Borderline Kişilik Bozukluğu Özellikleri ile Duygusal Tepkisellik ve Pekiştireç Duyarlılık Sistemleri Arasındaki İlişkiler: Ağ ve Aracılık Analizi

Öz

Amaç: Bu çalışmanın amacı, borderline kişilik bozukluğu özellikleri ile duygusal tepkisellik ve pekiştireç duyarlılık sistemleri arasındaki ilişkileri çok boyutlu analizlerle incelemektir. Özellikle, davranışsal inhibisyon sistemi ve donma tepkisinin borderline kişilik bozukluğu özellikleri ile ilişkilerinde duygusal tepkisellik alt boyutlarının aracılık rollerinin değerlendirilmesi hedeflenmiştir. Yöntem: Araştırmaya, yaşları 18 ile 53 arasında değişen (ortalama = 22,51, standart sapma = 4,11), %80’i kadın (n = 481) ve %20’si erkek (n = 120) olmak üzere toplam 601 yetişkin birey katılmıştır. Katılımcılardan elde edilen veriler doğrultusunda, kişilik bozukluğu boyutları, pekiştireç duyarlılık sistemleri (davranışsal inhibisyon sistemi, davranışsal aktivasyon sistemi ve dövüş–kaç–don sistemi) ve duygusal tepkisellik alt boyutları arasındaki ilişkiler Pearson korelasyon temelli ve Gaussian kısmi korelasyon temelli ağ analizleri ile değerlendirilmiştir. Ağ analizinden elde edilen merkeziyet ölçütlerine dayanarak en etkili değişkenler belirlenmiş, ardından borderline kişilik bozukluğu özellikleri ile davranışsal inhibisyon sistemi ve donma tepkisi arasındaki ilişkilerde duygusal tepkisellik alt boyutlarının aracılık rolleri PROCESS Macro Model 4 ile test edilmiştir. Bulgular: Gaussian grafiksel model bulguları, borderline kişilik bozukluğu özelliklerinin ağ yapısı içerisinde merkezi bir konumda yer aldığını ve hem davranışsal inhibisyon sistemi hem de donma tepkisinin duygusal tepkisellik boyutlarıyla güçlü ilişkiler kurduğunu göstermiştir. Aracılık analizlerinde, negatif aktivasyon ve negatif yoğunluk alt boyutlarının, borderline kişilik bozukluğu özellikleri ile her iki motivasyonel sistem arasındaki ilişkide anlamlı düzeyde aracı role sahip olduğu tespit edilmiştir. Sonuç: Elde edilen bulgular, borderline kişilik bozukluğunun ortaya çıkış ve sürdürülme süreçlerinde pekiştireç duyarlılık sistemleri ile olumsuz duygusal tepkisellik arasındaki etkileşimin dikkate alınmasının kuramsal ve klinik açıdan önemli olduğunu ortaya koymaktadır.

Anahtar Kelimeler

• Borderline Kişilik Bozukluğu
• Duygusal Tepkisellik
• Pekiştireç Duyarlılık Sistemleri

Relationships Between Borderline Personality Disorder Traits and Emotional Reactivity and Reinforcement Sensitivity Systems: Network and Mediation Analysis

Öz

Objective: This study aimed to examine the relationships between borderline personality disorder and emotional reactivity and reinforcement sensitivity systems through multidimensional analyses. Specifically, it was aimed to evaluate the mediating roles of the emotional reactivity in the relationships between borderline personality disorder and behavioral inhibition system and also the freeze. Method: A total of 601 adults, 80% female (n = 481) and 20% male (n = 120), aged between 18 and 53 (M = 22.51, SD = 4.11), participated in the study. Based on the data obtained from the participants, the relationships among the personality disorder dimensions, reinforcement sensitivity systems (behavioral inhibition system, behavioral activation system, and fight-flight-freeze system), and emotional reactivity subdimensions were assessed using Pearson correlation-based and Gaussian partial correlation-based network analyses. Based on centrality measures obtained from the network analysis, the most influential variables were identified. Then, the mediating roles of the emotional reactivity subdimensions in the relationships between borderline personality disorder and the behavioral inhibition system and the freeze system were tested using PROCESS Macro Model 4. Results: Gaussian graphical model findings indicated that borderline personality disorder occupies a central position within the network structure and that both the behavioral inhibition system and the freeze system established strong relationships with the emotional reactivity dimensions. Mediation analyses revealed that the negative activation and negative intensity subdimensions had a significant mediating role in the relationship between borderline personality disorder traits and both motivational systems. Conclusion: The findings demonstrate the theoretical and clinical importance of considering the interaction between reinforcement sensitivity systems and negative emotional reactivity in the emergence and maintenance processes of borderline personality disorder.

Anahtar Kelimeler

• Borderline Personality Disorder
• Emotional Reactivity
• Reinforcement Sensitivity Systems

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