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A Methodological Examination of Emotion Inductions in Borderline Personality Disorder: A Comparison of Standardized Versus Idiographic Stimuli

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Abstract

Emotional reactivity is conceptualized as a core feature of borderline personality disorder (BPD) and has been subject to substantial empirical research. The laboratory methods used to elicit emotional reactivity in BPD have varied and findings across studies have been mixed. At present, there is little research evaluating the relative efficacy of different methods in eliciting emotional reactivity in BPD. Thus, the current study examined differences in emotional reactivity among individuals with BPD in response to standardized and idiographic stimuli, and across three specific emotions (sadness, fear, and anger). Individuals with BPD, social anxiety disorder, and healthy controls viewed film clips (i.e., standardized stimuli) or engaged in a personally-relevant imagery task (i.e., idiographic stimuli) while self-reported and physiological indices (skin conductance response and respiratory sinus arrhythmia) of emotion were collected. Results indicated that BPD participants displayed greater reactivity of sadness and anger (but not fear) in response to the idiographic versus standardized stimuli, a pattern that was not exhibited by the other two groups. These findings might explain some of the mixed evidence to date and suggest that idiographic sadness and fear inductions may be more effective for individuals with BPD.

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References

  • Baird, A. A., Veague, H. B., & Rabbitt, C. E. (2005). Developmental precipitants of borderline personality disorder. Development and Psychopathology, 17(4), 1031–1049.

    Article  PubMed  Google Scholar 

  • Berntson, G. G., Bigger, J. T., Eckberg, D. L., Grossman, P., Kaufmann, P. G., Malik, M., et al. (1997). Heart rate variability: origins, methods and interpretive caveats. Psychophysiology, 34, 623–648.

    Article  PubMed  Google Scholar 

  • Bradley, R., & Westen, D. (2005). The psychodynamics of borderline personality disorder: a view from developmental psychopathology. Development and Psychopathology, 17(4), 927–957.

    Article  PubMed  Google Scholar 

  • Demorest, A., Popovska, A., & Dabova, M. (2012). The role of scripts in personal consistency and individual differences. Journal of Personality, 80(1), 187–218.

    Article  PubMed  Google Scholar 

  • Ebner-Priemer, U. W., Badeck, S., Beckmann, C., Wagner, A., Feige, B., Weiss, I., et al. (2005). Affective dysregulation and dissociative experience in female patients with borderline personality disorder: a startle response study. Journal of Psychiatric Research, 39(1), 85–92.

    Article  PubMed  Google Scholar 

  • Ekman, P., & Cordaro, D. (2011). What is meant by calling emotions basic. Emotion Review, 3(4), 364–370.

    Article  Google Scholar 

  • Ellard, K. K., Farchione, T. J., & Barlow, D. H. (2012). Relative effectiveness of emotion induction procedures and the role of personal relevance in a clinical sample: a comparison of film, images, and music. Journal of Psychopathology and Behavioral Assessment, 34(2), 232–243.

    Article  Google Scholar 

  • First, M., Spitzer, R., Gibbon, M., & Williams, J. (1995). Structured clinical interview for Axis I DSM-IV Disorders – patient edition (SCID-I/P). New York: Biometrics Research Department, New York State Psychiatric Institute.

    Google Scholar 

  • First, M., Spitzer, R., Gibbons, M., Williams, J., & Benjamin, L. (1996). User’s guide for the structured clinical interview for DSM-IV Axis II personality disorders (SCID-II). New York: Biometrics Research Department, New York State Psychiatric Institute.

    Google Scholar 

  • Fowles, D., Christie, M., Edelberg, R., Grings, W., Lykken, D., & Venables, P. (1981). Publication recommendations for electrodermal measurements. Psychophysiology, 18(3), 232–239.

    Article  PubMed  Google Scholar 

  • Frances, A., Fyer, M., & Clarkin, J. (1986). Personality and suicide. Annals of the New York Academy of Sciences, 487, 281–293.

    Article  PubMed  Google Scholar 

  • Fruzzetti, A. E., Shenk, C., & Hoffman, P. D. (2005). Family interaction and the development of borderline personality disorder: a transactional model. Development and Psychopathology, 17(4), 1007–1030.

    Article  PubMed  Google Scholar 

  • Glaser, J. P., Van Os, J., Mengelers, R., & Myin-Germeys, I. (2008). A momentary assessment study of the reputed emotional phenotype associated with borderline personality disorder. Psychological Medicine, 38(9), 1231–1239.

    Article  PubMed  Google Scholar 

  • Goldin, P. R., Manber, T., Hakimi, S., Canli, T., & Gross, J. J. (2009). Neural bases of social anxiety disorder: emotional reactivity and cognitive regulation during social and physical threat. Archives of General Psychiatry, 66(2), 170–180.

