Decision making as measured with the Iowa Gambling Task in patients with borderline personality disorder

2007 ◽  
Vol 13 (04) ◽  
Author(s):  
VEGARD ØKSENDAL HAALAND ◽  
NILS INGE LANDRØ
Keyword(s):  
Decision Making ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Iowa Gambling Task ◽  
Borderline Personality ◽  
Gambling Task

Impact of stress on different components of impulsivity in borderline personality disorder

2014 ◽  
Vol 44 (15) ◽  
pp. 3329-3340 ◽  
Author(s):  
S. Cackowski ◽  
A.-C. Reitz ◽  
G. Ende ◽  
N. Kleindienst ◽  
M. Bohus ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Iowa Gambling Task ◽  
Borderline Personality ◽  
Stress Conditions ◽  
Adhd Symptoms ◽  
Gambling Task ◽  
Stress Induction ◽  
Stop Task

Background.Previous research on impulsivity in borderline personality disorder (BPD) has revealed inconsistent findings. Impulsive behaviour is often observed during states of emotional distress and might be exaggerated by current attention deficit hyperactivity disorder (ADHD) symptoms in individuals with BPD. We aimed to investigate different components of impulsivity dependent on stress induction controlling for self-reported ADHD symptoms in BPD.Method.A total of 31 unmedicated women with BPD and 30 healthy women (healthy controls; HCs), matched for age, education and intelligence, completed self-reports and behavioural tasks measuring response inhibition (go/stop task) and feedback-driven decision making (Iowa Gambling Task) under resting conditions and after experimental stress induction. ADHD symptoms were included as a covariate in the analyses of behavioural impulsivity. Additionally, self-reported emotion-regulation capacities were assessed.Results.BPD patients reported higher impulsive traits than HCs. During stress conditions – compared with resting conditions – self-reported impulsivity was elevated in both groups. Patients with BPD reported higher state impulsivity under both conditions and a significantly stronger stress-dependent increase in state impulsivity. On the behavioural level, BPD patients showed significantly impaired performance on the go/stop task under stress conditions, even when considering ADHD symptoms as a covariate, but not under resting conditions. No group differences on the Iowa Gambling Task were observed. Correlations between impulsivity measures and emotion-regulation capacities were observed in BPD patients.Conclusions.Findings suggest a significant impact of stress on self-perceived state impulsivity and on response disinhibition (even when considering current ADHD symptoms) in females with BPD.

Impulsivity in patients with borderline personality disorder: a comprehensive profile compared with healthy people and patients with ADHD

2019 ◽  
Vol 50 (11) ◽  
pp. 1829-1838 ◽  
Author(s):  
Pavla Linhartová ◽  
Adéla Látalová ◽  
Richard Barteček ◽  
Jan Širůček ◽  
Pavel Theiner ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Cognitive Functioning ◽  
Iowa Gambling Task ◽  
Borderline Personality ◽  
Self Report ◽  
Stop Signal Task ◽  
Negative Urgency ◽  
Impulsive Choice ◽  
Impulsive Action

AbstractBackgroundImpulsivity is a core symptom of borderline personality disorder (BPD). Impulsivity is a heterogeneous concept, and a comprehensive evaluation of impulsivity dimensions is lacking in the literature. Moreover, it is unclear whether BPD patients manifest impaired cognitive functioning that might be associated with impulsivity in another patient group, such as ADHD, a frequent comorbidity of BPD.MethodsWe tested 39 patients with BPD without major psychiatric comorbidities and ADHD, 25 patients with ADHD, and 55 healthy controls (HC) using a test battery consisting of a self-report measure of impulsivity (UPPS-P questionnaire), behavioral measures of impulsivity – impulsive action (Go/NoGo task, stop signal task) and impulsive choice (delay discounting task, Iowa gambling task), and standardized measures of attention (d2 test), working memory (digit span), and executive functioning (Tower of London).ResultsPatients with BPD and ADHD, as compared with HC, manifested increased self-reported impulsivity except sensation seeking and increased impulsive choice; patients with ADHD but not BPD showed increased impulsive action and deficits in cognitive functioning. Negative urgency was increased in BPD as compared to both HC and ADHD groups and correlated with BPD severity.ConclusionsPatients with BPD without ADHD comorbidity had increased self-reported impulsivity and impulsive choice, but intact impulsive action and cognitive functioning. Controlling for ADHD comorbidity in BPD samples is necessary. Negative urgency is the most diagnostically specific impulsivity dimension in BPD.

Neurocognitive deficits in decision-making and planning of patients with DSM-III-R borderline personality disorder

2002 ◽  
Vol 32 (8) ◽  
pp. 1395-1405 ◽  
Author(s):  
E. BAZANIS ◽  
R. D. ROGERS ◽  
J. H. DOWSON ◽  
P. TAYLOR ◽  
C. MEUX ◽  
...  
Keyword(s):  
Decision Making ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Recognition Memory ◽  
Frontal Lobe ◽  
Visual Recognition ◽  
Borderline Personality ◽  
Neurocognitive Deficits ◽  
Visual Recognition Memory ◽  
History Of

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.

Risky decision-making in borderline personality disorder

2012 ◽  
Vol 197 (1-2) ◽  
pp. 112-118 ◽  
Author(s):  
Jennifer Svaldi ◽  
Alexandra Philipsen ◽  
Swantje Matthies
Keyword(s):  
Decision Making ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Risky Decision Making ◽  
Risky Decision

Altered Emotional Decision-Making in Prisoners with Borderline Personality Disorder

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

scholarly journals Impaired decision making and feedback evaluation in borderline personality disorder

2011 ◽  
Vol 41 (9) ◽  
pp. 1917-1927 ◽  
Author(s):  
B. Schuermann ◽  
N. Kathmann ◽  
C. Stiglmayr ◽  
B. Renneberg ◽  
T. Endrass
Keyword(s):  
Decision Making ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Executive Functions ◽  
Negative Feedback ◽  
Borderline Personality ◽  
Negative Consequences ◽  
Feedback Processing ◽  
Feedback Information ◽  
Feedback Evaluation

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.

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