Autonomic vulnerability to biased perception of social inclusion in borderline personality disorder

Abstract Background Individuals with Borderline Personality Disorder (BPD) feel rejected even when socially included. The pathophysiological mechanisms of this rejection bias are still unknown. Using the Cyberball paradigm, we investigated whether patients with BPD, display altered physiological res...

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Autores principales: Gerra Maria Lidia, Ardizzi Martina, Martorana Silvia, Leoni Veronica, Riva Paolo, Preti Emanuele, Marino Barbara Francesca Marta, Ossola Paolo, Marchesi Carlo, Gallese Vittorio, De Panfilis Chiara
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/c39b81c0987d4572ac25bf58702f7df5
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spelling oai:doaj.org-article:c39b81c0987d4572ac25bf58702f7df52021-11-21T12:02:12ZAutonomic vulnerability to biased perception of social inclusion in borderline personality disorder10.1186/s40479-021-00169-32051-6673https://doaj.org/article/c39b81c0987d4572ac25bf58702f7df52021-11-01T00:00:00Zhttps://doi.org/10.1186/s40479-021-00169-3https://doaj.org/toc/2051-6673Abstract Background Individuals with Borderline Personality Disorder (BPD) feel rejected even when socially included. The pathophysiological mechanisms of this rejection bias are still unknown. Using the Cyberball paradigm, we investigated whether patients with BPD, display altered physiological responses to social inclusion and ostracism, as assessed by changes in Respiratory Sinus Arrhythmia (RSA). Methods The sample comprised 30 patients with BPD, 30 with remitted Major Depressive Disorder (rMDD) and 30 Healthy Controls (HC). Self-report ratings of threats toward one’s fundamental need to belong and RSA reactivity were measured immediately after each Cyberball condition. Results Participants with BPD showed lower RSA at rest than HC. Only patients with BPD, reported higher threats to fundamental needs and exhibited a further decline in RSA after the Inclusion condition. Conclusions Individuals with BPD experience a biased appraisal of social inclusion both at the subjective and physiological level, showing higher feelings of ostracism and a breakdown of autonomic regulation to including social scenarios.Gerra Maria LidiaArdizzi MartinaMartorana SilviaLeoni VeronicaRiva PaoloPreti EmanueleMarino Barbara Francesca MartaOssola PaoloMarchesi CarloGallese VittorioDe Panfilis ChiaraBMCarticleRespiratory sinus arrhythmiaRejection biasCyberball paradigmPolyvagal theoryPsychiatryRC435-571ENBorderline Personality Disorder and Emotion Dysregulation, Vol 8, Iss 1, Pp 1-14 (2021)
institution DOAJ
collection DOAJ
language EN
topic Respiratory sinus arrhythmia
Rejection bias
Cyberball paradigm
Polyvagal theory
Psychiatry
RC435-571
spellingShingle Respiratory sinus arrhythmia
Rejection bias
Cyberball paradigm
Polyvagal theory
Psychiatry
RC435-571
Gerra Maria Lidia
Ardizzi Martina
Martorana Silvia
Leoni Veronica
Riva Paolo
Preti Emanuele
Marino Barbara Francesca Marta
Ossola Paolo
Marchesi Carlo
Gallese Vittorio
De Panfilis Chiara
Autonomic vulnerability to biased perception of social inclusion in borderline personality disorder
description Abstract Background Individuals with Borderline Personality Disorder (BPD) feel rejected even when socially included. The pathophysiological mechanisms of this rejection bias are still unknown. Using the Cyberball paradigm, we investigated whether patients with BPD, display altered physiological responses to social inclusion and ostracism, as assessed by changes in Respiratory Sinus Arrhythmia (RSA). Methods The sample comprised 30 patients with BPD, 30 with remitted Major Depressive Disorder (rMDD) and 30 Healthy Controls (HC). Self-report ratings of threats toward one’s fundamental need to belong and RSA reactivity were measured immediately after each Cyberball condition. Results Participants with BPD showed lower RSA at rest than HC. Only patients with BPD, reported higher threats to fundamental needs and exhibited a further decline in RSA after the Inclusion condition. Conclusions Individuals with BPD experience a biased appraisal of social inclusion both at the subjective and physiological level, showing higher feelings of ostracism and a breakdown of autonomic regulation to including social scenarios.
format article
author Gerra Maria Lidia
Ardizzi Martina
Martorana Silvia
Leoni Veronica
Riva Paolo
Preti Emanuele
Marino Barbara Francesca Marta
Ossola Paolo
Marchesi Carlo
Gallese Vittorio
De Panfilis Chiara
author_facet Gerra Maria Lidia
Ardizzi Martina
Martorana Silvia
Leoni Veronica
Riva Paolo
Preti Emanuele
Marino Barbara Francesca Marta
Ossola Paolo
Marchesi Carlo
Gallese Vittorio
De Panfilis Chiara
author_sort Gerra Maria Lidia
title Autonomic vulnerability to biased perception of social inclusion in borderline personality disorder
title_short Autonomic vulnerability to biased perception of social inclusion in borderline personality disorder
title_full Autonomic vulnerability to biased perception of social inclusion in borderline personality disorder
title_fullStr Autonomic vulnerability to biased perception of social inclusion in borderline personality disorder
title_full_unstemmed Autonomic vulnerability to biased perception of social inclusion in borderline personality disorder
title_sort autonomic vulnerability to biased perception of social inclusion in borderline personality disorder
publisher BMC
publishDate 2021
url https://doaj.org/article/c39b81c0987d4572ac25bf58702f7df5
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