    Article  PubMed  Google Scholar 

  • Gross, J., & Levenson, R. (1995). Emotion elicitation using films. Cognition and Emotion, 9(1), 87–108.

    Article  Google Scholar 

  • Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3–26). New York: Guilford.

    Google Scholar 

  • Haines, J., Williams, C. L., Brain, K. L., & Wilson, G. V. (1995). The psychophysiology of self-mutilation. Journal Abnormal Psychology, 104(3), 471–489.

    Article  Google Scholar 

  • Herpertz, S. C., Kunert, H. J., Schwenger, U. B., & Sass, H. (1999). Affective responsiveness in borderline personality disorder: a psychophysiological approach. The American Journal of Psychiatry, 156, 1550–1556.

    PubMed  Google Scholar 

  • Herpertz, S. C., Schwenger, U. B., Kunert, H. J., Lukas, G., Gretzer, U., Nutzmann, J., et al. (2000). Emotional responses in patients with borderline as compared with avoidant personality disorder. Journal of Personality Disorders, 14(4), 339–351.

    Article  PubMed  Google Scholar 

  • Herpertz, S. C., Werth, U., Lukas, G., Qunaibi, M., Schuerkens, A., Kunert, H.-J., et al. (2001). Emotion in criminal offenders with psychopathy and borderline personality disorder. Archives of General Psychiatry, 58(8), 737–745.

    Article  PubMed  Google Scholar 

  • Izard, C. E. (2011). Forms and functions of emotions: matters of emotion-cognition interactions. Emotion Review, 3(4), 371–378.

    Article  Google Scholar 

  • Kuo, J. R., & Linehan, M. M. (2009). Disentangling emotion processes in borderline personality disorder: physiological and self-reported assessment of biological vulnerability, baseline intensity, and reactivity to emotionally evocative stimuli. Journal of Abnormal Psychology, 118(3), 531–544.

    Article  PubMed  Google Scholar 

  • Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (2005). International affective picture system (IAPS): Affective ratings of pictures and instruction manual. NIMH, Center for the Study of Emotion & Attention.

  • Lejuez, C. W., Kahler, C. W., & Brown, R. A. (2003). A modified computer version of the Paced Auditory Serial Addition Task (PASAT) as a laboratory-based stressor. The Behavior Therapist, 26, 290–293.

    Google Scholar 

  • Levenson, R. W. (2011). Basic emotion questions. Emotion Review, 3(4), 379–386.

    Article  Google Scholar 

  • Levy, K. N. (2005). The implications of attachment theory and research for understanding borderline personality disorder. Development and Psychopathology, 17(4), 959–986.

    Article  PubMed  Google Scholar 

  • Limberg, A., Barnow, S., Freyberger, H. J., & Hamm, A. O. (2011). Emotional vulnerability in borderline personality disorder is cue specific and modulated by traumatization. Biological Psychiatry, 69(6), 574–582.

    Article  PubMed  Google Scholar 

  • Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.

    Google Scholar 

  • Littell, R. C., Milliken, G. A., Stroup, W. W., & Wofinger, R. D. (1996). SAS system for mixed models. Cary: SAS Institute Inc.

    Google Scholar 

  • Livesley, J. (2008). Toward a genetically-informed model of borderline personality disorder. Journal of Personality Disorders, 22(1), 42–71.

    Article  PubMed  Google Scholar 

  • Lobbestael, J., & Arntz, A. (2010). Emotional, cognitive and physiological correlates of abuse-related stress in borderline and antisocial personality disorder. Behaviour Research and Therapy, 48(2), 116–124.

    Article  PubMed  Google Scholar 

  • Marissen, M. A. E., Meuleman, L., & Franken, I. H. A. (2010). Altered emotional information processing in borderline personality disorder: an electrophysiological study. Psychiatry Research, 181(3), 226–232.

    Article  PubMed  Google Scholar 

  • Panksepp, J., & Watt, D. (2011). What is basic about basic emotions?: Lasting lessons from affective neuroscience. Emotion Review, 3(4), 387–396.

    Article  Google Scholar 

  • Paris, J., Brown, R., & Nowlis, D. (1987). Long-term follow-up of borderline patients in a general hospital. Comprehensive Psychiatry, 28(6), 530–535.

    Article  PubMed  Google Scholar 

  • Pignatiello, M. F., Camp, C. J., & Rasar, L. A. (1986). Musical mood induction: an alternative to the velten technique. Journal of Abnormal Psychology, 95(3), 295–297.

    Article  PubMed  Google Scholar 

  • Pitman, R. K., Orr, S. P., Forgue, D. F., de Jong, J. B., & Claiborn, J. M. (1987). Psychophysiologic assessment of posttraumatic stress disorder imagery in Vietnam combat veterans. Archives of General Psychiatry, 44(11), 970–975.

