Decreased sensitivity to facial emotions in adolescents with Borderline Personality Disorder

Robin, Marion; Pham‐Scottez, Alexandra; Curt, Florence; Bigre, Corinne Dugré-Le; Speranza, Mario; Sapinho, David; Corcos, Maurice; Berthoz, Sylvie; Kedia, Gayannée

doi:10.1016/j.psychres.2012.03.032

Cited by 39 publications

(37 citation statements)

References 22 publications

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“…A similar pattern of hypersensitivity to negative faces and problems with disengaging from threatening social information has been observed in adolescents with BPD [114][115][116]. However, not all studies have confirmed these findings, with some studies reporting similar [117] and even inferior [118] sensitivity to emotional expressions. Although methodological issues may in part explain these divergent findings, the notable heterogeneity of BPD (e.g.…”

Section: Psychological Mechanismsmentioning

confidence: 60%

ESCAP Expert Article: Borderline personality disorder in adolescence: An expert research review with implications for clinical practice

Fonagy

Speranza

Luyten

et al. 2015

Eur Child Adolesc Psychiatry

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129

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Borderline personality disorder (BPD) has onset in adolescence, but is typically first diagnosed in young adulthood. This paper provides a narrative review of the current evidence on diagnosis, comorbidity, phenomenology and treatment of BPD in adolescence. Instruments available for diagnosis are reviewed and their strengths and limitations discussed. Having confirmed the robustness of the diagnosis and the potential for its reliable clinical assessment, we then explore current understandings of the mechanisms of the disorder and focus on neurobiological underpinnings and research on psychological mechanisms. Findings are accumulating to suggest that adolescent BPD has an underpinning biology that is similar in some ways to adult BPD but differs in some critical features. Evidence for interventions focuses on psychological therapies. Several encouraging research studies suggest that early effective treatment is possible. Treatment development has just begun, and while adolescent-specific interventions are still in the process of evolution, most existing therapies represent adaptations of adult models to this developmental phase. There is also a significant opportunity for prevention, albeit there are few data to date to support such initiatives. This review emphasizes that there can be no justification for failing to make an early diagnosis of this enduring and pervasive problem.

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Section: Psychological Mechanismsmentioning

confidence: 60%

ESCAP Expert Article: Borderline personality disorder in adolescence: An expert research review with implications for clinical practice

Fonagy

Speranza

Luyten

et al. 2015

Eur Child Adolesc Psychiatry

Self Cite

129

View full text Add to dashboard Cite

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“…Another aspect which has rarely been studied is the developmental course of emotion processing deficits. Results remain inconclusive among adolescent patients with BPD with some authors reporting a similar negativity bias as in adult patients [24, 25], while others failed to find differences in emotion recognition [26] or even found an impaired sensitivity to facial emotions [27]. First data from our own group point to a reduced threat hypersensitivity in former patients with BPD, i.e., individuals who were diagnosed with BPD, but who did not fulfill more than 3 BPD criteria in the last 2 years [28].…”

Section: Recent Behavioral Findingsmentioning

confidence: 99%

Behavioral and Neurobiological Correlates of Disturbed Emotion Processing in Borderline Personality Disorder

Bertsch

Hillmann

Herpertz³

2018

Psychopathology

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One of the core symptoms of borderline personality disorder (BPD) is emotion dysregulation, which comprises emotion sensitivity, heightened and labile negative affect, deficient appropriate regulation strategies, and a surplus of maladaptive regulation strategies. Although earlier studies provided some evidence for threat hypersensitivity in terms of a negatively biased perception of other people (“negativity bias”) and deficits in the recognition of full-blown anger, i.e., higher error rates and slower reaction times, researchers have only recently started studying effects of interindividual differences (e.g., sex, impulsivity, aggressiveness) and stimulus complexity as well as associations with early adversity, developmental aspects, or the specificity for BPD. Recent data also suggest a deficit in the detection of positive emotions, which needs to be addressed in more detail since it may prevent the patients from recognizing safety signals and from making positive interpersonal experiences. Neurobiologically, threat hypersensitivity has been related to increased and prolonged amygdala responses, while deficient emotion regulation was associated with reduced prefrontal inhibition of the amygdala. First results suggest that these neural alterations may be modulated by psychotherapeutic treatment focusing on emotion regulation.

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“…Three studies assessed emotion processing as a likely attentional bias in BPD in adolescence (Robin et al, 2012;. Using a visual dot paradigm and emotional face stimuli, von Ceumern-Lindenstjerna et al (2009) reported an interaction between current mood and hypervigilance towards negative emotional stimuli in 13 to 19 year olds with BPD (i.e., an attentional bias towards negative emotional stimuli was observed when BPD patients were in a negative mood).…”

Section: Facial Emotion Recognitionmentioning

confidence: 99%

“…Adolescents with BPD perceived more negative faces than healthy controls; however, adolescents with mixed psychiatric diagnoses also demonstrated this bias. Finally, Robin et al (2012) used a dynamic paradigm in which neutral faces were morphed into fully expressed emotions (i.e., sadness, anger, happiness, disgust, surprise and fear) to examine whether 15 to 19 year olds with BPD process facial expressions differently to healthy matched controls. There were no significant differences in the accuracy of responses between groups; however, adolescents with BPD were less sensitive to facial expressions of anger and happiness (i.e., they required more intense expressions to be able to accurately label emotions).…”

Section: Facial Emotion Recognitionmentioning

confidence: 99%

A systematic review of the neurobiological underpinnings of borderline personality disorder (BPD) in childhood and adolescence

Winsper

Marwaha

Lereya

et al. 2016

Reviews in the Neurosciences

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AbstractContemporary theories for the aetiology of borderline personality disorder (BPD) take a lifespan approach asserting that inborn biological predisposition is potentiated across development by environmental risk factors. In this review, we present and critically evaluate evidence on the neurobiology of BPD in childhood and adolescence, compare this evidence to the adult literature, and contextualise within a neurodevelopmental framework. A systematic review was conducted to identify studies examining the neurobiological (i.e. genetic, structural neuroimaging, neurophysiological, and neuropsychological) correlates of BPD symptoms in children and adolescents aged 19 years or under. We identified, quality assessed, and narratively summarised 34 studies published between 1980 and June 2016. Similar to findings in adult populations, twin studies indicated moderate to high levels of heritability of BPD, and there was some evidence for gene-environment interactions. Also consistent with adult reports is that some adolescents with BPD demonstrated structural (grey and white matter) alterations in frontolimbic regions and neuropsychological abnormalities (i.e. reduced executive function and disturbances in social cognition). These findings suggest that neurobiological abnormalities observed in adult BPD may not solely be the consequence of chronic morbidity or prolonged medication use. They also provide tentative support for neurodevelopmental theories of BPD by demonstrating that neurobiological markers may be observed from childhood onwards and interact with environmental factors to increase risk of BPD in young populations. Prospective studies with a range of repeated measures are now required to elucidate the temporal unfurling of neurobiological features and further delineate the complex pathways to BPD.

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Decreased sensitivity to facial emotions in adolescents with Borderline Personality Disorder

Cited by 39 publications

References 22 publications

ESCAP Expert Article: Borderline personality disorder in adolescence: An expert research review with implications for clinical practice

ESCAP Expert Article: Borderline personality disorder in adolescence: An expert research review with implications for clinical practice

Behavioral and Neurobiological Correlates of Disturbed Emotion Processing in Borderline Personality Disorder

A systematic review of the neurobiological underpinnings of borderline personality disorder (BPD) in childhood and adolescence

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