Recognition of facial affect in borderline personality disorder
Recognition of facial affect in borderline personality disorder
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DOI：
10.1521/pedi.2008.22.2.135
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发表时间：
2008-04-01
影响因子：
2.3
通讯作者：
Herpertz, Sabine C.
中科院分区：
文献类型：
--
作者：
Domes, Gregor;Czieschnek, Daniela;Herpertz, Sabine C.
边缘型人格障碍（BPD）患者被描述为情绪反应过度，特别是在社交环境中对愤怒和恐惧的反应。目的是调查是否BPD患者更敏感，但不太准确的基本情绪识别方面，并显示对感知愤怒和恐惧的偏见时，评估模糊的面部表情。25名女性BPD与健康对照组进行了比较，两个不同的面部情绪识别任务。第一个任务允许评估的主观检测阈值，以及对六个基本情绪的评估错误的数量。第二个任务评估了对基本情绪混合物的反应偏差。BPD患者在情感识别任务中没有表现出普遍缺陷，但在实验过程中确实表现出增强的学习。对于模糊的情绪刺激，我们发现BPD患者偏向于感知愤怒，而不是恐惧。BPD患者对面部情绪的感知是准确的，并且可能对熟悉的面部表情更敏感。当社会情感线索模糊不清时，他们表现出对感知愤怒的偏见。人际训练应注重对模糊情绪的区分，以减少对他人的偏见评价。
Patients with Borderline Personality Disorder (BPD) have been described as emotionally hyperresponsive, especially to anger and fear in social contexts. The aim was to investigate whether BPD patients are more sensitive but less accurate in terms of basic emotion recognition, and show a bias towards perceiving anger and fear when evaluating ambiguous facial expressions.Twenty-five women with BPD were compared with healthy controls on two different facial emotion recognition tasks. The first task allowed the assessment of the subjective detection threshold as well as the number of evaluation errors on six basic emotions. The second task assessed a response bias to blends of basic emotions.BPD patients showed no general deficit on the affect recognition task, but did show enhanced learning over the course of the experiment. For ambiguous emotional stimuli, we found a bias towards the perception of anger in the BPD patients but not towards fear.BPD patients are accurate in perceiving facial emotions, and are probably more sensitive to familiar facial expressions. They show a bias towards perceiving anger, when socio-affective cues are ambiguous. Interpersonal training should focus on the differentiation of ambiguous emotion in order to reduce a biased appraisal of others.