Change in Emotional and Theory of Mind Processing in Borderline Personality Disorder: A Pilot Study
ABSTRACTChanges in emotional processing (EP) and in theory of mind (TOM) are central across treatment approaches for patients with borderline personality disorder (BPD). Although the assessment of EP relies on the observation of a patientʼs self-criticism in a two-chair dialogue, an individualʼs TOM...
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| Veröffentlicht in: | The journal of nervous and mental disease 2018-12, Vol.206 (12), p.935-943 |
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| container_title | The journal of nervous and mental disease |
| container_volume | 206 |
| creator | Kramer, Ueli Kolly, Stéphane Maillard, Pauline Pascual-Leone, Antonio Samson, Andrea C Schmitt, Ruth Bernini, Adriano Allenbach, Gilles Charbon, Patrick de Roten, Yves Conus, Philippe Despland, Jean-Nicolas Draganski, Bogdan |
| description | ABSTRACTChanges in emotional processing (EP) and in theory of mind (TOM) are central across treatment approaches for patients with borderline personality disorder (BPD). Although the assessment of EP relies on the observation of a patientʼs self-criticism in a two-chair dialogue, an individualʼs TOM assessments is made based on responses to humorous stimuli based on false beliefs. For this pilot study, we assessed eight patients with BPD before and after a 3-month-long psychiatric treatment, using functional magnetic resonance imaging and behavioral tasks. We observed arousal increase within the session of the two-chair dialogue (d = 0.36), paralleled by arousal decrease between sessions (d = 0.80). We found treatment-associated trends for neural activity reduction in brain areas central for EP and TOM. Our exploratory findings using an integrative assessment procedure of changes in EP and TOM point toward evidence for treatment effects at the brain systems level related to behavioral modulation. |
| doi_str_mv | 10.1097/NMD.0000000000000905 |
| format | Article |
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Although the assessment of EP relies on the observation of a patientʼs self-criticism in a two-chair dialogue, an individualʼs TOM assessments is made based on responses to humorous stimuli based on false beliefs. For this pilot study, we assessed eight patients with BPD before and after a 3-month-long psychiatric treatment, using functional magnetic resonance imaging and behavioral tasks. We observed arousal increase within the session of the two-chair dialogue (d = 0.36), paralleled by arousal decrease between sessions (d = 0.80). We found treatment-associated trends for neural activity reduction in brain areas central for EP and TOM. 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All rights reserved.</rights><rights>Copyright Lippincott Williams & Wilkins Ovid Technologies Dec 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3295-bb95222b9165685ac60f1e840856dc5b8665b261409e454058a54a9c8d47e6b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30507735$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kramer, Ueli</creatorcontrib><creatorcontrib>Kolly, Stéphane</creatorcontrib><creatorcontrib>Maillard, Pauline</creatorcontrib><creatorcontrib>Pascual-Leone, Antonio</creatorcontrib><creatorcontrib>Samson, Andrea C</creatorcontrib><creatorcontrib>Schmitt, Ruth</creatorcontrib><creatorcontrib>Bernini, Adriano</creatorcontrib><creatorcontrib>Allenbach, Gilles</creatorcontrib><creatorcontrib>Charbon, Patrick</creatorcontrib><creatorcontrib>de Roten, Yves</creatorcontrib><creatorcontrib>Conus, Philippe</creatorcontrib><creatorcontrib>Despland, Jean-Nicolas</creatorcontrib><creatorcontrib>Draganski, Bogdan</creatorcontrib><title>Change in Emotional and Theory of Mind Processing in Borderline Personality Disorder: A Pilot Study</title><title>The journal of nervous and mental disease</title><addtitle>J Nerv Ment Dis</addtitle><description>ABSTRACTChanges in emotional processing (EP) and in theory of mind (TOM) are central across treatment approaches for patients with borderline personality disorder (BPD). Although the assessment of EP relies on the observation of a patientʼs self-criticism in a two-chair dialogue, an individualʼs TOM assessments is made based on responses to humorous stimuli based on false beliefs. For this pilot study, we assessed eight patients with BPD before and after a 3-month-long psychiatric treatment, using functional magnetic resonance imaging and behavioral tasks. We observed arousal increase within the session of the two-chair dialogue (d = 0.36), paralleled by arousal decrease between sessions (d = 0.80). We found treatment-associated trends for neural activity reduction in brain areas central for EP and TOM. Our exploratory findings using an integrative assessment procedure of changes in EP and TOM point toward evidence for treatment effects at the brain systems level related to behavioral modulation.</description><subject>Borderline personality disorder</subject><subject>Emotional disorders</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Patient assessment</subject><subject>Personality disorders</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNpdkVtv1DAQhS0EokvhHyBkiRdeUsaXcWzeyrYFpBZWoki8RU7i7bp442Inqvbf19mWizovo7G_c6SZQ8hrBkcMTP3-68XJEfxfBvAJWTAUpqqF-vmULAA4rwQwfUBe5HwNwGoh4Tk5EIBQ1wIXpFtu7HDlqB_o6TaOPg42UDv09HLjYtrRuKYXvoyrFDuXsx-uZvRjTL1LwQ-OrlzKs8iPO3ri8_7jAz2mKx_iSL-PU797SZ6tbcju1UM_JD_OTi-Xn6vzb5--LI_Pq05wg1XbGuSct4YpVBptp2DNnJagUfUdtlopbLliEoyTKAG1RWlNp3tZO9UKcUje3fvepPh7cnlstj53LgQ7uDjlhjNpNIoaZ_TtI_Q6TqmsMVOKcQ2IUCh5T3Up5pzcurlJfmvTrmHQzCE0JYTmcQhF9ubBfGq3rv8r-nP1f763MYzlfr_CdOtSs3E2jJu9HxabipfkGC9TtX8SdwLpju8</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Kramer, Ueli</creator><creator>Kolly, Stéphane</creator><creator>Maillard, Pauline</creator><creator>Pascual-Leone, Antonio</creator><creator>Samson, Andrea C</creator><creator>Schmitt, Ruth</creator><creator>Bernini, Adriano</creator><creator>Allenbach, Gilles</creator><creator>Charbon, Patrick</creator><creator>de Roten, Yves</creator><creator>Conus, Philippe</creator><creator>Despland, Jean-Nicolas</creator><creator>Draganski, Bogdan</creator><general>Copyright Wolters Kluwer Health, Inc. 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| language | eng |
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| source | Journals@Ovid Complete |
| subjects | Borderline personality disorder Emotional disorders NMR Nuclear magnetic resonance Patient assessment Personality disorders |
| title | Change in Emotional and Theory of Mind Processing in Borderline Personality Disorder: A Pilot Study |
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