Affect regulation and pain in borderline personality disorder: A possible link to the understanding of self-injury

Biological Psychiatry

Volumn 68, Issue 4, 2010, Pages 383-391

  Niedtfeld, Inga ^a   Schulze, Lars ^b   Kirsch, Peter ^a   Herpertz, Sabine C ^a   Bohus, Martin ^a   Schmahl, Christian ^a  

^a UNIVERSITY OF HEIDELBERG   (Germany)

^b UNIVERSITY OF ROSTOCK   (Germany)

Author keywords

Affect regulation; attentional shift; borderline personality disorder; pain; self injury

Indexed keywords

ADULT; AFFECT; AMYGDALOID NUCLEUS; ARTICLE; AUTOMUTILATION; BORDERLINE STATE; CINGULATE GYRUS; CLINICAL ARTICLE; CONTROL GROUP; CONTROLLED STUDY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; EMOTIONALITY; FEMALE; FUNCTIONAL MAGNETIC RESONANCE IMAGING; HEAT; HUMAN; INSULA; PAIN; PRIORITY JOURNAL; SELF REPORT; SENSORY STIMULATION; STRUCTURED CLINICAL INTERVIEW FOR DSM DISORDERS; THERMAL STIMULATION;

ADULT; AFFECTIVE SYMPTOMS; AROUSAL; ATTENTION; BORDERLINE PERSONALITY DISORDER; BRAIN; CASE-CONTROL STUDIES; FEMALE; HUMANS; MAGNETIC RESONANCE IMAGING; PAIN PERCEPTION; REFERENCE VALUES; SELF EFFICACY; SELF-INJURIOUS BEHAVIOR; YOUNG ADULT;

EID: 77955712762     PISSN: 00063223     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.biopsych.2010.04.015     Document Type: Article

References (49)

