Depression and borderline personality disorder (BPD) are highly comorbid and are both characteristic of affective disturbance. In this study, it is hypothesized that the disorders share a common etiological factor of emotion reactivity. In addition, an investigation of specific emotional experiences that may differentiate the two symptom clusters is undertaken. A mood induction task was used to elicit emotional reactions in a sample of 121 university students. Regression analyses were conducted to examine emotion reactivity as a common factor. Unique associations between specific emotions and features of BPD, depression, and an interaction term (BPDxDep) were investigated. It was found that all models tested were significant, with the exception of joy. Features of BPD were uniquely associated with sadness, guilt, and anger, as were depressive features. BPDxDep symptoms were negatively associated with guilt. A discussion of the findings obtained and their significance in theory and in practice is undertaken.

Depression and borderline personality disorder (BPD) are highly comorbid and are both characteristic of affective disturbance. In this study, it is hypothesized that the disorders share a common etiological factor of emotion reactivity. In addition, an investigation of specific emotional experiences that may differentiate the two symptom clusters is undertaken. A mood induction task was used to elicit emotional reactions in a sample of 121 university students. Regression analyses were conducted to examine emotion reactivity as a common factor. Unique associations between specific emotions and features of BPD, depression, and an interaction term (BPDxDep) were investigated. It was found that all models tested were significant, with the exception of joy. Features of BPD were uniquely associated with sadness, guilt, and anger, as were depressive features. BPDxDep symptoms were negatively associated with guilt. A discussion of the findings obtained and their significance in theory and in practice is undertaken.

Existing evidence has linked individual differences in emotion reaction intensity to both enhanced and decreased psychological well-being. We propose that this contradiction is related to methodological shortcomings in some existing research. We present a novel emotion reactivity task capable of addressing these methodological shortcomings by continuously measuring the subjective intensity of individual emotion episodes with high temporal resolution. Four studies were conducted (total n = 499). In Studies 1, 2, and 4, participants continuously reported their emotions while viewing objectively pleasant or unpleasant images. Thousands of reaction intensities were coded using algorithms developed for this purpose. We expected that people showing more intense emotion reactions, regardless of valence, would report greater subjective well-being in the lab and in daily life. One reason that such situationally-congruent reactions might be beneficial is that that they enable more flexible situationally-appropriate behavior. In Study 3, participants were asked to rate their emotional responses to pleasant and unpleasant images. Following this, people choose a location for their Self avatar within a computerized environment that included one image of each valence. We expected that the tendency to report intense emotion responses to these images would predict both adaptive location choice and subjective well-being. Results confirmed most major hypotheses: more intense reactions to both positive and negative stimuli were predictive of greater subjective well-being in the lab and in daily life, and analogous reactivity patterns were associated with more flexible, adaptive avatar placement. The results suggest that a key feature of maladaptive emotion generation systems (and lower well-being) may not be overly intense reactions as has been suggested, but a failure to flexibly adapt emotion output to match changing circumstances.

Research supports varied patterns of emotion-modulated startle (EMS) reactivity among depressed individuals. The purpose of this study was to examine whether these varied patterns can be explained by depression, empathic tendencies, and emotional stimuli. The EMS paradigm is a well-validated measure of emotion-modulated reactivity in which the magnitude of startle reflexes in reaction to acoustic stimuli are recorded while participants view pleasant, neutral, and negative images (Lang, Bradley, & Cuthbert, 1990). Young adults (N = 120; Mage = 19.54, SD = 1.41; 75% female) completed self-report rating scales of depression symptoms and cognitive and affective empathic tendencies and the EMS paradigm. Individuals with low depression, regardless of their cognitive (hp2 = .44 and .47) and affective empathic tendencies (hp2 = .49 and .36), and individuals with high depression and high cognitive and affective empathic tendencies (hp2 = .23, .46, respectively) exhibited the typical linear EMS reactivity pattern of increasing startle reflex magnitude from pleasant to neutral to unpleasant images. In contrast, individuals with high depression along with low cognitive and affective empathic tendencies exhibited blunted EMS reactivity patterns (hp2 = .000, .04, respectively). These findings indicate blunted EMS reactivity patterns only in depressed individuals who have low cognitive and affective empathic tendencies and are likely disengaged from emotional stimuli, thus suggesting variability among depressed individuals in motivational states that prime or inhibit the startle reflex.

No description available.

Eating disorders and non-suicidal self-injury (NSSI) are pervasive behaviors that typically begin in early to mid-adolescence. They commonly co-occur, resulting in increasingly negative psychological and physical outcomes than either behavior alone. Emotion reactivity and family functioning have been studied in relation to both eating disorders and NSSI. Both constructs have demonstrated strong relationships to these behaviors, but emotion reactivity appears to be more strongly associated with NSSI, while family functioning appears to be more strongly related to eating disorders. The current study sought to determine whether emotion reactivity and family functioning could differentiate between adolescents with only an eating disorder, only NSSI, or both behaviors. Data were collected from 229 adolescents in both inpatient and outpatient treatment programs who reported either a diagnosed eating disorder, past week NSSI, or both. Results indicated that increased emotion reactivity increased the likelihood that an individual was categorized in the NSSI only group compared to the eating disorder group and the comorbid group. There was no main effect for family functioning across all analyses. Based on these results, emotion reactivity may be an important variable to consider in distinguishing between adolescents with eating disorders who may or may not engage in NSSI, and may provide further insight when examined longitudinally

