scholarly journals Inconsistency and social decision making in patients with Borderline Personality Disorder

2016 ◽  
Vol 243 ◽  
pp. 115-122 ◽  
Author(s):  
Nora Preuss ◽  
Laura S. Brändle ◽  
Oliver M. Hager ◽  
Melanie Haynes ◽  
Urs Fischbacher ◽  
...  
2014 ◽  
Vol 28 (6) ◽  
pp. 841-852 ◽  
Author(s):  
Patricia Polgár ◽  
Dóra Fogd ◽  
Zsolt Unoka ◽  
Enikő Sirály ◽  
Gábor Csukly

2002 ◽  
Vol 32 (8) ◽  
pp. 1395-1405 ◽  
Author(s):  
E. BAZANIS ◽  
R. D. ROGERS ◽  
J. H. DOWSON ◽  
P. TAYLOR ◽  
C. MEUX ◽  
...  

Background. Repeated, self-damaging behaviour occurring in the context of borderline personality disorder (BPD) may reflect impairments in decision-making and planning cognition. However, there has been no systematic neuropsychological examination of these particular cognitive functions in patients diagnosed with BPD. Such investigations may improve our understanding of the possible role of brain dysfunction in BPD and improve the characterization of the psychological difficulties associated with this disorder.Method. Forty-two psychiatric patients with a diagnosis of DSM-III-R BPD (41 of whom gave a history of self-harm), without a history of specified ‘psychoses’ or current major affective disorder, were clinically assessed before completing computerized tasks of decision-making and planning previously shown to be sensitive to frontal lobe dysfunction, and tests of spatial and pattern visual recognition memory previously shown to be sensitive to frontal lobe damage and temporal lobe damage respectively. The performance of the BPD patient group was compared with that of a non-clinical control group consisting of 42 subjects.Results. The performance of the BPD patients on the decision-making task was characterized by a pattern of delayed and maladaptive choices when choosing between competing actions, and by impulsive, disinhibited responding when gambling on the outcome of their decisions. BPD patients also showed impairments on the planning task. There was no evidence of impaired visual recognition memory. Additional analyses suggested only limited effects of current medication and history of previous substance use disorder.Conclusions. These findings suggest that BPD is associated with complex impairments in dissociable cognitive processes mediated by circuitry encompassing the frontal lobes. These impairments may mediate some of the behavioural changes evident in BPD. Further work is needed to examine the specificity of these findings.


2012 ◽  
Vol 197 (1-2) ◽  
pp. 112-118 ◽  
Author(s):  
Jennifer Svaldi ◽  
Alexandra Philipsen ◽  
Swantje Matthies

2007 ◽  
Vol 21 (3) ◽  
pp. 243-261 ◽  
Author(s):  
Tim Kirkpatrick ◽  
Eileen Joyce ◽  
John Milton ◽  
Conor Duggan ◽  
Peter Tyrer ◽  
...  

2011 ◽  
Vol 41 (9) ◽  
pp. 1917-1927 ◽  
Author(s):  
B. Schuermann ◽  
N. Kathmann ◽  
C. Stiglmayr ◽  
B. Renneberg ◽  
T. Endrass

BackgroundIncreased impulsivity is considered to be a core characteristic of borderline personality disorder (BPD) and has been shown to play a significant role in decision making and planning. Neuropsychological studies in BPD revealed impairments of executive functions, and it is assumed that these deficits are related to altered feedback processing. However, research on executive functions in BPD is still limited and the underlying deficits remain an open question. The present study, therefore, explored whether decision-making deficits are related to altered feedback evaluation in BPD.MethodA total of 18 BPD patients and 18 matched healthy controls underwent a modified version of the Iowa Gambling Task while an electroencephalogram was recorded. Feedback processing was examined by measuring the feedback-related negativity (FRN) and the P300 as electrophysiological correlates of feedback evaluation.ResultsBehavioural results revealed that BPD patients, relative to controls, made more risky choices and did not improve their performance. With regard to the FRN, amplitudes in BPD patients did not discriminate between positive and negative feedback information. Further, BPD patients showed reduced FRN amplitudes, which were associated with enhanced impulsivity and enhanced risk taking. In contrast, the P300 amplitudes following negative feedback were increased in BPD patients, relative to controls.ConclusionsThis study indicates that BPD patients are impaired in decision making, which might be related to a dysfunctional use of feedback information. Specifically, BPD patients did not learn to avoid disadvantageous selections, even though they attended to negative consequences.


2020 ◽  
Vol 16 (9) ◽  
pp. e1008162
Author(s):  
Lara Henco ◽  
Andreea O. Diaconescu ◽  
Juha M. Lahnakoski ◽  
Marie-Luise Brandi ◽  
Sophia Hörmann ◽  
...  

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