Borderline personality disorder and emotion regulation: Insights from the Polyvagal Theory

Brain and Cognition

Volumn 65, Issue 1, 2007, Pages 69-76

  Austin, Marilyn A ^a   Riniolo, Todd C ^b   Porges, Stephen W ^c  

^a UNIVERSITY OF MARYLAND   (United States)

^b MEDAILLE COLLEGE   (United States)

^c UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

Author keywords

Borderline personality disorder; Heart rate; Heart rate variability; Polyvagal Theory; Respiratory sinus arrhythmia

Indexed keywords

ADULT; ARTICLE; AUTONOMIC NERVOUS SYSTEM; BORDERLINE STATE; CLINICAL ARTICLE; CONTROLLED STUDY; CORRELATION ANALYSIS; EMOTIONALITY; FEMALE; HEART CYCLE; HUMAN; MYELINATION; PHYLOGENY; PRIORITY JOURNAL; SINUS ARRHYTHMIA; STATISTICAL SIGNIFICANCE;

ADAPTATION, PHYSIOLOGICAL; ADAPTATION, PSYCHOLOGICAL; ADOLESCENT; ADULT; ARRHYTHMIA, SINUS; BORDERLINE PERSONALITY DISORDER; EMOTIONS; FEMALE; HEART RATE; HUMANS; MIDDLE AGED; PARASYMPATHETIC NERVOUS SYSTEM; PSYCHOLOGICAL THEORY; REFERENCE VALUES; VAGUS NERVE;

EID: 34548599759     PISSN: 02782626     EISSN: 10902147     Source Type: Journal    
DOI: 10.1016/j.bandc.2006.05.007     Document Type: Article

References (45)

