Hepp Johanna, Hilbig Benjamin E, Kieslich Pascal J, Herzog Julia, Lis Stefanie, Schmahl Christian, Niedtfeld Inga
Department of Psychosomatic Medicine, Central Institute of Mental Health, Medical Faculty Mannheim/ Heidelberg University, Mannheim, Germany.
Department of Psychology, University of Koblenz-Landau, Landau, Germany.
PLoS One. 2016 Mar 31;11(3):e0152947. doi: 10.1371/journal.pone.0152947. eCollection 2016.
Many studies have assessed emotion recognition in patients with Borderline Personality Disorder and considerable evidence has been accumulated on patients' ability to categorize emotions. In contrast, their ability to detect emotions has been investigated sparsely. The only two studies that assessed emotion detection abilities found contradictory evidence on patients' ability to detect angry faces.
To clarify whether patients with Borderline Personality Disorder show enhanced detection of angry faces, we conducted three experiments: a laboratory study (n = 53) with a clinical sample and two highly powered web studies that measured Borderline features (n1 = 342, n2 = 220). Participants in all studies completed a visual search paradigm, and the reaction times for the detection of angry vs. happy faces were measured.
Consistently, data spoke against enhanced detection of angry faces in the Borderline groups, indicated by non-significant group (Borderline vs. healthy control) × target (angry vs. happy) interactions, despite highly satisfactory statistical power to detect even small effects.
In contrast to emotion categorization, emotion detection appears to be intact in patients with Borderline Personality Disorder and individuals high in Borderline features. The importance of distinguishing between these two processes in future studies is discussed.
许多研究评估了边缘型人格障碍患者的情绪识别能力,并且已经积累了大量关于患者对情绪进行分类能力的证据。相比之下,对他们察觉情绪的能力研究较少。仅有的两项评估情绪察觉能力的研究,在患者察觉愤怒面孔的能力方面发现了相互矛盾的证据。
为了弄清楚边缘型人格障碍患者是否表现出对愤怒面孔的更强察觉能力,我们进行了三项实验:一项针对临床样本的实验室研究(n = 53),以及两项大规模的网络研究,测量边缘型特征(n1 = 342,n2 = 220)。所有研究的参与者都完成了一个视觉搜索范式,并测量了察觉愤怒面孔与快乐面孔的反应时间。
一致地,数据表明边缘型人格障碍组对愤怒面孔的察觉能力并没有增强,这由不显著的组(边缘型人格障碍组与健康对照组)×目标(愤怒面孔与快乐面孔)交互作用所表明,尽管有非常令人满意的统计效力,甚至能检测到微小的效应。
与情绪分类不同,边缘型人格障碍患者以及具有高边缘型特征的个体的情绪察觉能力似乎是完好的。本文讨论了在未来研究中区分这两个过程的重要性。