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Facial emotion recognition in borderline personality disorder
A R Daros1, K K Zakzanis, A C Ruocco
1Department of Psychology, University of Toronto Scarborough, Toronto, Canada.
Psychological Medicine
|November 15, 2012
Summary
Individuals with borderline personality disorder (BPD) struggle to recognize emotions in faces, particularly neutral expressions. This difficulty in facial emotion recognition may contribute to emotion dysregulation in BPD.
Area of Science:
- Psychology
- Psychiatry
- Neuroscience
Background:
- Emotion dysregulation is a key symptom of borderline personality disorder (BPD).
- Impaired emotion perception is hypothesized to underlie emotion dysregulation in BPD.
- Previous research on facial emotion recognition in BPD has produced mixed results.
Purpose of the Study:
- To quantitatively synthesize findings from studies on facial emotion recognition in BPD.
- To clarify the nature and extent of emotion recognition deficits in BPD.
Main Methods:
- A meta-analysis was conducted on 10 studies.
- Compared facial emotion recognition accuracy in patients with BPD (n=266) and non-psychiatric controls (n=255).
Main Results:
- Patients with BPD showed reduced accuracy in recognizing anger and disgust.
- The most significant deficit was observed in identifying neutral facial expressions.
- Performance differences were not attributable to response speed or overall test-taking approach.
Conclusions:
- Individuals with BPD exhibit difficulties in recognizing specific negative emotions and neutral facial expressions.
- Misattribution of emotions to neutral faces may occur in BPD.
- Further research is needed to investigate the role of state-dependent emotion perception biases.
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