    Article  PubMed  Google Scholar 

  • Rottenberg, J., Ray, R. D., & Gross, J. J. (2007). Emotion elicitation using films. In J. A. Coan & J. J. B. Allen (Eds.), The handbook of emotion elicitation and assessment. London: Oxford University Press.

    Google Scholar 

  • Rusch, N., Schulz, D., Valerius, G., Steil, R., Bohus, M., & Schmahl, C. (2011). Disgust and implicit self-concept in women with borderline personality disorder and posttraumatic stress disorder. European Archives of Psychiatry and Clinical Neuroscience, 261, 369–376.

    Article  PubMed  Google Scholar 

  • Schienle, A., Haas-Krammer, A., Schoggl, H., Kapfhammer, H., & Ille, R. (2013). Altered state and trait disgust in borderline personality disorder. Journal of Nervous and Mental Disease, 201, 105–108.

    Article  PubMed  Google Scholar 

  • Schmahl, C. G., Elzinga, B. M., Ebner, U. W., Simms, T., Sanislow, C., Vermetten, E., et al. (2004). Psychophysiological reactivity to traumatic and abandonment scripts in borderline personality and posttraumatic stress disorders: a preliminary report. Psychiatry Research, 126(1), 33–42.

    Article  PubMed  Google Scholar 

  • Selby, E. A., & Joiner, T. E., Jr. (2009). Cascades of emotion: the emergence of borderline personality disorder from emotional and behavioral dysregulation. Review of General Psychology, 13(3), 219–229.

    Article  PubMed Central  PubMed  Google Scholar 

  • Selby, E. A., Anestis, M. D., Bender, T. W., & Joiner, T. E., Jr. (2009). An exploration of the emotional cascade model in borderline personality disorder. Journal of Abnormal Psychology, 118(2), 375–387.

    Article  PubMed Central  PubMed  Google Scholar 

  • Soloff, P. H., Lynch, K. G., Kelly, T. M., Malone, K. M., & Mann, J. J. (2000). Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: a comparative study. American Journal of Psychiatry, 157, 601–608.

    Article  PubMed  Google Scholar 

  • Soloff, P., Lynch, K., & Kelly, T. (2002). Childhood abuse as a risk factor for suicidal behavior in borderline personality disorder. Journal of Personality Disorders, 16(3), 201–214.

    Article  PubMed  Google Scholar 

  • Stephens, C. L., Christie, I. C., & Friedman, B. H. (2010). Autonomic specificity of basic emotions: evidence from pattern classification and cluster analysis. Biological Psychiatry, 84(3), 463–473.

    Article  Google Scholar 

  • Stiglmayr, C., Shapiro, D., Stieglitz, R., Limberger, M., & Bohus, M. (2001). Experience of aversive tension and dissociation in female patients with borderline personality disorder — a controlled study. Journal of Psychiatry Research, 35(2), 111–118.

    Article  Google Scholar 

  • Strauss, G. P., & Allen, D. N. (2008). Emotional intensity and categorization rating for emotional and nonemotional words. Cognition and Emotion, 22(1), 114–133.

    Article  Google Scholar 

  • Vytal, K., & Hamann, S. (2010). Neuroimaging support for discrete neural correlates of basic emotions: a voxel-based meta-analysis. Journal of Cognitive Neuroscience, 22(12), 2864–2885.

    Article  PubMed  Google Scholar 

  • Zisook, S., Goff, A., Sledge, P., & Schuchter, S. (1994). Reported suicidal behavior and current suicidal ideation in a psychiatric outpatient clinic. Annals of Clinical Psychiatry, 6(1), 27–31.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, Ryerson University, Toronto, Ontario, Canada

    Janice R. Kuo, Skye Fitzpatrick & Danielle E. MacDonald

  2. Department of Psychiatry and Medical Sciences, Duke University Medical Center, Durham, NC, USA

    Andrada D. Neacsiu

  3. Ryerson University, 350 Victoria Street, Toronto, Ontario, M5B 2K3, Canada

    Janice R. Kuo

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  1. Janice R. Kuo
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  2. Andrada D. Neacsiu
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  3. Skye Fitzpatrick
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  4. Danielle E. MacDonald
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Correspondence to Janice R. Kuo.

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Kuo, J.R., Neacsiu, A.D., Fitzpatrick, S. et al. A Methodological Examination of Emotion Inductions in Borderline Personality Disorder: A Comparison of Standardized Versus Idiographic Stimuli. J Psychopathol Behav Assess 36, 155–164 (2014). https://doi.org/10.1007/s10862-013-9378-x

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  • DOI: https://doi.org/10.1007/s10862-013-9378-x

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