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Original Articles

Getting Specific about Emotion and Self-Inflicted Injury: An Examination Across Emotion Processes in Borderline Personality Disorder

Pages 102-123 | Received 29 May 2018, Accepted 20 Feb 2019, Published online: 27 Apr 2019
 

Abstract

This study aimed to examine which specific emotion processes influence self-inflicted injury: basal respiratory sinus arrhythmia, baseline negative emotional intensity, emotional reactivity, or emotion regulation deficits. Self-injuring individuals with borderline personality disorder (N = 22) reported their lifetime self-injury frequency. Basal respiratory sinus arrhythmia and baseline skin conductance responses measurements were collected. Participants then either reacted as they usually would (i.e., emotional reactivity), or utilized mindfulness- or distraction-based strategies (i.e., emotion regulation), in response to negative images while self-reported negative emotion and skin conductance were monitored. Higher basal respiratory sinus arrhythmia and baseline emotional intensity predicted higher lifetime self-injury frequency. Chronic, resting emotion processes may be more important targets for reducing self-injury compared to labile, acute emotion processes.

Additional information

Funding

This work was supported by the Ontario Mental Health Foundation under NCT01193205.

Notes on contributors

Skye Fitzpatrick

Skye Fitzpatrick, Center of Alcohol Studies, Graduate School of Applied and Professional Psychology, Rutgers University, 607 Allison Road, Piscataway Township, NJ, 08854, USA.

Richard Zeifman

Richard Zeifman, Department of Psychology, Ryerson University, 350 Victoria St, Toronto, M5B 2K3, Canada.

Lillian Krantz

Lillian Krantz, Department of Psychology, Ryerson University, 350 Victoria St, Toronto, M5B 2K3, Canada.

Shelley McMain

Shelley McMain, Borderline Personality Disorder Clinic, Centre for Addiction and Mental Health (CAMH) and the Department of Psychiatry, University of Toronto, 60 White Squirrel Way, Room 317, Toronto, M6J1H4, Canada.

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