Confidence in facial emotion recognition in borderline personality disorder.
Abstract
Dysfunctions of social-cognitive processes such as the recognition of emotions have been discussed to contribute to the severe impairments of interpersonal functioning in borderline personality disorder (BPD). By investigating how patients with BPD experience the intensity of different emotions in a facial expression and how confident they are in their own judgments, the current study aimed at identifying subtle alterations of emotion processing in BPD. Female patients with BPD (N = 36) and 36 healthy controls were presented with faces that displayed low-intense anger and happiness or ambiguous expressions of anger and happiness blends. Subjects were asked to rate (a) the intensity of anger and happiness in each facial expression and (b) their confidence in their judgments. Patients with BPD rated the intensity of happiness in happy faces lower than did controls, but did not differ in regard to the assessment of angry or ambiguous facial stimuli or the rating of anger. They reported lower confidence in their judgments, which was particularly pronounced for the assessment of happy facial expressions. The reduced rating of happiness was linked to higher state anger, whereas the reduced confidence in the assessment of happy faces was related to stronger feelings of loneliness and the expectation of social rejection. Our findings suggest alterations in the processing of positive social stimuli that affect both the experience of the emotional intensity and the confidence subjects experience during their assessment. The link to loneliness and social rejection sensitivity points to the necessity to target these alterations in psychotherapeutical interventions.
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Four Borderline Personality Disorder samples partially overlap; all three are reported in the narrative review and the largest sample was included in the meta-analysis.
“Four BPD samples partially overlap (Bungert, Koppe, et al., 2015;Bungert, Liebke, et al., 2015;Thome et al., 2016;Liebke et al. 2018).As the authors contacted were not certain of the extent of this, all three are reported in the narrative review and highlighted grey in tables.The study with the largest sample was included in the meta-analysis (Bungert, Liebke, et al., 2015).”
From The link between rejection sensitivity and borderline personality disorder: A systematic review and meta-analysis (2019) · cites this paper as Thome et al., 2016
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- Authors
- Thome, J., Liebke, L., Bungert, M., Schmahl, C., Domes, G., Bohus, M., & Lis, S.
- Affiliations
- Heidelberg University (DE)
- University of Freiburg (DE)
- Venue
- Personality Disorders: Theory, Research, and Treatment
- Published
- 2016-04
- Volume
- 7
- Issue
- 2
- Pages
- 159-168
- ISSN
- 1949-2715 (ISSN-L)
- 1949-2723
- OpenAlex
- W2317512888
- Cited by
- 64
- References
- 58
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 9 · 2023: 3 · 2022: 6 · 2021: 14 · 2020: 5 · 2019: 6 · 2018: 6 · 2017: 4 · 2016: 3
- FWCI
- 5.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Personality Disorders Theory Research and Treatment (publishedVersion)
- PubMed (publishedVersion)
- 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, facial emotion recognition, confidence judgments, emotion intensity ratings, happiness perception, anger perception, ambiguous facial expressions, state anger, loneliness, rejection sensitivity, interpersonal functioning
- MeSH terms
- Facial Recognition, Adult, Anger, Borderline Personality Disorder, Facial Expression, Female, Happiness, Humans, Loneliness, Social Perception, Recognition, Psychology, Young Adult
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