Original Article

Comparing Facial Emotional Recognition in Patients with Borderline Personality Disorder and Patients with Schizotypal Personality Disorder with a Normal Group

Abstract

Objective: No research has been conducted on facial emotional recognition on patients with borderline personality disorder (BPD) and schizotypal personality disorder (SPD). The present study aimed at comparing facial emotion recognition in these patients with the general population. The neurocognitive processing of emotions can show the pathologic style of these 2 disorders.
Method:  Twenty BPD patients, 16 SPD patients, and 20 healthy individuals were selected by available sampling method. Structural Clinical Interview for Axis II, Millon Personality Inventory, Beck Depression Inventory and Facial Emotional Recognition Test was were conducted for all participants.
Discussion: The results of one way ANOVA and Scheffe’s post hoc test analysis revealed significant differences in neuropsychology assessment of  facial emotional recognition between BPD and  SPD patients with normal group (p = 0/001). A significant difference was found in emotion recognition of fear between the 2 groups of BPD and normal population (p = 0/008). A significant difference was observed between SPD patients and control group in emotion recognition of wonder (p = 0/04).
The obtained results indicated a deficit in negative emotion recognition, especially disgust emotion, thus, it can be concluded that these patients have the same neurocognitive profile in the emotion domain.

Cloninger CR. Personality disorders. In: Sadock BJ SV, editor 2003; 2063-105.

Skodol A, Siever LJ, Livesley WJ, Gunderson JG, Pfohl B, Widiger TA. The borderline diagnosis II: biology, genetics, and clinical course. Biol Psychiatry 2002; 51: 951 -963.

Kernberg OF. A psychoanalytic theory of personality disorders. In J. F.-Clarkin MFLE, Major theories of personality disorder editor. New York Guilford Press; 1996.

Rawlings D CG, Freeman JL. Principal components analysis of the schizotypal personality scale (STA) and the borderline personality scale (STB). Pers Indiv Diff 2001; 31: 409-419.

Levine D, Marziali E, Hood J. Emotion processing in borderline personality disorders. J Nerv Ment Dis 1997; 185: 240–246.

Posner MI, Rothbart MK, Vizueta N, Levy KN, Evans DE, Thomas KM, et al. Attentional mechanisms of borderline personality disorder. Proc Natl Acad Sci U S A 2002; 99: 16366–16370.

LeDoux JE. The emotional brain: The mysterious underpinnings of emotional life: New York: Touchstone; 1996.

Donegan NH, Sanislow CA, Blumberg HP, Fulbright RK, Lacadie C, Skudlarski P, et al. Amygdala hyper reactivity in borderline personality disorder: implications for emotional dysregulation. Biol Psychiatry 2003; 54: 1284-1293.

Herpertz SC1, Dietrich TM, Wenning B, Krings T, Erberich SG, Willmes K, et al. Evidence of abnormal amygdala functioning in borderline personality disorder: a functional MRI study. Biological Psychiatry 2001; 50: 292-298.

Wagner A, Linehan MM. Facial expression recognition ability among women with borderline personality disorder: implications for emotion regulation? J Pers Disord 1999; 13: 329 -344.

Voglmaier MM, Seidman LJ, Salisbury D, McCarley RW. Neuropsychological dysfunction in schizotypal personality disorder: a profile analysis. Biological Psychiatry 1997; 41: 530–540.

Brown LA, Cohen AS. Facial emotion recognition in schizotypal: The role of accuracy and social cognitive bias. Journal of the International Neuropsychological Society 2010; 16: 474 – 83.

Poreh AM, Whitman RD, Weber M, Ross T. Facial recognition in hypothetically schizotypic college students: The role of generalized poor performance. J Nerv Ment Dis 1994; 182: 503 –507.

Green MF. Schizophrenia Revealed: New York: W.W.Norton and Company, Inc; 2001.

Dickerson F, Boronow JJ, Stallings C, Origoni AE, Cole SK, Yolken RH. Cognitive functioning in schizophrenia and bipolar disorder: comparison of performance on the Repeatable Battery for the Assessment of Neuropsychological Status. Psychiatry Res 2004; 30; 129: 45-53.

Ekman PF W. Pictures of facial affect: Palo Alto, CA: Consulting Psychologist Press; 1976.

Gardner KJ, Qualter P, Stylianou M, Robinson AJ. Facial affect recognition in non-clinical adults with borderline personality features: The role of effortful control and rejection sensitivity. Personality and Individual Differences 2010; 49: 799–804.

Minzenberg MJ FJ, New AS, Tang CY, Siever LJ. Frontolimbic structural changes in borderline personality disorder. J Psychiatr Res 2008; 42: 727-733.

Linehan MM. Cognitive – behavioral treatment for borderline personality disorder: New York: Guilford; 1993.

Wingenfeld K, Spitzer C, Rullkötter N, Löwe B. Borderline personality disorder: hypothalamus pituitary adrenal axis and findings from neuroimaging studies. Psychoneuroendocrinology 2010; 35: 154–170.

Kohler CG, Turner T, Stolar NM, Bilker WB, Brensinger CM, Gur RE, et al. Differences in facial expression of four universal emotions. Psychiatry Res 2004; 128: 235-244.

Daros AR, Zakzanis KK, Ruocco AC. Facial emotion recognition in borderline personality disorder. Psychol Med 2013; 43: 1953–1963.

Mitchell AE, Dickens GL, Picchioni MM. Facial emotion processing in borderline personality disorder: a systematic review and meta-analysis. Neuropsychol Rev 2014; 24: 166–184.

Sauer C, Sheppes G, Lackner HK, Arens EA, Tarrasch R, Barnow S. Emotion regulation choice in female patients with Borderline personality disorder: findings from self-reports And experimental measures. Psychiatry Research 2016; 242: 375-384.

Files
IssueVol 12 No 2 (2017) QRcode
SectionOriginal Article(s)
Keywords
Borderline Personality Disorder Schizotypal Personality Disorder Facial Emotional Recognition

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Farsham A, Abbaslou T, Bidaki R, Bozorg B. Comparing Facial Emotional Recognition in Patients with Borderline Personality Disorder and Patients with Schizotypal Personality Disorder with a Normal Group. Iran J Psychiatry. 2017;12(2):87-92.