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Mechanisms of disturbed emotion processing and social interaction in borderline personality disorder: state of knowledge and research agenda of the German Clinical Research Unit
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The last two decades have seen a strong rise in empirical research in the mechanisms of emotion dysregulation in borderline personality disorder. Major findings comprise structural as well as functional alterations of brain regions involved in emotion processing, such as amygdala, insula, and prefrontal regions. In addition, more specific mechanisms of disturbed emotion regulation, e.g. related to pain and dissociation, have been identified. Most recently, social interaction problems and their underlying neurobiological mechanisms, e.g. disturbed trust or hypersensitivity to social rejection, have become a major focus of BPD research. This article covers the current state of knowledge and related relevant research goals. The first part presents a review of the literature. The second part delineates important open questions to be addressed in future studies. The third part describes the research agenda for a large German center grant focusing on mechanisms of emotion dysregulation in BPD.
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“increased pain threshold, reduced pain perception (related to self-harm behaviours) (Bekrater-Bodmann et al., 2015;Ludascher et al., 2007;Schmahl et al., 2014)”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Schmahl et al., 2014
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Increased DNA methylation of neuropsychiatric genes occurs in borderline personality disorder
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Borderline personality disorder: a dysregulation of the endogenous opioid system?
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How mothers with borderline personality disorder relate to their year-old infants
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“4 years), and were found to correlate with impulsivity and non-suicidal self-injury [72,73] (C*).”
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“Consequently, increasing emotional awareness and emotion acceptance is currently seen as an important mode of action in psychotherapy in general and in BPD [44].”
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Disorder-Specific White Matter Alterations in Adolescent Borderline Personality Disorder
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Structural brain features of borderline personality and bipolar disorders
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Cortisol has enhancing, rather than impairing effects on memory retrieval in PTSD
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Research works printed but not linked: 1
- [40]Frijda N The Emotions 1986 Cambridge Cambridge University Press
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Metadata
- Authors
- Schmahl, C., Herpertz, S. C., Bertsch, K., Ende, G., Flor, H., Kirsch, P., Lis, S., Meyer-Lindenberg, A., Rietschel, M., Schneider, M., Spanagel, R., Treede, R.-D., & Bohus, M.
- Affiliations
- Heidelberg University (DE)
- Corresponding author
- Schmahl, Christian
- ORCID
- Venue
- Borderline Personality Disorder and Emotion Dysregulation
- Published
- 2014
- Volume
- 1
- Issue
- 1
- Pages
- 12
- ISSN
- 2051-6673 (ISSN-L)
- PMC
- PMC4579501
- OpenAlex
- W2108334765
- Cited by
- 168
- References
- 212
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 3 · 2023: 11 · 2022: 13 · 2021: 23 · 2020: 19 · 2019: 13 · 2018: 14 · 2017: 12 · 2016: 18 · 2015: 14 · 2014: 1
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Borderline Personality Disorder and Emotion Dysregulation (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- heiDOK (Heidelberg University) (acceptedVersion, other-oa)
- Funders
- Deutsche Forschungsgemeinschaft
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- borderline personality disorder, emotional dysregulation, emotional processing, social interaction, amygdala, insula, prefrontal cortex, pain, dissociation, trust, rejection sensitivity, neurobiological mechanisms, research agenda
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