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Cognitive reappraisal impairs negative affect regulation in the context of social rejection for youth with early-stage borderline personality disorder
Pizarro-Campagna, Elizabeth Terrett, Gill Jovev, Martina Rendell, Peter G. Henry, Julie D. Chanen, Andrew M.
Pizarro-Campagna, Elizabeth
Terrett, Gill
Jovev, Martina
Rendell, Peter G.
Henry, Julie D.
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.
Keywords
Date
2023
Type
Journal article
Journal
Journal of Personality Disorders
Book
Volume
37
Issue
2
Page Range
156-176
Article Number
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled