A negative bias in decoding positive social cues characterizes emotion processing in patients with symptom-remitted Borderline Personality Disorder
Abstract Background Impairments in the domain of interpersonal functioning such as the feeling of loneliness and fear of abandonment have been associated with a negative bias during processing of social cues in Borderline Personality Disorder (BPD). Since these symptoms show low rates of remission,...
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doaj-271eba17b29e4d03948272e235c102d72020-11-25T04:07:19ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732019-11-01611910.1186/s40479-019-0114-3A negative bias in decoding positive social cues characterizes emotion processing in patients with symptom-remitted Borderline Personality DisorderNikolaus Kleindienst0Sophie Hauschild1Lisa Liebke2Janine Thome3Katja Bertsch4Saskia Hensel5Stefanie Lis6Institute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg UniversityInstitute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg UniversityInstitute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg UniversityInstitute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg UniversityDepartment of General Psychiatry, Center for Psychosocial Medicine, University of HeidelbergInstitute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg UniversityInstitute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg UniversityAbstract Background Impairments in the domain of interpersonal functioning such as the feeling of loneliness and fear of abandonment have been associated with a negative bias during processing of social cues in Borderline Personality Disorder (BPD). Since these symptoms show low rates of remission, high rates of recurrence and are relatively resistant to treatment, in the present study we investigated whether a negative bias during social cognitive processing exists in BPD even after symptomatic remission. We focused on facial emotion recognition since it is one of the basal social-cognitive processes required for successful social interactions and building relationships. Methods Ninety-eight female participants (46 symptom-remitted BPD [r-BPD]), 52 healthy controls [HC]) rated the intensity of anger and happiness in ambiguous (anger/happiness blends) and unambiguous (emotion/neutral blends) emotional facial expressions. Additionally, participants assessed the confidence they experienced in their own judgments. Results R-BPD participants assessed ambiguous expressions as less happy and as more angry when the faces displayed predominantly happiness. Confidence in these judgments did not differ between groups, but confidence in judging happiness in predominantly happy faces was lower in BPD patients with a higher level of BPD psychopathology. Conclusions Evaluating social cues that signal the willingness to affiliate is characterized by a negative bias that seems to be a trait-like feature of social cognition in BPD. In contrast, confidence in judging positive social signals seems to be a state-like feature of emotion recognition in BPD that improves with attenuation in the level of acute BPD symptoms.http://link.springer.com/article/10.1186/s40479-019-0114-3Emotion recognitionAffiliationSymptom-remitted BPDConfidenceNegative biasSocial cognition |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nikolaus Kleindienst Sophie Hauschild Lisa Liebke Janine Thome Katja Bertsch Saskia Hensel Stefanie Lis |
spellingShingle |
Nikolaus Kleindienst Sophie Hauschild Lisa Liebke Janine Thome Katja Bertsch Saskia Hensel Stefanie Lis A negative bias in decoding positive social cues characterizes emotion processing in patients with symptom-remitted Borderline Personality Disorder Borderline Personality Disorder and Emotion Dysregulation Emotion recognition Affiliation Symptom-remitted BPD Confidence Negative bias Social cognition |
author_facet |
Nikolaus Kleindienst Sophie Hauschild Lisa Liebke Janine Thome Katja Bertsch Saskia Hensel Stefanie Lis |
author_sort |
Nikolaus Kleindienst |
title |
A negative bias in decoding positive social cues characterizes emotion processing in patients with symptom-remitted Borderline Personality Disorder |
title_short |
A negative bias in decoding positive social cues characterizes emotion processing in patients with symptom-remitted Borderline Personality Disorder |
title_full |
A negative bias in decoding positive social cues characterizes emotion processing in patients with symptom-remitted Borderline Personality Disorder |
title_fullStr |
A negative bias in decoding positive social cues characterizes emotion processing in patients with symptom-remitted Borderline Personality Disorder |
title_full_unstemmed |
A negative bias in decoding positive social cues characterizes emotion processing in patients with symptom-remitted Borderline Personality Disorder |
title_sort |
negative bias in decoding positive social cues characterizes emotion processing in patients with symptom-remitted borderline personality disorder |
publisher |
BMC |
series |
Borderline Personality Disorder and Emotion Dysregulation |
issn |
2051-6673 |
publishDate |
2019-11-01 |
description |
Abstract Background Impairments in the domain of interpersonal functioning such as the feeling of loneliness and fear of abandonment have been associated with a negative bias during processing of social cues in Borderline Personality Disorder (BPD). Since these symptoms show low rates of remission, high rates of recurrence and are relatively resistant to treatment, in the present study we investigated whether a negative bias during social cognitive processing exists in BPD even after symptomatic remission. We focused on facial emotion recognition since it is one of the basal social-cognitive processes required for successful social interactions and building relationships. Methods Ninety-eight female participants (46 symptom-remitted BPD [r-BPD]), 52 healthy controls [HC]) rated the intensity of anger and happiness in ambiguous (anger/happiness blends) and unambiguous (emotion/neutral blends) emotional facial expressions. Additionally, participants assessed the confidence they experienced in their own judgments. Results R-BPD participants assessed ambiguous expressions as less happy and as more angry when the faces displayed predominantly happiness. Confidence in these judgments did not differ between groups, but confidence in judging happiness in predominantly happy faces was lower in BPD patients with a higher level of BPD psychopathology. Conclusions Evaluating social cues that signal the willingness to affiliate is characterized by a negative bias that seems to be a trait-like feature of social cognition in BPD. In contrast, confidence in judging positive social signals seems to be a state-like feature of emotion recognition in BPD that improves with attenuation in the level of acute BPD symptoms. |
topic |
Emotion recognition Affiliation Symptom-remitted BPD Confidence Negative bias Social cognition |
url |
http://link.springer.com/article/10.1186/s40479-019-0114-3 |
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