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Cognitive Reappraisal of Negative Emotional Images in Borderline Personality Disorder: Content Analysis, Perceived Effectiveness, and Diagnostic Specificity

Published Online:May 2020https://doi.org/10.1521/pedi_2018_32_390

Abstract

Individuals with borderline personality disorder (BPD) report using cognitive reappraisal less often than healthy individuals despite the long-term benefits of the emotion regulation strategy on emotional stability. Individuals with BPD, mixed anxiety and/or depressive disorders (MAD), and healthy controls (HC) completed an experimental task to investigate the tactics contained in cognitive reappraisal statements vocalized for high and low emotional intensity photographs. Self-reported effectiveness after using cognitive reappraisal to decrease negative emotions was also evaluated. Although BPD and MAD used a similar number of cognitive reappraisal tactics, they perceived themselves as less effective at reducing their negative emotions compared to HC. During cognitive reappraisal, BPD and MAD uttered fewer words versus HC, while BPD uttered fewer words versus MAD. Results suggest that individuals with BPD and MAD are less fluent and perceive themselves as less effective than HC when using cognitive reappraisal to lower negative emotions regardless of stimulus intensity.

REFERENCES

  • Aldao A., , Jazaieri H., , Goldin P. R., , & Gross J. J. (2014). Adaptive and maladaptive emotion regulation strategies: Interactive effects during CBT for social anxiety disorder. Journal of Anxiety Disorders, 28(4), 382–389. 10.1016/j.janxdis.2014.03.005 Crossref Medline, Google Scholar
  • Bandura A., , Caprara G. V., , Barbaranelli C., , Gerbino M., , & Pastorelli C. (2003). Role of affective self-regulatory efficacy in diverse spheres of psychosocial functioning. Child Development, 74(3), 769–782. Crossref Medline, Google Scholar
  • Beblo T., , Pastuszak A., , Griepenstroh J., , Fernando S., , Driessen M., , Schutz A., , & Schlosser N. (2010). Self-reported emotional dysregulation but no impairment of emotional intelligence in borderline personality disorder: An explorative study. Journal of Nervous and Mental Disease, 198(5), 385–388. 10.1097/NMD.0b013e3181da4b4f Crossref Medline, Google Scholar
  • Bigman Y. E., , Mauss I. B., , Gross J. J., , & Tamir M. (2016). Yes I can: Expected success promotes actual success in emotion regulation. Cognition and Emotion, 30(7), 1380–1387. 1 0.1080/02699931.2015.1067188 Crossref Medline, Google Scholar
  • Caprara G. V., , Di Giunta L., , Eisenberg N., , Gerbino M., , Pastorelli C., , & Tramontano C. (2008). Assessing regulatory emotional self-efficacy in three countries. Psychological Assessment, 20(3), 227–237. 10.1037/1040-3590.20.3.227 Crossref Medline, Google Scholar
  • Carpenter R. W., , & Trull T. J. (2013). Components of emotion dysregulation in borderline personality disorder: A review. Current Psychiatry Reports, 15(1), 335. 10.1007/s11920-012-0335-2 Crossref Medline, Google Scholar
  • Carter P. E., , & Grenyer B. F. (2012). Expressive language disturbance in borderline personality disorder in response to emotional autobiographical stimuli. Journal of Personality Disorders, 26(3), 305–321. 10.1521/pedi.2012.26.3.305 Link, Google Scholar
  • Daros A. R., , Uliaszek A. A., , & Ruocco A. C. (2014). Perceptual biases in facial emotion recognition in borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, 5(1), 79–87. 10.1037/per0000056 Crossref, Google Scholar
  • D'Avanzato C., , Joorman J., , Siemer M., , & Gotlib I. H. (2013). Emotion regulation in depression and anxiety: Examining diagnositic specificity and stability of strategy use. Cognitive Therapy and Research, 37, 968–980. 10.1007/s10608-013-9537-0 Crossref, Google Scholar
  • Elices M., , Soler J., , Fernandez C., , Martin-Blanco A., , Jesus Portella M., , Perez V., , & Carlos Pascual J. (2012). Physiological and self-assessed emotional responses to emotion-eliciting films in borderline personality disorder. Psychiatry Research, 200(2-3), 437–443. 10.1016/j.psychres.2012.07.020 Crossref Medline, Google Scholar
  • English T., , John O. P., , & Gross J. J. (2013). Emotion regulation in close relationships. In Simpson J., & Campbell L. (Eds.), The Oxford handbook of close relationships (pp. 500–513). New York, NY: Oxford University Press. Google Scholar
