Physiological and self-assessed emotional responses to emotion-eliciting films in borderline personality disorder

Elices, Matilde; Soler, Joaquim; Fernández, Cristina; Martín-Blanco, Ana; Portella, Marı́a J.; Pérez‐Solà, Víctor; Álvarez, Enrique; Pascual, Juan Carlos

doi:10.1016/j.psychres.2012.07.020

Cited by 46 publications

(42 citation statements)

References 39 publications

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“…Clearly, simultaneous assessments and analyses of all the relevant components that are guided by an integrative theoretical framework and associated statistical models are needed. Fourth, Elices et al (2012), Jacob et al (2009), Linehan (2009), andRosenthal et al (2008) hypothesized that the mixed and inconclusive findings from laboratory studies might, at least partially, be explained by the use of stimuli that are not personally relevant in situations/environments (i.e., the laboratory) that are not personally relevant. In their everyday lives, patients are not faced with single stimuli that are separated by intertrial intervals; rather, patients experience a wealth of varied and quickly changing emotional stimuli.…”

Section: Criteria For a Framework For The Investigation Of Affective mentioning

confidence: 99%

Unraveling affective dysregulation in borderline personality disorder: A theoretical model and empirical evidence.

Ebner‐Priemer¹,

Houben²,

Santangelo³

et al. 2015

Journal of Abnormal Psychology

131

111

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Although emotion dysregulation has consistently been conceptualized as a core problem of borderline personality disorder (BPD), a comprehensive, and empirically and ecologically validated model that captures the exact types of dysregulation remains absent. In the present article, we combine insights from basic affective science and the biosocial theory of BPD to present a theoretical model that captures the most fundamental affective dynamical processes that underlie BPD and stipulates that individuals with BPD are characterized by more negative affective homebases, higher levels of affective variability, and lower levels of attractor strength or return to baseline. Next, we empirically validate this proposal by statistically modeling data from three electronic diary studies on emotional responses to personally relevant stimuli in personally relevant environments that were collected both from patients with BPD (N ϭ 50, 42, and 43) and from healthy subjects (N ϭ 50, 24, and 28). The results regarding negative affective homebases and heightened affective variabilities consistently confirmed our hypotheses across all three datasets. The findings regarding attractor strengths (i.e., return to baseline) were less consistent and of smaller magnitude. The transdiagnostic nature of our approach may help to elucidate the common and distinctive mechanisms that underlie several different disorders that are characterized by affective dysregulation.Although emotion dysregulation has been consistently conceptualized as the core problem of borderline personality disorder (BPD; Crowell et al

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Section: Criteria For a Framework For The Investigation Of Affective mentioning

confidence: 99%

Unraveling affective dysregulation in borderline personality disorder: A theoretical model and empirical evidence.

Ebner‐Priemer¹,

Houben²,

Santangelo³

et al. 2015

Journal of Abnormal Psychology

131

111

View full text Add to dashboard Cite

show abstract

“…Though conceptual and empirical works closely tie BPD to rumination (Peters et al, 2017;Selby et al, 2009;Selby et al, 2016) and emotion dysregulation (Gratz et al, 2010), our results show that the interplay between the three constructs is nuanced, influenced by interpersonal context, and diverges across facets of emotion dysregulation that were articulated by Linehan (1993). While a corpus of laboratory and experience sampling studies associate BPD with heightened distress reactivity to interpersonal stressors (Chapman et al, 2015;Elices et al, 2012;Hepp et al, 2017Hepp et al, , 2018, and the evocative nature of interpersonal stressors is well known across healthy and clinical samples (Gunthert, Cohen, Butler, & Beck, 2007;Monteleone, Treasure, Kan, & Cardi, 2018;O'Neill, Cohen, Tolpin & Gunthert, 2004), our results suggest that rumination in response to interpersonal stressors may be a key mechanism for escalating negative affect among those with BPD features (Selby et al, 2009). Indeed, 3 In light of the distinct associations between dispositional tendencies to brood and to reflect on one's emotional states with ruminative response deployment, we refit our distress reactivity and recovery models using the two RRS subscales in lieu of the RRS total score.…”

Section: Discussionmentioning

confidence: 60%

Ruminative responses to interpersonal precipitants mediate borderline personality disorder features’ effects on distress reactivity and recovery in daily life

Yaroslavsky

Napolitano

2019

J Clin Psychol

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Objective We tested whether negative interpersonal events (NIEs) precipitate rumination at times of distress in the daily lives of those with borderline personality disorder (BPD) features and whether such responses mediate associations between BPD and the reactivity and recovery components of emotion dysregulation. Materials and Method One hundred twenty‐one women completed clinical interviews, survey measures, and a 7‐day ecological momentary assessment. Results Elevated BPD features predicted ruminative response deployment only in the context of NIEs. Though elevated BPD features and NIEs predicted heightened distress reactivity, the indirect effect of BPD on distress reactivity via ruminative responses was conditional on NIE occurrence. Ruminative responses also mediated the conditional effects of BPD features on prolonged recovery from distress; trait rumination served as a second indirect pathway between BPD features and distress recovery. Conclusion Results suggest that though contextual, rumination is a common pathway for emotional hyperarousal and slow recovery from distress for those with elevated BPD features.

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“…Other results supported higher emotional activation in BPD individuals considering specific valence categories (e.g., negative stimuli) (Dziobek et al, 2011;Ebner-Priemer et al, 2009;Fitzpatrick & Kuo, 2015;Herpertz et al, 1999). Eventually, some studies were in line with enhanced emotional activation associated to BPD-related stimuli as manifested by higher self-report negative arousal (Elices et al, 2012;Kuo et al, 2014;Rosenthal et al, 2016), as well as physiological (Kuo et al, 2014;Limberg, Barrow, Freyberger, & Hamm, 2011;Rosenthal et al, 2016;Sauer et al, 2014;Schmahl et al, 2004) and behavioral (Limberg et al, 2011) hyperactivation.…”

mentioning

confidence: 83%

Emotional Reactivity in Borderline Personality Disorder: Theoretical Considerations Based on a Meta-Analytic Review of Laboratory Studies

Bortolla

Cavicchioli

Fossati

et al. 2020

Journal of Personality Disorders

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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.

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Physiological and self-assessed emotional responses to emotion-eliciting films in borderline personality disorder

Cited by 46 publications

References 39 publications

Unraveling affective dysregulation in borderline personality disorder: A theoretical model and empirical evidence.

Unraveling affective dysregulation in borderline personality disorder: A theoretical model and empirical evidence.

Ruminative responses to interpersonal precipitants mediate borderline personality disorder features’ effects on distress reactivity and recovery in daily life

Emotional Reactivity in Borderline Personality Disorder: Theoretical Considerations Based on a Meta-Analytic Review of Laboratory Studies

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