1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
3. Anderson A.K., and Phelps E.A. Expression without recognition: Contributions of the human amygdala to emotional communication. Psychological Science 11 (2000) 106-111
4. Bagge C., Nickell A., Stepp S., Durrett C., Jackson K., and Trull T.J. Borderline personality disorder features predict negative outcomes 2 years later. Journal of Abnormal Psychology 113 (2004) 279-288
5. Benjamin L.S. Interpersonal diagnosis and treatment of personality disorders. 2nd ed. (1996), Guilford Press, New York
6. Blair R.J.R., and Cipolott L. Impaired social response reversal. A case of "acquired sociopathy". Brain 123 (2000) 1122-1141
7. Coccaro E.F. Central serotonin in impulsive aggression. British Journal of Psychiatry 155 (1989) 52-62
8. Coccaro E.F., and Kavoussi R.J. Biological and pharmacological aspects of borderline personality disorder. Hospital and Community Psychiatry 42 (1991) 1029
9. Daley S.E., Burge D., and Hammen C. Borderline personality disorder symptoms as predictors of four-year romantic relationship dysfunction in young women: Addressing issues of specificity. Journal of Abnormal Psychology 109 (2000) 451-460
10. Denver, J. W., Reed, S. F., & Porges, S. W. (in press). Methodological issues in the quantification of respiratory sinus arrhythmia. Biological Psychology.
11. Gunderson J.G. The borderline patient's intolerance of aloneness. Insecure attachments and therapist availability. American Journal of Psychiatry 153 (1996) 752-758
12. Gunderson J.G., Kolb J.E., and Austin V. The diagnostic interview for borderlines. American Journal of Psychiatry 138 (1981) 896-903
13. Hansenne M., Pitchot W., Pinto E., Reggers J., Scantamburlo G., Fuchs S., et al. 5-HT1A dysfunction in borderline personality disorder. Psychological Medicine 32 (2002) 935-941
14. Herpertz S.C., Kunert H.J., Schwenger U.B., and Sass H. Affective responsiveness in borderline personality disorder: A psychophysiological approach. American Journal of Psychiatry 156 (1999) 1550-1556
15. Hodges S. Borderline personality disorder and posttraumatic stress disorder: Time for integration?. Journal of Counseling & Development 81 (2003) 409-417
16. Hoffman P.D., Buteau E., Hooley J.M., Fruzzetti A.E., and Bruce M.L. Family members' knowledge about borderline personality disorder: Correspondence with their levels of depression, burden, distress, and expressed emotion. Family Process 42 (2003) 469-478
17. Lyoo K., Han M.H., and Cho D.Y. A brain MRI study in subjects with borderline personality disorder. Journal of Affective Disorders 50 (1998) 235-243
18. New A.S., and Siever L.J. Neurobiology and genetics and borderline personality disorder. Psychiatric Annals 32 (2002) 329-336
19. Nolte J. The human brain: An introduction to its functional anatomy. 3rd ed. (1993), Mosby-Year Book, Saint Louis, MO
20. Paris J., Zweig-Frank H., Ng Y.K., Schwartz G., Steiger H., and Nair N.P.V. Neurobiological correlates of diagnosis and underlying traits in patients with borderline personality disorder compared with normal controls. Psychiatry Research 121 (2004) 239-252
21. Porges, S. W. (1985). Method and apparatus for evaluating rhythmic oscillation in aperiodic physiological response systems. United States Patent No. 4, 510, 944.
22. Porges S.W. Orienting in a defensive world: Mammalian modifications of our evolutionary heritage: A Polyvagal Theory. Psychophysiology 32 (1995) 301-318
23. Porges S.W. Emotion: An evolutionary by-product of the neural regulation of the autonomic nervous system. Annals of the New York Academy of Sciences 807 (1997) 62-77
24. Porges S.W. The Polyvagal Theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology 42 (2001) 123-146
25. Porges S.W. Social engagement and attachment: A phylogenetic perspective. Annals of the New York Academy of Sciences 1008 (2003) 31-47
26. Porges S.W. Neuroception: A subconscious system for detecting threats and safety. Zero to Three 24 (2004) 19-24
27. Porges S.W., Doussard-Roosevelt J.A., Portales A.L., and Greenspan S.I. Infant regulation of the vagal "brake" predicts child behavior problems: A psychobiological model of social behavior. Developmental Psychobiology 29 (1996) 697-712
28. Riniolo T., and Porges S.W. Inferential and descriptive influences on measures of respiratory sinus arrhythmia: Sampling rate, R-wave trigger accuracy, and variance estimates. Psychophysiology 34 (1997) 613-621
29. Rinne T., de Kloet E.R., Wouters L., Goekoop J.G., ReRijk R.H., and van den Brink W. Hyperresponsiveness of hypothalamic-pituitary-adrenal axis to combined dexamethasone/corticotrophin-releasing hormone challenge in female borderline personality disorder subjects with a history of sustained childhood abuse. Biological Psychiatry 52 (2002) 1102-1112
30. Rothschild L., Haslam N., Cleland C., and Zimmerman M. A taxometric study of borderline personality disorder. Journal of Abnormal Psychology 112 (2003) 657-666
31. Sahar T., Shalev A.Y., and Porges S.W. Vagal modulation of responses to mental challenge in posttraumatic stress disorder. Biological Psychiatry 49 (2001) 637-643
32. Schmahl C.G., Elzinga B.M., Ebner U.W., Simms T., Sanislow C., Vermetten E., et al. Psychophysiological reactivity to traumatic and abandonment scripts in borderline personality and posttraumatic stress disorders: A preliminary report. Psychiatry Research 126 (2004) 33-42
33. Schmahl C.G., Vermetten E., Elzinga B.M., and Bremner J.D. Magnetic resonance imaging of hippocampal and amygdala volume in women with childhood abuse and borderline personality disorder. Psychiatry Research: Neuroimaging 122 (2003) 193-198
34. Skodol A.E., Gunderson J.G., Pfohl B., Widiger T.A., Livesley W.J., and Siever L.J. The borderline diagnosis I: Psychopathology, comorbidity, and personality structure. Biological Psychiatry 51 (2002) 936-950
35. Skodol A.E., Siever L.J., Livesley W.J., Gunderson J.G., Pfohl B., and Widiger T.A. The borderline diagnosis II: Biology, genetics, and clinical course. Biological Psychiatry 51 (2002) 951-963
36. Spitzer R.L., Williams J.B.W., Gibbon M., and First M.B. Structured clinical interview for DSM-III-R (1990), American Psychiatric Press, Washington, DC
37. Spitzer R.L., Williams J.B.W., Gibbon M., and First M.B. The structured clinical interview for DSM-III-R (SCID) I: History, rationale, and description. Archives of General Psychiatry 49 (1992) 624-629
38. Swartz M., Blazer D., George L., and Winfield I. Estimating the prevalence of borderline personality disorder in the community. Journal of Personality Disorders 4 (1990) 257-272
39. Tebartz van Elst L., Hesslinger B., Thiel T., Geiger E., Haegele K., Lemieux L., et al. Frontolimbic brain abnormalities in patients with borderline personality disorder: A volumetric magnetic resonance imaging study. Biological Psychiatry 54 (2003) 163-171
40. Torgersen S., Kringlen E., and Cramer V. The prevalence of personality disorders in a community sample. Archives of General Psychiatry 58 (2001) 590-596
41. Umhau J.C., George D.T., Reed S., Petrulis S.G., Rawlings R., and Porges S.W. Atypical autonomic regulation in perpetrators of violent domestic abuse. Psychophysiology 39 (2002) 117-123
42. Völlm B., Richardson P., Stirling J., Elliott R., Dolan M., Chaudhry I., et al. Neurobiological substrates of antiosocial and borderline personality disorder: Preliminary results of a functional fMRI study. Criminal Behavior and Mental Health 14 (2004) 39-54
43. Weaver T.L., and Clum G.A. Early family environments and traumatic experiences associated with borderline personality disorder. Journal of Consulting and Clinical Psychology 61 (1993) 1068-1075
44. Zanarini M.C., and Grankenbrug F.R. Treatment histories of borderline inpatients. Comprehensive Psychiatry 42 (2001) 144-150
45. Zweig-Frank H., and Paris J. Predictors of outcome in a 27-year follow-up of patients with borderline personality disorder. Comprehensive Psychiatry 43 (2002) 103-107