Emotion regulation and pain in borderline personality disorder

Current Psychiatry Reviews

Volumn 5, Issue 1, 2009, Pages 48-54

  Niedtfeld, Inga ^a   Schmahl, Christian ^a  

^a CENTRAL INSTITUTE OF MENTAL HEALTH   (Germany)

Author keywords

Borderline personality disorder; Emotion regulation; Pain

Indexed keywords

AUTOMUTILATION; BEHAVIOR THERAPY; BORDERLINE STATE; COGNITION; CONCEPTUAL FRAMEWORK; EMOTIONAL DISORDER; EMOTIONAL STABILITY; EMOTIONAL STRESS; EMOTIONALITY; HUMAN; HYPERACTIVITY; LIMBIC CORTEX; MOOD DISORDER; NERVE CELL NETWORK; NEUROCHEMISTRY; NOCICEPTION; PAIN; PATHOPHYSIOLOGY; PREFRONTAL CORTEX; PREVALENCE; PRIORITY JOURNAL; PSYCHOTHERAPY; REGULATORY MECHANISM; REVIEW; SENSORY DYSFUNCTION; SOMATOSENSORY STIMULATION;

EID: 65949123169     PISSN: 15734005     EISSN: None     Source Type: Journal    
DOI: 10.2174/157340009787315262     Document Type: Review

References (78)

