Perceptual Biases in Facial Emotion Recognition in Borderline Personality Disorder
Perceptual Biases in Facial Emotion Recognition in Borderline Personality Disorder
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DOI：
10.1037/per0000056
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发表时间：
2014-01-01
影响因子：
2.8
通讯作者：
Ruocco, Anthony C.
中科院分区：
文献类型：
--
作者：
Daros, Alexander R.;Uliaszek, Amanda A.;Ruocco, Anthony C.
边缘型人格障碍（BPD）患者在面部情绪识别方面存在偏见，这可能是该疾病许多核心特征的基础。虽然已知他们会误解特定的原型情绪表达（即，那些在充分的情绪强度下表现出来的情绪），但患有这种疾病的患者也可能在他们对低水平情绪强度表达的情绪的感知上表现出偏见。具有BPD和智商的女性（n = 31）和人口统计学上匹配的非精神病学对照组（n = 28）完成了一项任务，评估在轻度、中度和原型情绪强度下对中性、快乐和悲伤面部表情的识别。与对照组相比，BPD患者更有可能将一种情绪归因于中性的面部表情，但与对照组相比，他们并没有始终将这些面孔归因于更多的消极或积极的效价。患者也更有可能将轻微悲伤的面部表情视为更强烈的悲伤，这一发现不能归因于抑郁情绪。这项研究的结果表明，尽管没有一致的证据表明对中性表情的脸有负面感知偏见，但BPD患者对面部消极情绪的微妙表情的感知可能会被主观放大。BPD患者在面部情绪感知上的这些偏见可能会导致他们难以理解他人的情绪状态，也会导致他们难以有效地参与社会互动。
Individuals with borderline personality disorder (BPD) have biases in facial emotion recognition, which may underlie many of the core features of this disorder. Although they are known to misperceive specific prototypic expressions of emotion (i.e., those displayed at full emotional intensity), patients with this disorder may also show biases in their perceptions of emotions that are expressed at lower levels of emotional intensity. Females with BPD (n = 31) and IQ-and demographically matched nonpsychiatric controls (n = 28) completed a task assessing the recognition of neutral as well as happy and sad facial expressions at mild, moderate, and prototypic emotional intensities. Whereas patients with BPD were more likely than controls to ascribe an emotion to a neutral facial expression, they did not consistently attribute a more negative or positive valence to these faces as compared with controls. Patients were also more likely to perceive mildly sad facial expressions as more intensely sad, and this finding could not be attributed to depressed mood. The results of this study suggest that perceptions of even subtle expressions of negative affect in faces may be subjectively magnified by individuals with BPD, although there was no consistent evidence for a negative perceptual bias for faces displaying a neutral expression. These biases in facial emotion perception for patients with BPD may contribute to difficulties understanding others' emotional states and to problems engaging effectively in social interactions.