1. K. Lieb, M.C. Zanarini, C. Schmahl, M.M. Linehan, and M. Bohus Borderline personality disorder Lancet 364 2004 459 461
2. U.W. Ebner-Priemer, S.S. Welch, P. Grossman, T. Reisch, M.M. Linehan, and M. Bohus Psychophysiological ambulatory assessment of affective dysregulation in borderline personality disorder Psychiatry Res 150 2007 265 275 (Pubitemid 46466962)
3. U.W. Ebner-Priemer, J.R. Kuo, W. Schlotz, N. Kleindienst, Z. Rosenthal, and L. Detterer Distress and affective dysregulation in patients with borderline personality disorder: A psychophysiological ambulatory monitoring study J Nerv Ment Dis 196 2008 314 320
4. D. Levine, E.A. Marziali, and J. Hood Emotion processing in borderline personality disorders J Nerv Ment Dis 185 1997 240 246
5. S.C. Herpertz, A. Gretzer, E.M. Steinmeyer, V. Muehlbauer, A. Schuerkens, and H. Sass Affective instability and impulsivity in personality disorder Results of an experimental study J Affect Disord 44 1997 31 37
6. A.W. Wagner, and M.M. Linehan Facial expression recognition ability among women with borderline personality disorder: Implications for emotion regulation J Pers Disord 13 1999 329 344
7. C. Stiglmayr, T. Gratwohl, M.M. Linehan, G. Ihorst, J. Fahrenberg, and M. Bohus Aversive tension in patients with borderline personality disorder: A computer-based controlled field study Acta Psychiatr Scand 111 2005 372 379
8. C. Schmahl, and J.D. Bremner Neuroimaging in borderline personality disorder J Psychiatr Res 40 2006 419 427
9. S.C. Herpertz, T.M. Dietrich, B. Wenning, T. Krings, S.G. Erberich, and K. Willmes Evidence of abnormal amygdala functioning in borderline personality disorder: A functional MRI study Biol Psychiatry 50 2001 292 298
10. N.H. Donegan, C.A. Sanislow, H.P. Blumberg, R.K. Fulbright, C. Lacadie, and P. Skudlarski Amygdala hyperreactivity in borderline personality disorder: Implications for emotional dysregulation Biol Psychiatry 54 2003 1284 1293
11. M.J. Minzenberg, J. Fan, A.S. New, C.Y. Tang, and L.J. Siever Fronto-limbic dysfunction in response to facial emotion in borderline personality disorder: An event-related fMRI study Psychiatry Res 155 2007 231 243
12. A.S. New, E.A. Hazlett, M.S. Buchsbaum, M. Goodman, S.A. Mitelman, and R. Newmark Amygdala-prefrontal disconnection in borderline personality disorder Neuropsychopharmacology 32 2007 1629 1640
13. K. Wingenfeld, N. Rullkoetter, C. Mensebach, T. Beblo, M. Mertens, and S. Kreisel Neural correlates of the individual emotional Stroop in borderline personality disorder Psychoneuroendocrinology 34 2009 571 586
14. D. Silbersweig, J.F. Clarkin, M. Goldstein, O.F. Kernberg, O. Tuescher, and K.N. Levy Failure of frontolimbic inhibitory function in the context of negative emotion in borderline personality disorder Am J Psychiatry 164 2007 1832 1841
15. J.J. Gross The emerging field of emotion regulation: An integrative review Rev Gen Psychol 2 1998 271 299
16. K.N. Ochsner, and J.J. Gross The neural architecture of emotion regulation J.J. Gross, R. Buck, The Handbook of Emotion Regulation 2007 Guilford Publications New York 87 108
17. I. Niedtfeld, and C. Schmahl Emotion regulation and pain in borderline personality disorder Curr Psychiatry Rev 5 2009 48 54
18. M.M. Linehan, M. Bohus, and T.R. Lynch Dialectical behavior therapy for pervasive emotion dysregulation: Theoretical and practical underpinnings J.J. Gross, Handbook of Emotion Regulation 2007 Guilford Publications New York 581 613
19. A.L. Chapman, M.W. Specht, and T. Cellucci Borderline personality disorder and deliberate self-harm: Does experiential avoidance play a role? Suicide Life Threat Behav 35 2005 388 399
20. A.L. Chapman, M.Z. Rosenthal, and D.W. Leung Emotion suppression in borderline personality disorder: An experience sampling study J Pers Disord 23 2009 29 47
21. H.W. Koenigsberg, J. Fan, K.N. Ochsner, X. Liu, K.G. Guise, and S. Pizzarello Neural correlates of the use of psychological distancing to regulate responses to negative social cues: A study of patients with borderline personality disorder Biol Psychiatry 66 2009 854 863
22. E.A. Hazlett, A.S. New, R. Newmark, M.M. Haznedar, J.N. Lo, and L.J. Speiser Reduced anterior and posterior cingulate gray matter in borderline personality disorder Biol Psychiatry 58 2005 614 623
23. M.J. Minzenberg, J. Fan, A.S. New, C.Y. Tang, and L.J. Siever Frontolimbic structural changes in borderline personality disorder J Psychiatr Res 42 2008 727 733
24. S.S. Welch, M.M. Linehan, P. Sylvers, J. Chittams, and S.L. Rizvi Emotional responses to self-injury imagery among adults with borderline personality disorder J Consult Clin Psychol 76 2008 45 51