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed. Washington, D.C: American Psychiatric Association 1994.
2. Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. New York, Guilford Press 1993.
3. Wagner AW, Linehan MM. Facial expression recognition ability among women with borderline personality disorder: implications for emotion regulation? J Personal Disord 1999; 13: 329-344.
4. Stiglmayr CE, Gratwohl T, Linehan MM, Fahrenberg J, Bohus M. Aversive tension in patients with borderline personality disorder: a computer-based controlled field study. Acta Psychiatr Scand 2005; 111: 372-379.
5. Levine D, Marziali E, Hood J. Emotion processing in borderline personality disorders. J Nerv Ment Dis 1997; 185: 240-246.
6. Herpertz SC, Schulz A, Steinmeyer EM, Mühlbauer V, Schürkens A, Saß H. Affective instability and impulsivity in personality disorder: an experimental study. J Affect Disord 1997; 44: 31-37.
7. Welch SS, Linehan MM, Sylvers P, Chittams J, Rizvi SL. Emotional responses to self-injury imagery among adults with borderline personality disorder. J Consult Clin Psychol 2008; 76(1): 45-51.
8. Skodol AE, Gunderson JG, Pfohl B, Widiger TA, Livesley WJ, Siever LJ. The borderline diagnosis I: psychopathology, comorbidity, and personality structure. Biol Psychiatry 2002; 51(12): 936-50.
9. Zanarini MC, Frankenburg FR, Reich DB, Fitzmaurice G, Weinberg I, Gunderson JG. The 10-year course of physically self-destructive acts reported by borderline patients and axis II comparison subjects. Acta Psychiatr Scand 2008; 117(3): 177-84.
10. Chapman AL, Gratz KL, Brown MZ. Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behav Res Ther 2006; 44: 371-394.
11. Schmahl CG, Vermetten E, Elzinga BM, Bremner JD. A PET study of memories of childhood abuse in Borderline Personality Disorder. Biol Psychiatry 2004; 55: 759-765.
12. Bohus M, Limberger M, Ebner U, Glocker F, Wernz M, Lieb K. Pain perception during self-reported distress and calmness in patients with borderline personality disorder and self-mutilating behavior. Psychiatry Res 2000; 95: 251-260.
13. Ludäscher P, Bohus M, Lieb K, Philipsen A, Jochims A, Schmahl C. Elevated pain thresholds correlate with dissociation and aversive arousal in patients with borderline personality disorder. Psychiatry Res 2007; 149: 291-296.
14. Schmahl C, Bremner JD. Neuroimaging in borderline personality disorder. J Psychiatr Res 2006; 40: 419-427.
15. Gross JJ. The emerging field of emotion regulation: An integrative review. Rev General Psychol 1998; 2(3): 271-299.
16. Gross JJ. Antecedent- and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. J Pers Soc Psychol 1998; 74: 224-237.
17. Gross JJ. Emotion regulation: affective, cognitive, and social consequences. Psychophysiol 2002; 39: 281-291.
18. Ochsner KN, Gross JJ. In: Gross JJ, Buck R Eds, The Handbook of Emotion Regulation. New York, Guilford Press 2007; 87-109.
19. Domes G, Winter B, Schnell K, Vohs K, Fast K, Herpertz SC. The influence of emotions on inhibitory functioning in borderline personality disorder. Psychol Med 2006; 36(8): 1163-72.
20. Ochsner KN, Ray RD, Cooper JC, et al. For better or for worse: neural systems supporting the cognitive down- and up-regulation of negative emotion. Neuroimage 2004; 23(2): 483-99.
21. Phan KL, Fitzgerald DA, Nathan PJ, Moore GJ, Uhde TW, Tancer ME. Neural substrates for voluntary suppression of negative affect: a functional magnetic resonance imaging study. Biol Psychiatry 2005; 57(3): 210-9.
22. Ochsner KN, Barrett LF. In: Mayne TJ, Bonanno GA Eds., Emotions: Current issues and future directions. New York, Guilford Press 2001; 38-81.
23. Phillips ML, Drevets WC, Rauch SL, Lane R. Neurobiology of emotion perception I: The neural basis of normal emotion perception. Biol Psychiatry 2003; 54(5): 504-14.
24. LeDoux JE. Brain mechanisms of emotion and emotional learning. Curr Opin Neurobiol 1992; 2(2): 191-7.
25. Treede RD, Kenshalo DR, Gracely RH, Jones AK. The cortical representation of pain. Pain 1999; 79(2-3): 105-11.
26. Bush G, Luu P, Posner MI. Cognitive and emotional influences in anterior cingulate cortex. Trends Cogn Sci 2000; 4: 215-222.
27. Posner J, Russell JA, Gerber A, et al. The neurophysiological bases of emotion: An fMRI study of the affective circumplex using emotion-denoting words. Hum Brain Mapp 2008; 14.
