Department of Psychology, University of Freiburg, Germany.
GAIA AG Hamburg, Germany.
J Pers Disord. 2019 Oct;33(5):671-S8. doi: 10.1521/pedi_2019_33_363. Epub 2019 Jan 28.
Preliminary evidence suggests that biased attention could be crucial in fostering the emotion recognition abnormalities in borderline personality disorder (BPD). We compared BPD patients to Cluster-C personality disorder (CC) patients and non-patients (NP) regarding emotion recognition in ambiguous faces and their visual attention allocation to the eyes. The role of comorbid posttraumatic stress disorder (PTSD) in BPD regarding emotion recognition and visual attention was explored. BPD patients fixated the eyes of angry/happy, sad/happy, and fearful/sad blends longer than non-patients. This visual attention pattern was mainly driven by BPD patients with PTSD. This subgroup also demonstrated longer fixations than CC patients and a trend towards longer fixations than BPD patients without PTSD for the angry/happy and fearful/sad blends. Emotion recognition was not altered in BPD. Biased visual attention towards the eyes of ambiguous facial expressions in BPD might be due to trauma-related attentional bias rather than to impairments in facial emotion recognition.
初步证据表明，偏向性注意可能在促进边缘型人格障碍（BPD）的情绪识别异常中起着关键作用。我们比较了 BPD 患者、Cluster-C 型人格障碍（CC）患者和非患者（NP）在识别模棱两可的面部表情和对眼睛的视觉注意力分配方面的差异。还探讨了 BPD 中共病创伤后应激障碍（PTSD）对情绪识别和视觉注意的影响。与非患者相比，BPD 患者注视愤怒/快乐、悲伤/快乐和恐惧/悲伤混合表情的眼睛时间更长。这种视觉注意模式主要是由 PTSD 合并 BPD 患者驱动的。与无 PTSD 的 BPD 患者相比，该亚组对愤怒/快乐和恐惧/悲伤混合表情的注视时间也更长，与 CC 患者相比也有更长注视的趋势。BPD 患者的情绪识别没有改变。BPD 患者对模棱两可的面部表情的眼睛存在偏向性视觉注意，这可能是由于与创伤相关的注意力偏向，而不是面部情绪识别受损所致。
