Emotion recognition in BPD: effects of attachment anxiety and vagal tone

BPD 中的情绪识别：依恋焦虑和迷走神经张力的影响

• 批准号: 8780099
• 负责人: Joseph Edward Beeney
• 金额: $ 5.43万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-12-01 至 2016-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8780099
• 关键词: Affective; Aggressive behavior; Anger; Anxiety; Area; Arousal; Basic Science; Borderline Personality Disorder; Cognitive; Conflict (Psychology); Dangerous Behavior; Dialectical behavior therapy; Disease; Distress; Eating Disorders; Emotional; Emotions; Empathy; Event; Functional disorder; Health; Heart; Impulsivity; Individual; Influentials; Inpatients; Intervention; Knowledge; Literature; Measures; Mediating; Mediator of activation protein; Mental disorders; Minority; Nature; Outpatients; Pain; Participant; Patients; Personality Disorders; Physiological; Population; Prevalence; Prevention; Process; Psychophysiology; Psychotherapy; Public Health; Reporting; Research; Role; Sampling; Self-Injurious Behavior; Sinus Arrhythmia; Social Interaction; Social Problems; Stimulus; Substance abuse problem; Suicide; Symptoms; Testing; Time; Transference; Trust; Work; Writing; base; clinical practice; cost; experience; improved; indexing; innovation; nerve supply; novel; public health relevance; research study; respiratory; showing emotion; social; social cognition; trait

DESCRIPTION (provided by applicant): Among the most painful and debilitating mental health disorders, borderline personality disorder (BPD), is a major public health concern. Interpersonal problems are influential in bringing about the high distress and societal cost associated with BPD. The dangerous behaviors associated with BPD, such as suicidality, self- harm, aggression, and substance abuse, are frequently sparked by rejection or other difficult events in close relationships. Understanding the causes of interpersonal disturbance within the disorder is, thus, important for developing treatments that can help ameliorate the misery defined by BPD. This proposal outlines a project focused on emotion recognition within romantic relationships and its impact on interpersonal functioning. A large number of research studies document abnormalities in emotion recognition among individuals with BPD, but the findings are inconsistent. A majority of studies detail poorer emotion recognition among individuals with BPD. At the same time, a sizeable minority of studies detail enhanced emotion recognition amongst individuals with the disorder. The proposed study is an attempt to resolve these discrepancies, while determining the importance of physiological indices and attachment to emotion recognition and the importance of emotion recognition difficulties to interpersonal functioning. Whereas previous studies of emotion recognition in BPD have focused on empathy for strangers under cognitively cool conditions, the proposed task evaluates emotion recognition for romantic partners after being asked to write about experiences of abandonment or rejection in a close relationship. The aims of this project are as follows: 1) determine the relationship between BPD symptoms and emotion recognition difficulties, 2) examine the role of attachment style and vagal tone as mediators of the relationship between BPD symptoms and emotion recognition, and 3) determine the relationship between emotion recognition and interpersonal difficulties. The task used will be a basic emotion recognition task in which participants are asked to report the emotion pictured. Adding photographs of romantic partners will enhance the task. Participants will be sampled from the following groups: patients with BPD, patients with another personality disorder (OPD) and patients with no personality disorder (no-PD). Expected results are that emotion recognition for strangers will not differ as a function of high and low BPD symptoms, while emotion recognition for romantic partners will be enhanced by fewer BPD symptoms. Another hypothesis is that the relationship between BPD symptoms and emotion recognition will be mediated by attachment anxiety and respiratory sinus arrhythmia (RSA). A final hypothesis is that poor emotion recognition will predict disturbance in interpersonal functioning. The use of romantic partners for emotion recognition in BPD, and examining potential mechanisms of disturbed emotion recognition represent novel innovations and needed steps in research on a disorder largely characterized by difficult social relationships. This knowledge can be used to develop prevention and treatment efforts that target these specific processes.

描述（由申请人提供）：在最痛苦和最使人衰弱的精神健康障碍中，边缘性人格障碍（BPD）是一个主要的公共卫生问题。人际关系问题会导致与 BPD 相关的高痛苦和社会成本。与 BPD 相关的危险行为，如自杀、自残、攻击性和药物滥用，通常是由亲密关系中的拒绝或其他困难事件引发的。因此，了解这种疾病中人际关系障碍的原因对于开发有助于改善边缘性人格障碍所定义的痛苦的治疗方法非常重要。该提案概述了一个专注于浪漫关系中的情感识别及其对人际功能的影响的项目。大量研究记录了边缘性人格障碍患者的情绪识别异常，但研究结果并不一致。大多数研究都详细说明了边缘性人格障碍患者的情绪识别能力较差。与此同时，相当多的研究详细说明了患有这种疾病的人的情绪识别能力得到了增强。拟议的研究试图解决这些差异，同时确定生理指标和对情绪识别的依恋的重要性以及情绪识别困难对人际功能的重要性。之前对 BPD 情绪识别的研究主要集中在认知冷条件下对陌生人的同理心，而拟议的任务是在被要求写下亲密关系中被遗弃或拒绝的经历后评估浪漫伴侣的情绪识别。该项目的目标如下：1）确定BPD症状与情绪识别困难之间的关系，2）检查依恋风格和迷走神经张力作为BPD症状与情绪识别之间关系的中介的作用，3）确定情绪识别与人际困难之间的关系。所使用的任务将是一个基本的情绪识别任务，其中要求参与者报告所描绘的情绪。添加浪漫伴侣的照片将增强任务的效果。参与者将从以下几组中抽取：BPD 患者、另一种人格障碍 (OPD) 患者和无人格障碍 (no-PD) 患者。预期结果是，对陌生人的情绪识别不会因 BPD 症状的高低而有所不同，而对浪漫伴侣的情绪识别将因 BPD 症状的减少而增强。另一个假设是，BPD 症状和情绪识别之间的关系将由依恋焦虑和呼吸性窦性心律失常 (RSA) 介导。最后一个假设是，不良的情绪识别将预示着人际功能的紊乱。使用浪漫伴侣来识别边缘性人格障碍患者的情绪，并检查情绪识别障碍的潜在机制，代表了针对主要以困难的社会关系为特征的疾病的研究中的新颖创新和所需步骤。这些知识可用于制定针对这些特定过程的预防和治疗工作。