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Emotional Reactivity in Borderline Personality Disorder: Theoretical Considerations Based on a Meta-Analytic Review of Laboratory Studies.
Journal of Personality Disorders ( IF 2.3 ) Pub Date : 2020-02-01 , DOI: 10.1521/pedi_2018_32_382
Roberta Bortolla 1 , Marco Cavicchioli 1 , Andrea Fossati 1 , Cesare Maffei 1, 2
Affiliation  

Emotional hyperreactivity (Linehan, 1993) is the most investigated construct in borderline personality disorder (BPD). However, experimental studies revealed mixed results on the topic. Our main objective is to comprehensively summarize the results on emotional reactivity in BPD compared to healthy controls (HCs), using a meta-analytic approach, considering different emotional response systems (physiology, behavior, self-report). We included 31 experimental studies (1,675 subjects). We observed null to small effect sizes for several physiological and behavioral outcomes. Conversely, BPD subjects revealed a moderate to large difference in valence attributed to emotional stimuli and a small difference in self-reported arousal. Significant differences in pooled effect sizes were found between self-report and physiological outcomes. Several sources of heterogeneity were explored. In general, the hyperreactivity hypothesis was not supported. Additional dysfunctional processes should be taken into consideration to understand BPD emotional responsiveness.

中文翻译:

边缘型人格障碍中的情绪反应:基于对实验室研究的荟萃分析的理论考虑。

情绪高反应性(Linehan,1993)是边缘性人格障碍(BPD)中研究最多的结构。但是,实验研究表明,该主题的结果参差不齐。我们的主要目标是使用荟萃分析方法,综合考虑不同的情绪反应系统(生理,行为,自我报告),综合比较BPD与健康对照(HCs)的情绪反应结果。我们纳入了31项实验研究(1,675名受试者)。我们观察到几种生理和行为结果的影响范围为零到很小。相反,BPD受试者显示,由于情绪刺激而导致的化合价存在中等到较大的差异,而自我报告的唤醒则表现出较小的差异。在自我报告和生理结果之间发现合并效应大小的显着差异。探索了异质性的几种来源。通常,不支持高反应性假说。为了理解BPD的情绪反应,应考虑其他功能失调的过程。
更新日期:2020-02-01
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