GGZ-Centraal Psychiatric Center, Amersfoort, The Netherlands,
Eur Child Adolesc Psychiatry. 2014 Jul;23(7):563-70. doi: 10.1007/s00787-013-0487-6. Epub 2013 Oct 29.
It has been argued that a heightened emotional sensitivity interferes with the cognitive processing of facial emotion recognition and may explain the intensified emotional reactions to external emotional stimuli of adults with personality pathology, such as borderline personality disorder (BPD). This study examines if and how deviations in facial emotion recognition also occur in adolescents with personality pathology. Forty-two adolescents with personality pathology, 111 healthy adolescents and 28 psychiatric adolescents without personality pathology completed the Emotion Recognition Task, measuring their accuracy and sensitivity in recognizing positive and negative emotion expressions presented in several, morphed, expression intensities. Adolescents with personality pathology showed an enhanced recognition accuracy of facial emotion expressions compared to healthy adolescents and clients with various Axis-I psychiatric diagnoses. They were also more sensitive to less intensive expressions of emotions than clients with various Axis-I psychiatric diagnoses, but not more than healthy adolescents. As has been shown in research on adults with BPD, adolescents with personality pathology show enhanced facial emotion recognition.
有人认为，较高的情绪敏感性会干扰对面部情绪识别的认知处理，并且可能解释了人格障碍患者（例如边缘型人格障碍）对外部情绪刺激的强烈情绪反应。本研究探讨了人格障碍青少年是否以及如何出现面部情绪识别偏差。42 名人格障碍青少年、111 名健康青少年和 28 名无人格病理的精神科青少年完成了情绪识别任务，该任务测量了他们识别呈现的多种、变形、表情强度的正性和负性情绪表达的准确性和敏感性。与健康青少年和各种轴 I 精神科诊断的患者相比，人格障碍青少年对面部情绪表达的识别准确性更高。他们对情绪表达强度较低的表情也比各种轴 I 精神科诊断的患者更敏感，但不如健康青少年敏感。正如 BPD 成人研究所示，人格障碍青少年的面部情绪识别能力增强。