25. A.E. Skodol, J.G. Gunderson, B. Pfohl, T.A. Widiger, W.J. Livesley, and L.J. Siever The borderline diagnosis I: Psychopathology comorbidity, and personaltity structure Biol Psychiatry 51 2002 936 950
26. M.C. Zanarini, F.R. Frankenburg, D.B. Reich, G. Fitzmaurice, I. Weinberg, and J.G. Gunderson The 10-year course of physically self-destructive acts reported by borderline patients and axis II comparison subjects Acta Psychiatr Scand 117 2008 177 184
27. A.L. Chapman, K.L. Gratz, and M.Z. Brown Solving the puzzle of deliberate self-harm: The experiential avoidance model Behav Res Ther 44 2006 371 394
28. N. Kleindienst, M. Bohus, P. Ludaescher, M.F. Limberger, K. Kuenkele, and U.W. Ebner-Priemer Motives for non-suicidal self-injury among women with borderline personality disorder J Nerv Ment Dis 196 2008 230 236
29. E.D. Klonsky The functions of deliberate self-injury: A review of the evidence Clin Psychol Rev 27 2006 226 239
30. C. Schmahl, W. Greffrath, U. Baumgaertner, T. Schlereth, W. Magerl, and A. Philipsen 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 110 2004 470 479
31. M. Bohus, M.F. Limberger, U.W. Ebner-Priemer, F.X. Glocker, B. Schwarz, M. Wernz, and K. Lieb Pain perception during self-reported distress and calmness in patients with borderline personality disorder and self-mutilating behavior Psychiatry Res 95 2000 251 260
32. P. Ludscher, M. Bohus, K. Lieb, A. Philipsen, A. Jochims, and C. Schmahl Elevated pain thresholds correlate with dissociation and aversive arousal in patients with borderline personality disorder Psychiatry Res 149 2007 291 296
33. C. Schmahl, M. Bohus, F. Esposito, R.D. Treede, F. Di Salle, and W. Greffrath Neural correlates of antinociception in borderline personality disorder Arch Gen Psychiatry 63 2006 659 667 (Pubitemid 43848297)
34. P. Ludscher, W. Greffrath, C. Schmahl, N. Kleindienst, A. Kraus, and U. Baumgrtner A cross-sectional investigation of discontinuation of self-injury and normalizing pain perception in patients with borderline personality disorder Acta Psychiatr Scand 120 2009 62 70
35. L. Pessoa, M. McKenna, E. Gutierrez, and L.G. Ungerleider Neural processing of emotional faces requires attention Proc Natl Acad Sci U S A 99 2002 11458 11463
36. American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) 4th ed. 1994 American Psychiatric Association Washington, DC
37. H.U. Wittchen, U. Wunderlich, and S. Gruschwitz SKID. Strukturiertes Klinisches Interview fr DSM-IV Achse. I 1997 Hogrefe Gttingen, Germany
38. A.W. Loranger International Personality Disorder Examination (IPDE): DSM-IV and ICD-10 Modules 1999 Psychological Assessment Resources Odessa, FL
39. M. Bohus, M.F. Limberger, U. Frank, A.L. Chapman, T. Kuehler, and R.D. Stieglitz Psychometric properties of the Borderline Symptom List (BSL) Psychopathology 40 2007 126 132
40. J.J. Gross, and O.P. John Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being J Pers Soc Psychol 85 2003 348 362
41. P.J. Lang, M.M. Bradley, and B.N. Cuthbert International Affective Picture System (IAPS): Digitized Photographs, Instruction Manual and Affective Ratings. Technical Report A-6 2005 University of Florida Gainesville, FL
42. M.M. Bradley, and P.J. Lang Measuring emotion: The self-assessment manikin and the semantic differential J Behav Ther Exp Psychiatry 25 1994 49 59
43. C. Stiglmayr, C. Schmahl, J. Bremner, M. Bohus, and U. Ebner-Priemer Development and psychometric characteristics of the DSS-4 as a short instrument to assess state dissociative experience during neuropsychological experiments Psychopathology 42 2009 370 374
44. N. Tzourio-Mazoyer, B. Landeau, D. Papathanassiou, F. Crivello, O. Etard, and N. Delcroix Automated anatomical labeling of activations in SPM using a macroscopic anatomical parcellation of the MNI MRI single-subject brain Neuroimage 15 2002 273 289
45. J. Glscher Visualization of group inference data in functional neuroimaging Neuroinformatics 7 2009 73 82
46. F. Eippert, R. Veit, N. Weiskopf, M. Erb, N. Birbaumer, and S. Anders Regulation of emotional responses elicited by threat-related stimuli Hum Brain Mapp 28 2009 409 423
47. D.C. Jackson, J.R. Malmstadt, C.L. Larson, and R.J. Davidson Suppression and enhancement of emotional responses to unpleasant pictures Psychophysiology 37 2000 515 522
48. S.C. Herpertz, H.J. Kunert, U.B. Schwenger, and H. Sass Affective responsiveness in borderline personality disorder: A psychophysiological approach Am J Psychiatry 156 1999 1550 1556
49. R. Peyron, and B.Garcia-Larrega.L. Laurent Functional imaging of brain responses to pain A review and meta-analysis Neurophysiol Clin 30 2000 263 288