Non-suicidal self-injury (NSSI) is a complex and dangerous set of behaviours that has been gaining increased research attention in recent years. Although existing research indicates that NSSI is prevalent among both adolescent and young adult clinical and community samples, few studies have empirically examined models of factors involved in the etiology and maintenance of these behaviours, particularly the role of social factors. Further, although existing research supports the use of NSSI for emotion regulation purposes, less research attention has focused on the impact of emotion reactivity. The focus of the current project was to examine the role of emotional, interpersonal, and subcultural factors in NSSI. Utilizing a sample of 397 university students, Study 1 presents a psychometric re-evaluation of the Emotion Reactivity Scale (ERS; Nock et al., 2008), used to inform the most appropriate use of the measure in the subsequent studies. Results supported the reliability and validity of the ERS and suggested that the ERS is best utilized as a unidimensional measure of emotion reactivity. Study 2 examined an intra- and inter-personal model of NSSI among the same sample of 397 university students. Support was obtained for the Experiential Avoidance Model of NSSI (Chapman et al., 2006) as well as for the mediational influence of interpersonal relationships on NSSI via emotion regulation. Preliminary support was also provided for the influence of identification with more deviant subcultures, including Goth and Emo groups. Finally, Study 3 aimed to replicate support for the model among a sample of 178 members of self-injury internet forums. Contrary to hypotheses, little support was demonstrated for the model, and fewer significant associations were demonstrated for the influence of subcultural identification. Examination of the characteristics of the sample suggested that the online forum members represent a unique group in regard to the severity of their NSSI experiences that has been understudied in the existing literature. Alternative hypotheses to account for the observed findings are presented. Limitations and directions for future research are discussed.

The first part of the thesis explored the pattern of emotional reactivity amongst individuals with Borderline Personality Disorder (BPD). A previous review (Rosenthal, Gratz, Kosson, Cheavens, Lejuez & Lynch, 2008) claimed that a discrepancy exists in the subjective versus objective patterns of responding to emotional stimuli in those with BPD. The present review assessed the reliability of such findings by reviewing a more homogenous sample of studies that had used similar methodological procedures, in addition to a range of subjective and objective measures. It also aimed to investigate psychophysiological factors associated with this proposed divergent pattern of responding. The methodological quality of all included studies was assessed. The evidence reviewed disputes claims that BPD individuals display diminished physiological reactivity, despite equal or higher self-reported emotional reactivity than controls. Instead, the present review found that individuals with BPD react more severely (both psychologically and physiologically) to experimental stimuli, than controls, particularly when the stimuli is personally-relevant. Disruption of specific brain structures involved in the regulation of emotion within the Autonomic Nervous System (ANS) are implicated in this heightened profile of emotional reactivity. Furthermore, present state dissociation acts as a defence mechanism which appears to limit cognitive processing abilities such as problem-solving, attention and concentration in those with BPD. The second part of the thesis described a randomised controlled study investigating the effects of an attention training technique on pain tolerance. The Attention Training Technique (ATT; Wells, 1990) is a brief technique used in metacognitive therapy to modify attentional control. The effect of ATT versus Progressive Muscular Relaxation (PMR) on pain tolerance was examined in a sample of individuals who had experienced early childhood trauma (N=57). Participants were randomly assigned to either the ATT condition (N = 29) or the PMR condition (N = 28). A laboratory stressor was included: The Cold Pressor Task (CPT) as an objective measure of pain tolerance. Results supported the hypothesis that ATT modified performance on the CPT. Individuals assigned to the ATT condition were able to persist significantly longer with the CPT than those in the PMR condition. Theoretical and clinical implications of the findings are discussed. Results provide preliminary evidence for the possible benefits of ATT within medical settings. The third part of the thesis critically reflected on the methodological issues and dilemmas presented by the systematic review process, as well as the methodological and ethical issues raised by the research study.

Both borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD) are associated with emotion dysfunction and often co-occur. Emotional reactivity is also evident in some studies in BPD and PTSD. Despite the frequent co-occurrence of these diagnoses, only a few studies have examined the independent and joint effects of BPD and PTSD on emotional functioning. Some data suggest that co-occurring PTSD may drive discordance between domains of emotional reactivity in BPD, dampening physiological reactivity but increasing subjective reactivity. Low reliance on acceptance-based emotion regulation may also account for this divergence. The current study examined the independent and interactive effects of BPD and PTSD on emotional reactivity, regulation, and concordance across physiological and subjective measures. We also examined the role of acceptance in driving concordance across physiological and subjective measures. Participants (N = 195) underwent a diagnostic interview and completed a computerized task including neutral and negative emotion inductions. We examined subjective and physiological outcomes after both inductions. Linear regressions were used to examine relationships between diagnostic group and self-reported reactivity and regulation outcomes, as well the mediating role of acceptance on discordance. Multilevel models were used to examine the associations between diagnostic criteria and time on reactivity and regulation outcomes. We found that BPD and BPDxPTSD, but not PTSD, were significantly associated with greater difficulty regulating and accepting emotions. No significant differences in physiological reactivity and regulation were present across diagnostic groups, and acceptance was not found as a mediator between diagnostic groups and discordance indices. We discuss possible interpretations of our reactivity and regulation findings. Investigating BPD and PTSD’s association with reactivity and regulation, along with the role of emotional acceptance on these outcomes, will extend our understanding of diagnostic profiles and potentially pinpoint how acceptance can be utilized to influence emotional concordance.