Facial Affective Behavior in Borderline Personality Disorder Indicating Two Different Clusters and Their Influence on Inpatient Treatment Outcome: A Preliminary Study.
- Dammann G Psychiatric Hospital, University of Basel, Basel, Switzerland.
- Rudaz M Münsterlingen Psychiatric Hospital, Münsterlingen, Switzerland.
- Benecke C Institute of Psychology, Clinical Psychology, University of Kassel, Kassel, Germany.
- Riemenschneider A Psychiatric Hospital, University of Basel, Basel, Switzerland.
- Walter M Psychiatric Hospital, University of Basel, Basel, Switzerland.
- Pfaltz MC Department of Psychiatry, University Hospital Zurich, Zurich, Switzerland.
- Küchenhoff J Psychiatric Hospital, University of Basel, Basel, Switzerland.
- Clarkin JF Personality Disorders Institute, Cornell University Medical School, New York, NY, United States.
- Gremaud-Heitz DJ Psychiatric Hospital, University of Basel, Basel, Switzerland.
- 2020-08-28
Published in:
- Frontiers in psychology. - 2020
EMFACS
borderline personality disorder
facial affective behavior
personality organization
psychopathology
treatment outcome
English
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.
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.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.3389/fpsyg.2020.01658
- PMID 32849013
- Persistent URL
- https://folia.unifr.ch/global/documents/174864
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