Cognitive reappraisal impairs negative affect regulation in the context of social rejection for youth with early-stage borderline personality disorder

Journal article


Pizarro-Campagna, Elizabeth, Terrett, Gill, Jovev, Martina, Rendell, Peter G., Henry, Julie D. and Chanen, Andrew M.. (2023). Cognitive reappraisal impairs negative affect regulation in the context of social rejection for youth with early-stage borderline personality disorder. Journal of Personality Disorders. 37(2), pp. 156-176. https://doi.org/10.1521/pedi.2023.37.2.156
AuthorsPizarro-Campagna, Elizabeth, Terrett, Gill, Jovev, Martina, Rendell, Peter G., Henry, Julie D. and Chanen, Andrew M.
Abstract

Application of emotion regulation strategies might be susceptible to the context of social rejection for individuals with borderline personality disorder (BPD). This study compared the ability of 27 outpatient youths (15-25 years old) with early-stage BPD and 37 healthy controls (HC) to apply expressive suppression and cognitive reappraisal in standard and socially rejecting laboratory contexts. BPD youths were largely as able as HCs to regulate negative affect across instruction and contexts. However, cognitive reappraisal in the context of social rejection heightened BPD negative facial expression relative to HCs. Thus, while BPD emotion regulation ability was largely normative, cognitive reappraisal might be ineffective in the context of social rejection for this group, with social rejection acting as an accelerant that heightens the expression of negative affect. Given the common experience of perceived and actual social rejection for this group, clinicians should carefully consider treatments that include cognitive reappraisal strategies because they might be contraindicated.

Year2023
JournalJournal of Personality Disorders
Journal citation37 (2), pp. 156-176
PublisherGuilford Press
ISSN1943-2763
Digital Object Identifier (DOI)https://doi.org/10.1521/pedi.2023.37.2.156
PubMed ID37002936
Scopus EID2-s2.0-85151322489
Page range156-176
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All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online01 Apr 2023
Publication process dates
Deposited16 Aug 2023
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