Emotional Responsiveness in Borderline Personality Disorder (original) (raw)
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Borderline Personality Disorder and Emotion Dysregulation
Background: Many experimental studies have evaluated Linehan's biological emotional vulnerability in Borderline Personality Disorder (BPD). However, some inconsistencies were observed in operationalizing and supporting its components. This study aims at clarifying which aspects of Linehan's model are altered in BPD, considering a multimodal evaluation of processes concerned with emotional responsiveness (self-report, psychophysiology and eye-tracking). Methods: Forty-eight socio-emotional pictures were administered to 28 participants (14 BPD, 14 Healthy Controls, HCs), gender-and age-matched, by employing two different lengths of stimuli exposure (5 s and 15 s). Results: Our results supported the hypersensitivity hypothesis in terms of faster physiological responses and altered visual processing. Furthermore, hypersensitivity was associated with detailed socio-emotional contents. Hyperreactivity assumption was not experimentally sustained by physiological and self-report data. Ultimately, the slow return to emotional baseline was demonstrated as an impaired emotional modulation. Conclusions: Our data alternatively supported the hypersensitivity and the slow return to emotional baseline hypotheses, postulated by Linehan's Biosocial model, rather than the hyperreactivity assumption. Results have been discussed in light of other BPD core psychopathological processes.
Journal of Personality Disorders
Emotional hyperreactivity (Linehan, 1993) is the most investigated construct in borderline personality disorder (BPD). However, experimental studies revealed mixed results on the topic. Our main objective is to comprehensively summarize the results on emotional reactivity in BPD compared to healthy controls (HCs), using a meta-analytic approach, considering different emotional response systems (physiology, behavior, selfreport). We included 31 experimental studies (1,675 subjects). We observed null to small effect sizes for several physiological and behavioral outcomes. Conversely, BPD subjects revealed a moderate to large difference in valence attributed to emotional stimuli and a small difference in self-reported arousal. Significant differences in pooled effect sizes were found between self-report and physiological outcomes. Several sources of heterogeneity were explored. In general, the hyperreactivity hypothesis was not supported. Additional dysfunctional processes should be taken into consideration to understand BPD emotional responsiveness.
Journal of natural sciences, 2021
Borderline personality disorder (BPD) is a mental disorder characterized by emotional dysregulation, impulsivity, and interpersonal problems. Historically, it has been conceptualized by generalized heightened emotional intensity and reactivity. However, findings regarding emotional responsiveness in adults with BPD are mixed. In this review, objective and subjective research on emotional responsiveness in BPD patients are compared. Empirical primary research articles were found through electronic searching of relevant databases, and six met the inclusion criteria. The methods and findings from the self-report and physiological measures in these articles are compared in an attempt to analyze similarities and differences. The results suggest a negativity bias in BPD, indicating that BPD patients exhibit heightened negative emotional reactivity, particularly in response to BPD-specific emotional stimuli. Limitations of the individual studies and of the current review are discussed, with potential directions for future research.
Mediterranean Journal of Clinical Psychology, 2020
Objective: Starting from the controversial results showed by empirical research on Linehan’s Biosocial model of Borderline Personality Disorder (BPD), this study aims to empirically evaluate Linehan’s conceptualization of emotional hypersensitivity and hyperreactivity, as well as to investigate the role of pre-existing emotional states in BPD altered physiological responsivity. Methods: We asked 24 participants (BPD = 12; Healthy Controls = 12) to complete a self-reported questionnaire (Positive and Negative Affect Schedule) in order to assess their pre-task affective state. Subsequently, 36 emotional pictures from four valence categories (i.e. erotic, negative, positive, neutral) were administered while assessing participants self-reported and electrodermal responses. Results: BPD patients showed higher levels of pre-task negative affectivity as well as an enhanced physiological response to neutral stimuli. No main BPD group effect was found for the physiological data. Moreover, pr...
Emotion Dysregulation as a Core Feature of Borderline Personality Disorder
Journal of Personality Disorders, 2009
Borderline personality disorder (BPD) is a debilitating mental illness that affects approximately 1-2% of the general population. Researchers have increasingly come to view emotion dysregulation as a core feature of BPD. The present study examines the relationship between BPD symptomatology and emotion dysregulation using the Difficulties in Emotion Regulation Scale (DERS) in two college samples. BPD symptoms were assessed by self-report (MSI-BPD) in sample 1 and by semistructured interview (SIDP-IV) in sample 2. Results suggest that emotion dysregulation accounts for unique variance in BPD even after controlling for traditional indicators of negative emotionality, including depression, anxiety, and negative affect. Findings support theories regarding the role of emotion dysregulation in BPD and provide directions for future research.
