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Cognitive Therapy and Research

, Volume 40, Issue 3, pp 314–327 | Cite as

Emotional Reactivity to Personally-Relevant and Standardized Sounds in Borderline Personality Disorder

  • M. Zachary RosenthalEmail author
  • Andrada D. Neacsiu
  • Paul J. Geiger
  • Caitlin Fang
  • Roianne Ahn
  • Jose Larrauri
Original Article

Abstract

Theoretical conceptualizations highlight emotional reactivity as a core problem for borderline personality disorder (BPD); however, empirical work investigating emotional reactivity in BPD has produced mixed and inconclusive findings. The current study aimed to clarify emotional reactivity in adults diagnosed with BPD (N = 22) and healthy controls (HCs; N = 31) using a controlled, laboratory experiment that assessed multiple indices of emotional reactivity (i.e., subjective, psychophysiological, and facial expressive) in response to auditory stimuli (i.e., standardized vs. personally-relevant; pleasant vs. unpleasant sounds). The BPD group was characterized by higher self-reported arousal and lower valence to personally-relevant unpleasant sounds compared to HCs. Supporting study hypotheses, participants in the BPD group showed heightened skin conductance responses, specifically to unpleasant personally-relevant sounds, compared to HCs. No differences were found between BPD and HC groups on facial expressive responses. Findings replicate and extend previous studies on this topic, and highlight the need to further refine the characterization of emotional reactivity in BPD to include personally-relevant unpleasant stimuli.

Keywords

Borderline personality disorder Emotion Emotional reactivity Emotion regulation Sensory processing 

Notes

Acknowledgments

This study was funded by the Brout Family Foundation.

Compliance with Ethical Standards

Conflict of Interest

M. Zachary Rosenthal, Andrada D. Neacsiu, Paul J. Geiger, Caitlin Fang, Roianne Ahn and Jose Larrauri declare that they have no conflict of interest.

Informed Consent

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

Animal Rights

No animal studies were carried out by the authors for this article.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • M. Zachary Rosenthal
    • 1
    • 2
    Email author
  • Andrada D. Neacsiu
    • 1
  • Paul J. Geiger
    • 3
  • Caitlin Fang
    • 2
  • Roianne Ahn
    • 4
  • Jose Larrauri
    • 1
  1. 1.Department of Psychiatry and Behavioral SciencesDuke University Medical CenterDurhamUSA
  2. 2.Duke UniversityDurhamUSA
  3. 3.University of KentuckyLexingtonUSA
  4. 4.Star CenterGreenwood VillageUSA

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