  • First M., , Spitzer R., , Gibbon M., , & Williams J. (2002). Structural Clinical Interview for DSM-IV-TR, Research Version, Non-patient Edition. New York, NY: Biometrics Research, New York State Psychiatric Institute. Google Scholar
  • Fletcher K., , Parker G., , Bayes A., , Paterson A., , & McClure G. (2014). Emotion regulation strategies in bipolar II disorder and borderline personality disorder: Differences and relationships with perceived parental style. Journal of Affective Disorders, 157, 52–59. 10.1016/j.jad.2014.01.001 Crossref Medline, Google Scholar
  • Gross J. J. (1998). Antecedent- and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74(1), 224–237. Crossref Medline, Google Scholar
  • Gross J. J. (2014). Emotion regulation: Conceptual and empirical foundations. In Gross J. J. (Ed.), Handbook of emotion regulation (2nd ed., pp. 3–20). New York, NY: Guilford. Google Scholar
  • Gross J. J., , & John O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. 10.1037/0022-3514.85.2.348 Crossref Medline, Google Scholar
  • Hall R. C. W. (1995). Global assessment of functioning: A modified scale. Psychosomatics, 36(3), 267–275. Crossref Medline, Google Scholar
  • Iverson G. L., , & Lam R. W. (2013). Rapid screening for perceived cognitive impairment in major depressive disorder. Annals of Clinical Psychiatry, 25(2), 135–140. Medline, Google Scholar
  • Jacob G. A., , Hellstern K., , Ower N., , Pillmann M., , Scheel C. N., , Rüsch N., , & Lieb K. (2009). Emotional reactions to standardized stimuli in women with borderline personality disorder: Stronger negative affect, but no differences in reactivity. Journal of Nervous and Mental Disease, 197(11), 808–815. 10.1097/NMD.0b013e3181bea44d Crossref Medline, Google Scholar
  • Joormann J., , & Gotlib I. H. (2010). Emotion regulation in depression: Relation to cognitive inhibition. Cognition and Emotion, 24(2), 281–298. 10.1080/02699930903407948 Crossref Medline, Google Scholar
  • Judd P., , & McGlashan T. (2008). A developmental model of borderline personality disorder: Understanding variations in course and outcome. Washington, DC: American Psychaitric Publishing. Google Scholar
  • Klein D. N., , Ouimette P. C., , Kelly H. S., , Ferro T., , & Riso L. P. (1994). Test-retest reliability of team consensus best-estimate diagnoses of Axis I and Axis II disorders in a family study. American Journal of Psychiatry, 151(7), 1043–1047. Crossref Medline, Google Scholar
  • Kuo J. R., , Fitzpatrick S., , Metcalfe R. K., , & McMain S. (2016). A multi-method laboratory investigation of emotional reactivity and emotion regulation abilities in borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 50, 52–60. 10.1016/j.jbtep.2015.05.002 Crossref Medline, Google Scholar
  • Kuo J. R., , & Linehan M. M. (2009). Disentangling emotion processes in borderline personality disorder: Physiological and self-reported assessment of biological vulnerability, baseline intensity, and reactivity to emotionally evocative stimuli. Journal of Abnormal Psychology, 118(3), 531–544. 10.1037/ a0016392 Crossref Medline, Google Scholar
  • Kuo J. R., , Neacsiu A. D., , Fitzpatrick S., , & MacDonald D. E. (2014). A methodological examination of emotion inductions in borderline personality disorder: A comparison of standardized versus idiographic stimuli. Journal of Psychopathology and Behavioral Assessment, 36(1), 155–164. Crossref, Google Scholar
  • Lang P. J., , Bradley M. M., , & Cuthbert B. N. (2008). International affective picture system (IAPS): Affective ratings of pictures and instruction manual. Technical Report A-8. Gainesville: University of Florida. Google Scholar
  • Lei H., , Zhang X., , Cai L., , Wang Y., , Bai M., , & Zhu X. (2014). Cognitive emotion regulation strategies in outpatients with major depressive disorder. Psychiatry Research, 218(1–2), 87–92. 10.1016/j.psychres.2014.04.025 Crossref Medline, Google Scholar
  • Lovibond P. F., , & Lovibond S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. Crossref Medline, Google Scholar
  • Marchesi C., , Brusamonti E., , & Maggini C. (2000). Are alexithymia, depression, and anxiety distinct constructs in affective disorders? Journal of Psychosomatic Research, 49(1), 43–49. Crossref Medline, Google Scholar
  • McRae K. (2013). Emotion regulation frequency and success: Separating constructs from methods and time scale. Social and Personality Psychology Compass, 7(5), 289–302. Crossref, Google Scholar
  • McRae K., , Ciesielski B., , & Gross J. J. (2012). Unpacking cognitive reappraisal: Goals, tactics, and outcomes. Emotion, 12(2), 250–255. 10.1037/a0026351 Crossref Medline, Google Scholar