28. Hariri AR, Mattay VS, Tessitore A, Fera F, Weinberger DR. Neocortical modulation of the amygdala response to fearful stimuli. Biol Psychiatry 2003; 53: 494-501.
29. Peyron R, Laurent B, García-Larrea L. Functional imaging of brain responses to pain. A review and meta-analysis. Neurophysiol Clin 2000; 30(5): 263-88.
30. LeDoux JE. Emotion circuits in the brain. Annu Rev Neurosci 2000; 23: 155-84.
31. Rolls ET. The orbitofrontal cortex and reward. Cereb Cortex 2000; 10: 284-294.
32. Goethals I, Audenaert K, Jacobs F, et al. Brain perfusion SPECT in impulsivity-related personality disorders. Behav Brain Res 2005; 157: 187-192.
33. Ochsner KN, Ludlow DH, Knierim K, et al. Neural correlates of individual differences in pain-related fear and anxiety. Pain 2006; 120(1-2): 69-77.
34. Schaefer SM, Jackson DC, Davidson RJ, Aguirre GK, Kimberg DY, Thompson-Schill SL. Modulation of amygdalar activity by the conscious regulation of negative emotion. J Cogn Neurosci 2002; 14(6): 913-21.
35. Ploghaus A, Tracey I, Gati JS, et al. Dissociating pain from its anticipation in the human brain. Science 1999; 284(5422): 1979-81.
36. Ochsner KN, Knierim K, Ludlow DH, et al. Reflecting upon feelings: an fMRI study of neural systems supporting the attribution of emotion to self and other. J Cogn Neurosci 2004; 16(10): 1746-72.
37. Desimone R, Duncan J. Neural mechanisms of selective attention. Annu Rev Neurosci 1995; 18: 193-222.
38. Valet M, Sprenger T, Boecker H, et al. Distraction modulates connectivity of the cingulo-frontal cortex and the midbrain during pain-An fMRI analysis. Pain 2004; 109(3): 399-408.
39. Pessoa L, McKenna M, Gutierrez E, Ungerleider LG. Neural processing of emotional faces requires attention. Proc Natl Acad Sci USA 2002; 99(17): 11458-11463.
40. Schnell K, Herpertz SC. Funktionelle Bildgebung bei der Borderline-Persönlichkeitsstoerung. Persönlichkeitsstoerungen - Theorie und Therapie 2006; 10(3): 188-198.
41. Herpertz SC, Dietrich TM, Wenning B, et al. Evidence of abnormal amygdala functioning in borderline personality disorder: A functional MRI study. Biol Psychiatry 2001; 50: 292-298.
42. Donegan NH, Sanislow CA, Blumberg HP, et al. Amygdala Hyperreactivity in Borderline Personality Disorder: Implications for Emotional Dysregulation. Biol Psychiatry 2003; 54: 1284-1293.
43. Minzenberg MJ, Fan J, New AS, Tang CY, Siever LJ. Frontolimbic dysfunction in response to facial emotion in borderline personality disorder: an event-related fMRI study. Psychiatry Res 2007; 155(3): 231-43.
44. Schnell K, Herpertz SC. Effects of dialectic-behavioral-therapy on the neural correlates of affective hyperarousal in borderline personality disorder. J Psychiatr Res 2007; 41(10): 837-47.
45. Gurvits IG, Koenigsberg HW, Siever LJ. Neurotransmitter dysfunction in patients with borderline personality disorder. Psychiatr Clin North Am 2000; 23: 27-40.
46. Schmahl CG, McGlashan TH, Bremner JD. Neurobiological correlates of borderline personality disorder. Psychopharm Bull 2002; 36: 69-87.
47. Skodol AE, Siever LJ, Livesley WJ, Gunderson JG, Pfohl B, Widiger TA. The Borderline Diagnosis II: Biology, Genetics, and Clinical Course. Biol Psychiatry 2002; 51: 951-63.
48. Ebner-Priemer UW, Badeck S, Beckmann C, et al. Affective dysregulation and dissociative experience in female patients with borderline personality disorder: A startle response study. J Psychiatr Res 2005; 39: 85-92.
49. Ebner-Priemer UW, Welch SS, Grossman P, Reisch T, Linehan MM, Bohus M. Psychophysiological ambulatory assessment of affective dysregulation in borderline personality disorder. Psychiatry Res 2007; 150(3): 265-75.
50. Lieb K, Linehan MM, Schmahl C, Zanarini M, Bohus M. Borderline Personality Disorder. Lancet 2004; 364: 453-461.
51. Herpertz SC, Kunert HJ, Schwenger UB, Sass H. Affective responsivity in borderline personality disorder - a psychophysiological approach. Am J Psychiatry 1999; 156: 1550-1556.
52. Herpertz SC, Schwenger UB, Kunert HJ, et al. Emotional responses in patients with borderline as compared to avoidant personality disorder. J Personal Disord 2000; 14: 339-351.
53. Rosenthal MZ, Gratz KL, Kosson DS, Cheavens JS, Lejuez CW, Lynch TR. Borderline personality disorder and emotional responding: A review of the research literature. Clin Psychol Rev 2007; in press.
54. Lynch TR, Rosenthal MZ, Kosson DS, Cheavens JS, Lejuez CW, Blair RJ. Heightened sensitivity to facial expressions of emotion in borderline personality disorder. Emotion 2006; 6(4): 647-55.
