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Facial Affective Behavior in Borderline Personality Disorder Indicating Two Different Clusters and Their Influence on Inpatient Treatment Outcome: A Preliminary Study
BACKGROUND: The purpose of the present study was threefold: first, to investigate the facial affective behavior in patients with a borderline personality disorder (BPD); second, to examine whether these patients could be divided into clusters according to facial affective behavior; and third, to tes...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7403199/ https://www.ncbi.nlm.nih.gov/pubmed/32849013 http://dx.doi.org/10.3389/fpsyg.2020.01658 |
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author | Dammann, Gerhard Rudaz, Myriam Benecke, Cord Riemenschneider, Anke Walter, Marc Pfaltz, Monique C. Küchenhoff, Joachim Clarkin, John F. Gremaud-Heitz, Daniela J. |
author_facet | Dammann, Gerhard Rudaz, Myriam Benecke, Cord Riemenschneider, Anke Walter, Marc Pfaltz, Monique C. Küchenhoff, Joachim Clarkin, John F. Gremaud-Heitz, Daniela J. |
author_sort | Dammann, Gerhard |
collection | PubMed |
description | BACKGROUND: The purpose of the present study was threefold: first, to investigate the facial affective behavior in patients with a borderline personality disorder (BPD); second, to examine whether these patients could be divided into clusters according to facial affective behavior; and third, to test whether these clusters would influence the inpatient treatment outcome. METHODS: Thirty inpatients with BPD were assessed with the Structured Clinical Interviews for DSM-IV Axis I and II Disorders (SCID I, SCID II) and had to complete a series of questionnaires before and directly after the 12-week long inpatient treatment. Facial affective behavior was recorded during the structured interview for personality organization (STIPO) and afterward coded with the emotional facial action coding system (EMFACS). Measures on psychopathology [beck depression inventory (BDI), Spielberger state and trait anxiety inventory (STAI), Spielberger state and trait anger inventory (STAXI), and symptom cheklist-90-revised (SCL-90-R)], interpersonal problems [Inventory of Interpersonal Problems (IIP)], and personality organization [inventory of personality organization (IPO)] were administered. RESULTS: Cluster analysis before the treatment yielded two groups that differed in general facial expressivity, and regarding the display of anger, contempt, and disgust. The effect sizes of the repeated measures ANOVAs showed that persons with higher scores on the affective facial expressions benefitted more from the treatment in terms of STAI state anxiety, STAXI state and trait anger, IIP total, and the two scales primitive defenses and identity diffusion of the IPO, whereas persons with lower scores benefitted more on the scale IPO reality testing. CONCLUSION: Our results indicated some initial trends for the importance of facial affective behavior in patients with BPD and their treatment outcome. |
format | Online Article Text |
id | pubmed-7403199 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-74031992020-08-25 Facial Affective Behavior in Borderline Personality Disorder Indicating Two Different Clusters and Their Influence on Inpatient Treatment Outcome: A Preliminary Study Dammann, Gerhard Rudaz, Myriam Benecke, Cord Riemenschneider, Anke Walter, Marc Pfaltz, Monique C. Küchenhoff, Joachim Clarkin, John F. Gremaud-Heitz, Daniela J. Front Psychol Psychology BACKGROUND: The purpose of the present study was threefold: first, to investigate the facial affective behavior in patients with a borderline personality disorder (BPD); second, to examine whether these patients could be divided into clusters according to facial affective behavior; and third, to test whether these clusters would influence the inpatient treatment outcome. METHODS: Thirty inpatients with BPD were assessed with the Structured Clinical Interviews for DSM-IV Axis I and II Disorders (SCID I, SCID II) and had to complete a series of questionnaires before and directly after the 12-week long inpatient treatment. Facial affective behavior was recorded during the structured interview for personality organization (STIPO) and afterward coded with the emotional facial action coding system (EMFACS). Measures on psychopathology [beck depression inventory (BDI), Spielberger state and trait anxiety inventory (STAI), Spielberger state and trait anger inventory (STAXI), and symptom cheklist-90-revised (SCL-90-R)], interpersonal problems [Inventory of Interpersonal Problems (IIP)], and personality organization [inventory of personality organization (IPO)] were administered. RESULTS: Cluster analysis before the treatment yielded two groups that differed in general facial expressivity, and regarding the display of anger, contempt, and disgust. The effect sizes of the repeated measures ANOVAs showed that persons with higher scores on the affective facial expressions benefitted more from the treatment in terms of STAI state anxiety, STAXI state and trait anger, IIP total, and the two scales primitive defenses and identity diffusion of the IPO, whereas persons with lower scores benefitted more on the scale IPO reality testing. CONCLUSION: Our results indicated some initial trends for the importance of facial affective behavior in patients with BPD and their treatment outcome. Frontiers Media S.A. 2020-07-29 /pmc/articles/PMC7403199/ /pubmed/32849013 http://dx.doi.org/10.3389/fpsyg.2020.01658 Text en Copyright © 2020 Dammann, Rudaz, Benecke, Riemenschneider, Walter, Pfaltz, Küchenhoff, Clarkin and Gremaud-Heitz. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychology Dammann, Gerhard Rudaz, Myriam Benecke, Cord Riemenschneider, Anke Walter, Marc Pfaltz, Monique C. Küchenhoff, Joachim Clarkin, John F. Gremaud-Heitz, Daniela J. Facial Affective Behavior in Borderline Personality Disorder Indicating Two Different Clusters and Their Influence on Inpatient Treatment Outcome: A Preliminary Study |
title | Facial Affective Behavior in Borderline Personality Disorder Indicating Two Different Clusters and Their Influence on Inpatient Treatment Outcome: A Preliminary Study |
title_full | Facial Affective Behavior in Borderline Personality Disorder Indicating Two Different Clusters and Their Influence on Inpatient Treatment Outcome: A Preliminary Study |
title_fullStr | Facial Affective Behavior in Borderline Personality Disorder Indicating Two Different Clusters and Their Influence on Inpatient Treatment Outcome: A Preliminary Study |
title_full_unstemmed | Facial Affective Behavior in Borderline Personality Disorder Indicating Two Different Clusters and Their Influence on Inpatient Treatment Outcome: A Preliminary Study |
title_short | Facial Affective Behavior in Borderline Personality Disorder Indicating Two Different Clusters and Their Influence on Inpatient Treatment Outcome: A Preliminary Study |
title_sort | facial affective behavior in borderline personality disorder indicating two different clusters and their influence on inpatient treatment outcome: a preliminary study |
topic | Psychology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7403199/ https://www.ncbi.nlm.nih.gov/pubmed/32849013 http://dx.doi.org/10.3389/fpsyg.2020.01658 |
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