Borderline personality disorder and emotion regulation: Insights from the Polyvagal Theory
Brain and Cognition, 2007
The current study provides the first published evidence that the parasympathetic component of the autonomic nervous system differentiates the response profiles between individuals diagnosed with Borderline Personality Disorder (BPD) and controls. Respiratory sinus arrhythmia (RSA), a noninvasive marker of the influence of the myelinated vagal fibers on the heart, and heart period were collected during the presentation of film clips of varying emotional content. The BPD and control groups had similar initial levels of RSA and heart period. However, during the experiment the groups exhibited contrasting trajectories, with the BPD group decreasing RSA and heart period and the control group increasing RSA and heart period. By the end of the experiment, the groups different significantly on both RSA and heart period. The correlation between the changes in RSA and heart period was significant only for the control group, suggesting that vagal mechanisms mediated the heart period responses only in the control group. The findings were consistent with the Polyvagal Theory (Porges, 1995, 2001, 2003), illustrating different adaptive shifts in autonomic state throughout the course of the experiment. The BPD group ended in a physiological state that supports the mobilization behaviors of fight and flight, while the control group ended in a physiological state that supports social engagement behaviors. These finding are consistent with other published studies demonstrating atypical vagal regulation of the heart with other psychiatric disorders.
Borderline personality disorder and emotional responding: A review of the research literature
Clinical Psychology Review, 2008
Although problems with emotional functioning are considered central to borderline personality disorder (BPD), it is only recently that studies have begun utilizing laboratory biobehavioral measures (including neuroimaging and psychophysiological measures) to examine emotional responding in BPD. The application of basic science methodologies used in a systematic program of research to investigate clinically relevant phenomena, often called translational research, holds much promise in advancing the assessment and treatment of BPD. In this paper, we begin with an overview of the research on self-reported emotional responding in BPD. Next, we outline the advantages that translational research has over traditional self-report methodology in furthering an understanding of emotional responding in BPD, and review the extant laboratory studies of emotional responding in BPD. Finally, problems commonly encountered when conducting translational research on emotion in BPD are outlined, and solutions to these problems are offered.
Emotion Dysregulation in Borderline Personality Disorder: A Literature Review
DOAJ (DOAJ: Directory of Open Access Journals), 2017
The goal of this literature review is to describe the state of art related to emotion dysregulation in BPD and to illustrate a possible descriptive model. As of today, no consensus in literature is reached, but, from a conceptual point of view, most of the authors agrees with Linehan's theory in understanding emotion dysregulation both as affective instability and as a frequent recourse to dysfunctional regulation strategies. The latter is what emotion dysregulation is from an operational point of view. The descriptive model explained in this paper is a possible way to bridge the conceptual and operative views of emotion dysregulation in BPD.
The aim of this study was to determine if patients with Borderline Personality Disorder (BPD) present higher emotional response than healthy controls in a laboratory setting. Fifty participants (35 patients with BPD and 15 healthy controls) underwent a negative emotion induction procedure (presentation of standardized unpleasant images). Subjective emotional responses were assessed by means of self-reported questionnaires while biological reactivity during the procedure was measured through levels of salivary cortisol (sCORT) and alphaamylase (sAA). Patients with BPD exhibited significant lower cortisol levels and higher sAA levels compared to controls. Self-reported emotional reactivity did not give rise to differences between groups but participants with BPD did present higher levels of negative emotional intensity at baseline and during the entire procedure. The findings do not give support to the emotional hyperreactivity hypothesis in BPD. However, BPD patients presented heightened negative mood intensity at baseline, which should be considered a hallmark of the disorder. Further studies using more BPD-specific emotion inductions are needed to confirm the trends observed in this study.
Journal of Psychopathology and Behavioral Assessment, 2014
Emotional reactivity is conceptualized as a core feature of borderline personality disorder (BPD) and has been subject to substantial empirical research. The laboratory methods used to elicit emotional reactivity in BPD have varied and findings across studies have been mixed. At present, there is little research evaluating the relative efficacy of different methods in eliciting emotional reactivity in BPD. Thus, the current study examined differences in emotional reactivity among individuals with BPD in response to standardized and idiographic stimuli, and across three specific emotions (sadness, fear, and anger). Individuals with BPD, social anxiety disorder, and healthy controls viewed film clips (i.e., standardized stimuli) or engaged in a personally-relevant imagery task (i.e., idiographic stimuli) while self-reported and physiological indices (skin conductance response and respiratory sinus arrhythmia) of emotion were collected. Results indicated that BPD participants displayed greater reactivity of sadness and anger (but not fear) in response to the idiographic versus standardized stimuli, a pattern that was not exhibited by the other two groups. These findings might explain some of the mixed evidence to date and suggest that idiographic sadness and fear inductions may be more effective for individuals with BPD.