55. Minzenberg MJ, Poole JH, Vinogradov S. Social-emotion recognition in borderline personality disorder. Compr Psychiatry 2006; 47(6): 468-74.
56. Ebner-Priemer UW, Kuo J, Kleindienst N, et al. State affective instability in borderline personality disorder assessed by ambulatory monitoring. Psychol Med 2007; 37(7): 961-70.
57. Gratz KL, Rosenthal MZ, Tull MT, Lejuez CW, Gunderson JG. An experimental investigation of emotion dysregulation in borderline personality disorder. J Abnorm Psychol 2006; 115(4): 850-5.
58. Lyoo IK, Han MH, Cho DY. A brain MRI study in subjects with borderline personality disorder. J Affect Disord 1998; 50: 235-43.
59. Lis E, Greenfield B, Henry M, Guilé JM, Dougherty G. Neuroimaging and genetics of borderline personality disorder: a review. J Psychiatry Neurosci 2007; 32(3): 162-73.
60. Tebartz van Elst L, Hesslinger B, Thiel T. Frontolimbic brain abnormalities in patients with borderline personality disorder: a volumetric magnetic resonance imaging study. Biol Psychiatry 2003; 54: 163-71.
61. Rusch N, Boeker M, Buchert M, et al. Neurochemical alterations in women with borderline personality disorder and comorbid attention-deficit hyperactivity disorder. World J Biol Psychiatry 2008; Mar 12:1-10.
62. Hazlett EA, New AS, Newmark R, et al. Reduced anterior and posterior cingulate gray matter in borderline personality disorder. Biol Psychiatry 2005; 58(8): 614-623.
63. De la Fuente JM, Goldman S, Stanus E, et al. Brain glucose metabolism in borderline personality disorder. J Psychiatr Res 1997; 31: 531-541.
64. Tebartz van Elst L, Thiel T, Hesslinger B, et al. Subtle prefrontal neuropathology in a pilot magnetic resonance spectroscopy study in patients with borderline personality disorder. J Neuropsychiatry Clin Neurosci 2001; 13: 511-514.
65. Soloff PH, Meltzer CC, Greer PJ, Constantine D, Kelly TM. A fenfluramine-activated FDG-PET study of borderline personality disorder. Biol Psychiatry 2000; 47: 540-547.
66. Goyer PF, Andreason PJ, Semple WE, et al. Positron-emission tomography and personality disorders. Neuropsychopharmacology 1994; 10: 21-28.
67. Davidson RJ, Putnam KM, Larson CL. Dysfunction in the neural circuitry of emotion regulation- a possible prelude to violence. Science 2000; 289: 591-594.
68. Steiger H, Joober R, Israël M, et al. The 5HTTLPR polymorphism, psychopathologic symptoms, and platelet [3H-] paroxetine binding in bulimic syndromes. Int J Eat Disord 2005; 37: 57-60.
69. Leyton M, Okazawa H, Diksic M, Paris J, Rosa P, Mzengeza S. Brain Regional alpha-[11C]methyl-L-tryptophan trapping in impulsive subjects with borderline personality disorder. Am J Psychiatry 2001; 158: 775-782.
70. Meares R, Melkonian D, Gordon E, Williams L. Distinct pattern of P3a event-related potential in borderline personality disorder. Neuroreport 2005; 16(3): 289-93.
71. Völlm B, Richardson P, Stirling J, et al. Neurobiological substrates of antisocial and borderline personality disorder: preliminary results of a functional fMRI study. Crim Behav Ment Health 2004; 14: 39-54.
72. Schmahl, CG, Elzinga BM, Vermetten E, Sanislow C, McGlashan TH, Bremner JD. Neural Correlates of memories of abandonment in women with and without borderline personality disorder. Biol Psychiatry 2003; 54: 142-151.
73. Schmahl CG, Elzinga BM, Ebner UW, et al. Psychophysiological reactivity to traumatic and abandonment scripts in borderline personality and posttraumatic stress disorders: A preliminary report. Psychiatry Res 2004; 126(1): 33-42.
74. Slee N, Arensman E, Garnefski N, Spinhoven P. Cognitive-behavioral therapy for deliberate self-harm. Crisis 2007; 28(4): 175-82.
75. Klonsky ED. The functions of deliberate self-injury: a review of the evidence. Clin Psychol Rev 2007; 27(2): 226-39.
76. Schmahl CG, Greffrath W, Baumgärtner U, et al. Differential nociceptive deficits in patients with borderline personality disorder and self-injurious behavior: laser-evoked potentials, spatial discrimination of noxious stimuli, and pain ratings. Pain 2004; 110(1-2): 470-9.
77. Schmahl C, Bohus M, Esposito F, et al. Neural correlates of antinociception in borderline personality disorder. Arch Gen Psychiatry 2006; 63(6): 659-67.
78. Ludäscher P, Bohus M., Schmahl C. Schmerzwahrnehmung und Schmerzverarbeitung bei der Borderline-Persönlichkeitsstörung. Persönlichkeitsstörungen - Theorie und Therapie 2006; 10(3): 199-206.