Facial Trust Appraisal Negatively Biased in Borderline Personality Disorder
Open accessAbstract
Borderline personality disorder (BPD) is characterized by unstable interpersonal relationships and intense concerns regarding abandonment and rejection. Previous studies suggest that these and other symptoms of BPD may have their origin in a greater appraisal of untrustworthiness in others. However, it is not known whether this is a result of a heightened sensitivity to trust related stimuli, an improved ability to discriminate between such stimuli, or a response bias. Furthermore, impairment in facial fear appraisal may influence trust appraisal. Healthy controls and individuals diagnosed with BPD appraised human faces that were parametrically varied along either a trust or fear dimension. The BPD group exhibited a response bias to rate the untrustworthiness of facial stimuli higher compared to controls, but there were no significant differences in the discriminability or sensitivity of trustworthiness between groups. Furthermore, ambiguous trust decisions were associated with longer response times (RTs) in individuals with BPD relative to controls. Individuals with BPD have a facial appraisal bias specific to untrustworthiness that does not co-occur with impairments in the appraisal of fear.
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Two studies used screening tools for the control samples.
“However, two studies used screening tools for the control (Fertuck, Grinband, & Stanley, 2013;Jobst et al., 2016) and some studies did not provide enough information to determine (Bungert, Koppe, et al., 2015;Bungert, Liebke, et al., 2015;Rosenbach & Renneberg, 2015;Staebler et al., 2011;Winter, Koplin, & Lis, 2015).”
From The link between rejection sensitivity and borderline personality disorder: A systematic review and meta-analysis (2019) · cites this paper as Fertuck, Grinband, & Stanley, 2013
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- Authors
- Fertuck, E. A., Grinband, J., & Stanley, B.
- Affiliations
- The Graduate Center, CUNY (US)
- New York State Psychiatric Institute (US)
- Corresponding author
- Fertuck, Eric A.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 207
- Issue
- 3
- Pages
- 195-202
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC3654093
- OpenAlex
- W2094066952
- Cited by
- 104
- References
- 69
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 13 · 2022: 12 · 2021: 13 · 2020: 6 · 2019: 13 · 2018: 10 · 2017: 8 · 2016: 7 · 2015: 5 · 2014: 3 · 2013: 1
- FWCI
- 5.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Psychoanalytic Association
- National Institutes of Health (5r01mh062665-05)
- National Institute of Mental Health (MH 62665, #R01 MH062665, L30 MH072176, R01MH061017, K23MH077044)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- borderline personality disorder, trustworthiness, response bias, reaction time (psychology), interpersonal relationships, face perception
- MeSH terms
- Adult, Analysis of Variance, Borderline Personality Disorder, Discrimination, Psychological, Facial Expression, Female, Humans, Interpersonal Relations, Male, Middle Aged, Photic Stimulation, Psychiatric Status Rating Scales, Psychophysics, Reaction Time, Bias, Trust, Young Adult
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