Childhood trauma affects processing of social interactions in borderline personality disorder: An event-related potential study investigating empathy for pain

2017 ◽  
Vol 20 (4) ◽  
pp. 278-288 ◽  
Author(s):  
Vera Flasbeck ◽  
Björn Enzi ◽  
Martin Brüne
Author(s):  
Glenn Bendstrup ◽  
Erik Simonsen ◽  
Mickey T. Kongerslev ◽  
Mie S. Jørgensen ◽  
Lea S. Petersen ◽  
...  

Abstract Background People suffering from Borderline Personality Disorder (BPD) seem to have incoherent autobiographical narratives. Tentative evidence suggests that reduced narrative coherence of autobiographical memories is associated with insecure attachment. However, it remains unknown whether incoherent autobiographical narratives in people with BPD are coupled to experiences of childhood trauma, which is highly prevalent in BPD. Method We examined if written autobiographical memories in 26 female participants with BPD had reduced narrative coherence relative to 28 healthy female controls and whether more incoherent narratives were associated with childhood trauma. Results As hypothesized, results showed that compared to controls, the autobiographical memories in participants with BPD had reduced narrative coherence, specifically inadequate orientation about the narrative and lack of narrative structure. More self-reported childhood adversity was coupled to lower orientation across groups whereas increased childhood adversity showed a specific relationship to lowered narrative structure in BPD participants. Conclusion Women with BPD had incoherent autobiographical narratives, and reduced narrative coherence was associated with more self-reported childhood adversity, which appeared to explain the group differences.


2011 ◽  
Vol 35 (8) ◽  
pp. 647-654 ◽  
Author(s):  
Katja Wingenfeld ◽  
Camille Schaffrath ◽  
Nina Rullkoetter ◽  
Christoph Mensebach ◽  
Nicole Schlosser ◽  
...  

2013 ◽  
Vol 8 (4) ◽  
pp. 305-313 ◽  
Author(s):  
Andreas Ebert ◽  
Meike Kolb ◽  
Jörg Heller ◽  
Marc-Andreas Edel ◽  
Patrik Roser ◽  
...  

2009 ◽  
Vol 197 (7) ◽  
pp. 484-491 ◽  
Author(s):  
Stephanie D. Stepp ◽  
Paul A. Pilkonis ◽  
Kirsten E. Yaggi ◽  
Jennifer Q. Morse ◽  
Ulrike Feske

2006 ◽  
Vol 67 (10) ◽  
pp. 1583-1590 ◽  
Author(s):  
Vedat Sar ◽  
Gamze Akyuz ◽  
Nesim Kugu ◽  
Erdinc Ozturk ◽  
Hayriye Ertem-Vehid

2006 ◽  
Vol 40 (5) ◽  
pp. 478-481 ◽  
Author(s):  
Stuart Watson ◽  
Roy Chilton ◽  
Helen Fairchild ◽  
Peter Whewell

Objective: To examine the relationship between childhood trauma and dissociative experience in adulthood in patients with borderline personality disorder. Method: Dissociative experiences scale scores and subscale scores for the Childhood Trauma Questionnaire were correlated in 139 patients. Patients were dichotomized into high or low dissociators using the Median Dissociative Experiences Scale score as the cut-off. Results: Childhood Trauma Questionnaire Subscale scores for emotional and physical abuse and emotional neglect but not sexual abuse correlated significantly with Dissociative Experiences Scale scores. High dissociators reported significantly greater levels of emotional abuse, physical abuse, emotional neglect and physical neglect but not sexual abuse than low dissociators. Conclusion: Patients with borderline personality disorder therefore demonstrated levels of dissociation that increased with levels of childhood trauma, supporting the hypothesis that traumatic childhood experiences engender dissociative symptoms later in life. Emotional abuse and neglect may be at least as important as physical and sexual abuse in the development of dissociative symptoms.


2019 ◽  
Vol 33 (6) ◽  
pp. 736-750 ◽  
Author(s):  
Martijn Van Heel ◽  
Patrick Luyten ◽  
Celine De Meulemeester ◽  
Dominique Vanwalleghem ◽  
Rudi Vermote ◽  
...  

Extant research suggests that borderline personality disorder (BPD) is associated with impairments in mentalizing, that is, comprehending behavior in terms of underlying mental states. However, the precise nature of these impairments remains unclear. The literature is mixed concerning mental-izing based on external features of others, and specifically facial emotion recognition (FER) in BPD patients. This study investigated FER differences in 79 BPD patients and 79 matched healthy controls using the Reading the Mind in the Eyes Test (RMET). The authors also investigated attachment dimensions and childhood trauma in relation to mentalizing based on external features. Results showed that BPD patients performed worse on positive and negative emotions. Furthermore, avoidant attachment was negatively related to FER for neutral emotions, particularly in the control group. Trauma was negatively related to FER at trend level, particularly in BPD patients. The implications for this understanding of mentalizing based on external features in BPD are discussed.


2014 ◽  
Vol 32 (1) ◽  
pp. 21-30 ◽  
Author(s):  
J. Cotter ◽  
M. Kaess ◽  
A. R. Yung

ObjectivesWe aimed to examine the association between childhood trauma and functional impairment in psychotic disorders, bipolar disorder and borderline personality disorder, to speculate on possible mechanisms that underlie this association and discuss the implications for clinical work.MethodsNarrative review of the peer-reviewed English language literature in the area.ResultsHigh rates of childhood trauma in psychotic disorders, bipolar disorder and borderline personality disorder were identified. This was associated with impaired social and occupational functioning in both the premorbid and established phases of each of these psychiatric disorders over and above the deficits typically observed in these populations. Possible mechanisms mediating this relationship include neurocognitive deficits, insecure attachment, higher rates of comorbidities and problems with adherence and response to treatment.ConclusionsRoutine clinical inquiry about childhood maltreatment should be adopted within mental health settings. This has potentially important treatment implications for identifying those individuals at elevated risk of functional disability. While there is no clear guidance currently available on how to target childhood trauma in the treatment of psychotic disorders, bipolar disorder or borderline personality disorder, there are several promising lines of enquiry and further research is warranted.


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