  • McRae K., , Ochsner K. N., , Mauss I. B., , Gabrieli J. D., , & Gross J. J. (2008). Gender differences in emotion regulation: An fMRI study of cognitive reappraisal. Group Processes and Intergroup Relations, 11(2), 143–162. Crossref Medline, Google Scholar
  • Neacsiu A. D., , Bohus M., , & Linehan M. M. (2014). Dialectical behavior therapy: An intervention for emotion dysregulation. In Gross J. J. (Ed.), Handbook of emotion regulation (2nd ed., pp. 491–507). New York, NY: Guilford. Google Scholar
  • Pfohl B., , Blum N., , & Zimmerman M. (1997). Structured Interview for DSM-IV Personality (SIDP-IV). New York, NY: American Psychiatric Publishing. Google Scholar
  • Pfohl B., , Blum N., , St John D., , McCormick B., , Allen J., , & Black D. W. (2009). Reliability and validity of the Borderline Evaluation of Severity Over Time (BEST): A self-rated scale to measure severity and change in persons with borderline personality disorder. Journal of Personality Disorders, 23(3), 281–293. 10.1521/pedi.2009.23.3.281 Link, Google Scholar
  • Rosenthal M. Z., , Cukrowicz K. C., , Cheavens J. S., , & Lynch T. R. (2006). Self-punishment as a regulation strategy in borderline personality disorder. Journal of Personality Disorders, 20(3), 232–246. 10.1521/pedi.2006.20.3.232 Link, Google Scholar
  • Ruocco A. C., , Medaglia J. D., , Ayaz H., , & Chute D. L. (2010). Abnormal prefrontal cortical response during affective processing in borderline personality disorder. Psychiatry Research, 182(2), 117–122. 10.1016/j.pscychresns.2010.01.011 Crossref Medline, Google Scholar
  • Sauer C., , Sheppes G., , Lackner H. K., , Arens E. A., , Tarrasch R., , & Barnow S. (2016). Emotion regulation choice in female patients with borderline personality disorder: Findings from self-reports and experimental measures. Psychiatry Research, 242, 375–384. 10.1016/j.psychres.2016.04.113 Crossref Medline, Google Scholar
  • Schulze L., , Domes G., , Kruger A., , Berger C., , Fleischer M., , Prehn K., , & Herpertz S. C. (2011). Neuronal correlates of cognitive reappraisal in borderline patients with affective instability. Biological Psychiatry, 69(6), 564–573. 10.1016/j.biopsych.2010.10.025 Crossref Medline, Google Scholar
  • Selby E. A., , Anestis M. D., , Bender T. W., , & Joiner T. E. (2009). An exploration of the emotional cascade model in borderline personality disorder. Journal of Abnormal Psychology, 118(2), 375–387. 10.1037/a0015711 Crossref Medline, Google Scholar
  • Sheppes G., , Scheibe S., , Suri G., , Radu P., , Blechert J., , & Gross J. J. (2014). Emotion regulation choice: A conceptual framework and supporting evidence. Journal of Experimental Psychology: General, 143(1), 163–181. 10.1037/a0030831 Crossref Medline, Google Scholar
  • Sheppes G., , Suri G., , & Gross J. J. (2015). Emotion regulation and psychopathology. Annual Review of Clinical Psychology, 11, 379–405. 10.1146/annurev-clinpsy-032814-112739 Crossref Medline, Google Scholar
  • Suvak M. K., , Litz B. T., , Sloan D. M., , Zanarini M. C., , Barrett L. F., , & Hofmann S. G. (2011). Emotional granularity and borderline personality disorder. Journal of Abnormal Psychology, 120(2), 414–426. 10.1037/a0021808 Crossref Medline, Google Scholar
  • Svaldi J., , Griepenstroh J., , Tuschen-Caffier B., , & Ehring T. (2012). Emotion regulation deficits in eating disorders: A marker of eating pathology or general psychopathology? Psychiatry Research, 197(1–2), 103–111. 10.1016/j.psychres.2011.11.009 Crossref Medline, Google Scholar
  • Tamir M., , John O. P., , Srivastava S., , & Gross J. J. (2007). Implicit theories of emotion: Affective and social outcomes across a major life transition. Journal of Personality and Social Psychology, 92(4), 731–744. 10.1037/0022-3514.92.4.731 Crossref Medline, Google Scholar
  • Thomsen M. S., , Ruocco A. C., , Carcone D., , Mathiesen B. B., , & Simonsen E. (2017). Neurocognitive deficits in borderline personality disorder: Associations with childhood trauma and dimensions of personality psychopathology. Journal of Personality Disorders, 31(4), 503–521. 10.1521/pedi_2016_30_265. Link, Google Scholar
  • West S. G., , Aiken L. S., , & Krull J. L. (1996). Experimental personality designs: Analyzing categorical by continuous variable interactions. Journal of Personality, 64, 1–48. Crossref Medline, Google Scholar
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