A comprehensive examination of delayed emotional recovery in borderline personality disorder.
A comprehensive examination of delayed emotional recovery in borderline personality disorder.
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DOI：
10.1016/j.jbtep.2014.11.004
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发表时间：
2015-06
影响因子：
1.8
通讯作者：
Kuo, Janice R.
中科院分区：
文献类型：
--
作者：
Fitzpatrick, Skye;Kuo, Janice R.
尽管越来越多的人关注边缘型人格障碍（BPD）的情绪过程，但很少有研究调查这类人群的延迟情绪恢复（即，在情绪唤起刺激终止后的持久情绪）。由于缺乏对一系列指标和情绪的评估，现有的关于BPD延迟情绪恢复的数据受到限制。本研究采用多模态评估方法，通过比较BPD、社交焦虑障碍（SAD）和健康对照（hc）患者的情绪恢复来解决这些差距。参与者经历了恐惧、愤怒和悲伤诱导，随后是5分钟的“冲洗”阶段，其中情绪恢复通过自我报告、呼吸性窦性心律失常（RSA）和皮肤电导反应（SCR）来评估。在控制状态解离后，BPD组和SAD组RSA下降，而HC组仅在愤怒诱导后RSA没有变化。在恐惧和悲伤诱导后，各组在自我报告、RSA或SCR方面的情绪恢复率没有差异。目前的研究仅限于女性和小样本，而且评估情绪恢复的时间也很短。研究结果表明，BPD患者通常不表现出情绪恢复延迟，但在经历愤怒后的恢复期可能表现出副交感神经活动的减少。然而，这种模式可能不是这种疾病所特有的。
Despite growing attention to emotion processes in borderline personality disorder (BPD), little research has examined delayed emotional recovery (i.e., long-lasting emotions after the termination of an emotionally evocative stimulus) in this population. The extant data on delayed emotional recovery in BPD are limited by a lack of assessment across a range of indices and emotions. The present study addresses these gaps by comparing emotional recovery between individuals with BPD, social anxiety disorder (SAD), and healthy controls (HCs) using a multi-modal assessment approach. Participants underwent fear, anger, and sadness inductions followed by a 5-minute “washout” phase wherein emotional recovery was assessed via self-report, respiratory sinus arrhythmia (RSA), and skin conductance responses (SCR). After controlling for state dissociation, the BPD and SAD group exhibited decreases in RSA, while the HC group showed no changes in RSA after the anger induction only. Groups did not differ in rate of emotional recovery across self-report, RSA, or SCR after fear and sadness inductions. The present study is limited by a solely female and small sample, and the short time frame in which emotional recovery was assessed. Findings indicate that individuals with BPD generally do not exhibit delayed emotional recovery, but may show decreases in parasympathetic activity during the recovery period after experiencing anger. However, this pattern may not be specific to this disorder.
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影响因子：
7.3
作者：
Gratz, Kim L.;Rosenthal, M. Zachary;Gunderson, John G.
通讯作者：
Gunderson, John G.
影响因子：
2.5
作者：
Austin, Marilyn A.;Riniolo, Todd C.;Porges, Stephen W.
通讯作者：
Porges, Stephen W.
影响因子：
4.8
作者：
Ebner-Priemer, UW;Badeck, S;Bohus, M
通讯作者：
Bohus, M
DOI：
10.1017/cbo9780511546396.007
发表时间：
2007-01-01
期刊：
HANDBOOK OF PSYCHOPHYSIOLOGY, 3RD EDITION
影响因子：
--
作者：
Dawson, Michael E.;Schell, Anne M.;Filion, Diane L.
通讯作者：
Filion, Diane L.
影响因子：
4.6
作者：
Brown, TA;Chorpita, BF;Barlow, DH
通讯作者：
Barlow, DH