Emotion regulation choice in female patients with borderline personality disorder: Findings from self-reports and experimental measures

Sauer, Christina; Sheppes, Gal; Lackner, Helmut; Arens, Elisabeth A.; Tarrasch, Ricardo; Barnow, Sven

doi:10.1016/j.psychres.2016.04.113

Cited by 53 publications

(55 citation statements)

References 59 publications

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“…This lack of associations could be explained by our finding that none of the strategy preferences in the lab were related to self-reported trait strategy use as measured by the CERQ. To our knowledge, only one previous study assessed strategy preferences using both self-report and a behavioural choice paradigm: In line with our findings, Sauer et al (2016) found that differences in self-reported reappraisal and distraction use were not reflected in behavioural choices in the lab. This lack of correlations between self-reported strategy use and lab-based strategy choices could in part be explained by the fact that strategy choice paradigms include only a limited amount of possible strategies.…”

Section: Discussionsupporting

confidence: 88%

Choose change: Situation modification, distraction, and reappraisal in mild versus intense negative situations

et al. 2019

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Despite the theoretical importance and applied potential of situation modification as an emotion regulation strategy, empirical research on how people change situations to regulate their emotions is scarce. Meanwhile, existing paradigms typically allowed participants to avoid the entire situation, thus confounding situation modification with situation selection. In our current experiments, participants could choose between partially modifying their negative emotional environment without avoiding it entirely and two well-established emotion regulation strategies (reappraisal and distraction). Participants did choose situation modification (Experiments 1-2) and they did so more often for intense than for mild stimuli in Experiment 2. In addition, modifying the stimulus display effectively helped downregulating negative affect (Experiments 1-2). Finally, in both experiments, participants opted more for distraction for intense compared to mild stimuli, while they opted more for reappraisal for mild compared to intense stimuli. Presenting a first step in developing a paradigm that allows people to exert control over but to not avoid emotion-provoking situations, we thus show that changing one's environment helps regulating one's emotions. More generally, our findings indicate that people prefer to regulate their emotions using disengagement strategies (situation modification and distraction) with high-intensity relative to low-intensity negative situations, while they prefer engagement strategies (reappraisal) with low-intensity relative to high-intensity negative situations.

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Section: Discussionsupporting

confidence: 88%

Choose change: Situation modification, distraction, and reappraisal in mild versus intense negative situations

et al. 2019

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“…Indeed, elevations on both subscales capture aspects of the disorder that have been well documented in theoretical and empirical literature. Namely, when individuals with BPD are emotionally distressed, they struggle to flexibly use emotion regulation strategies [51] and manage impulsive behavior. In addition, previous studies acknowledge that impulsivity is a core feature of BPD [52, 53], as those with BPD tend to favor immediate gratification over long-term reward [54].…”

Section: Discussionmentioning

confidence: 99%

The specificity of emotion dysregulation in adolescents with borderline personality disorder: comparison with psychiatric and healthy controls

Ibraheim

Kalpakci

Sharp

2017

bord personal disord emot dysregul

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BackgroundResearch has supported the notion that emotion dysregulation is a core feature of BPD. However, given that this feature is typical of healthy adolescents as well as adolescents with other psychiatric disorders, the specificity of emotion dysregulation to BPD in this age group has not yet been determined. The overall aim of this study was to examine emotion dysregulation in adolescent inpatients with BPD compared with non-BPD inpatient adolescents and healthy non-clinical adolescents, taking into account both global emotion dysregulation deficits and more specific impairments.MethodThe sample included 185 adolescent inpatients with BPD (M = 15.23, SD = 1.52), 367 non-BPD psychiatric inpatient adolescents (M = 15.37, SD = 1.40), and 146 healthy adolescents (M = 15.23, SD = 1.22), all of whom were between the ages of 12 and 17. Borderline personality features were assessed, along with emotion dysregulation and psychiatric severity.ResultsAfter controlling for age, gender, and psychiatric severity, results revealed that adolescents with BPD had higher overall emotional dysregulation compared with non-BPD psychiatric controls and healthy controls. These differences were apparent in only two domains of emotion dysregulation including limited access to emotion regulation strategies perceived as effective and impulse control difficulties when experiencing negative emotions.ConclusionsFindings suggest BPD-specific elevations on emotion dysregulation generally, and subscales related to behavioral regulation specifically.

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“…Healthy individuals prefer to distance from emotional stimuli with high affective intensity, but rather reappraise low intensity stimuli (Sheppes, Scheibe et al 2011, Sheppes, Scheibe et al 2014. Deviations from this pattern may relate to psychopathology, such as borderline personality disorder (Sauer, Sheppes et al 2016). Hence, NF with explicit strategy instructions may help patients to overcome deficits in the use of effective emotion regulation strategies, through neural reinforcement of desirable mental strategies .…”

Section: Instructionmentioning

confidence: 99%

Current progress in real-time functional magnetic resonance-based neurofeedback: Methodological challenges and achievements

et al. 2019

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Neurofeedback (NF) is a research and clinical technique, characterized by live demonstration of brain activation to the subject. The technique has become increasingly popular as a tool for the training of brain self-regulation, fueled by the superiority in spatial resolution and fidelity brought along with real-time analysis of fMRI (functional magnetic resonance imaging) data, compared to the more traditional EEG (electroencephalography) approach. NF learning is a complex phenomenon and a controversial discussion on its feasibility and mechanisms has arisen in the literature. Critical aspects of the design of fMRI-NF studies include the localization of neural targets, cognitive and operant aspects of the training procedure, personalization of training, and the definition of training success, both through neural effects and (for studies with therapeutic aims) through clinical effects. In this paper, we argue that a developmental perspective should inform neural target selection particularly for pediatric populations, and different success metrics may allow in-depth analysis of NF learning. The relevance of the functional neuroanatomy of NF learning for brain target selection is discussed. Furthermore, we address controversial topics such as the role of strategy instructions, sometimes given to subjects in order to facilitate learning, and the timing of feedback. Discussion of these topics opens sight on problems that require further conceptual and empirical work, in order to improve the impact that fMRI-NF could have on basic and applied research in future.

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Emotion regulation choice in female patients with borderline personality disorder: Findings from self-reports and experimental measures

Cited by 53 publications

References 59 publications

Choose change: Situation modification, distraction, and reappraisal in mild versus intense negative situations

Choose change: Situation modification, distraction, and reappraisal in mild versus intense negative situations

The specificity of emotion dysregulation in adolescents with borderline personality disorder: comparison with psychiatric and healthy controls

Current progress in real-time functional magnetic resonance-based neurofeedback: Methodological challenges and achievements

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