.1176/ajp.2006.163.5.827
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Diogo Carreiras, Paula Castilho, Marina Cunha (Autor)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The authors retain the copyright and grant the journal right of first publication with the work simultaneously licensed under the Creative Commons Attribution-NonCommercial 4.0 International License that allows the sharing of work and recognition of authorship and initial publication in this journal.
Funding data
-
Fundação para a Ciência e a Tecnologia
Grant numbers SFRH/BD/129985/2017