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<p>Borderline personality disorder (BPD) is characterized by affective instability, disrupted empathy, and self-processing. In this study, we aimed to investigate moral decision-making and its association with empathy in BPD compared to Control group (CG). 112 participants, 45 BPD, and 67 CG were recruited. They filled out a demographic questionnaire and completed the moral scenarios and Interpersonal Reactivity Index. We mainly used regression-based t-test, linear discriminant analysis, and canonical correlation analysis to analyze the data. Patients with BPD made more utilitarian decisions in all the moral scenarios (P-value &lt; 0.05) and showed poorer perspective-taking , greater personal distress and fantasy (P-value &lt; 0.05) with preserved empathic concern compared to CG. Morality, Empathy, and a combined Morality Empathy score had classification accuracies of 73%, 79%, and 84%, respectively, between BPD and CG groups.Canonical correlation analysis showed a significant association between moral and empathy scores’ spaces only in the BPD group. Most of empathy dimensions were significantly correlated only in the CG [empathic concern and personal distrress, and fantasy (P-value = 0.002 and &lt; 0.001)]. The a typical structure of empathy in BPD may be related to differences in moral decision-making, reflected in increased utilitarian responses.</p>

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Dissociated empathy and utilitarian moral judgment in borderline personality disorder

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月30日

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  • Fatemeh Sadat Mirfazeli,
  • Abdolhossein Vahabie,
  • Jordan Grafman,
  • Kaveh Alavi,
  • Amirhossein Memari,
  • Faraneh Ghaffarihosseini,
  • MohammadAli Shokri,
  • Mahziar Abarashi,
  • Ahmad Pirani,
  • Mohsen Alizadeh,
  • Seyed Vahid Shariat

摘要

Borderline personality disorder (BPD) is characterized by affective instability, disrupted empathy, and self-processing. In this study, we aimed to investigate moral decision-making and its association with empathy in BPD compared to Control group (CG). 112 participants, 45 BPD, and 67 CG were recruited. They filled out a demographic questionnaire and completed the moral scenarios and Interpersonal Reactivity Index. We mainly used regression-based t-test, linear discriminant analysis, and canonical correlation analysis to analyze the data. Patients with BPD made more utilitarian decisions in all the moral scenarios (P-value < 0.05) and showed poorer perspective-taking , greater personal distress and fantasy (P-value < 0.05) with preserved empathic concern compared to CG. Morality, Empathy, and a combined Morality Empathy score had classification accuracies of 73%, 79%, and 84%, respectively, between BPD and CG groups.Canonical correlation analysis showed a significant association between moral and empathy scores’ spaces only in the BPD group. Most of empathy dimensions were significantly correlated only in the CG [empathic concern and personal distrress, and fantasy (P-value = 0.002 and < 0.001)]. The a typical structure of empathy in BPD may be related to differences in moral decision-making, reflected in increased utilitarian responses.