Inhibition errors in borderline personality disorder with psychotic-like symptoms

The aim of this study was to examine whether patients with borderline personality disorder (BPD) have deficits in cognitive inhibition as measured with an anti-saccade eye task similar to patients with schizophrenia (Sz). Furthermore, we investigated whether these inhibition errors were more promine...

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Veröffentlicht in:Progress in neuro-psychopharmacology & biological psychiatry 2008, Vol.32 (1), p.267-273
Hauptverfasser: Grootens, Koen P., van Luijtelaar, Gilles, Buitelaar, Jan K., van der Laan, Annemieke, Hummelen, Jacobus W., Verkes, Robbert J.
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container_start_page 267
container_title Progress in neuro-psychopharmacology & biological psychiatry
container_volume 32
creator Grootens, Koen P.
van Luijtelaar, Gilles
Buitelaar, Jan K.
van der Laan, Annemieke
Hummelen, Jacobus W.
Verkes, Robbert J.
description The aim of this study was to examine whether patients with borderline personality disorder (BPD) have deficits in cognitive inhibition as measured with an anti-saccade eye task similar to patients with schizophrenia (Sz). Furthermore, we investigated whether these inhibition errors were more prominent among BPD patients with psychotic-like symptoms than among BPD patients without these symptoms. An anti-saccade task was administered in 32 BPD patients (among them, 20 had with psychotic-like symptoms), 21 patients with recent onset schizophrenia (Sz), and 25 healthy controls (HC). The percentage inhibition errors in the anti-saccade task were the primary outcome variable, in addition, the percentage of anticipatory errors was measured. Sz patients showed more inhibition errors than HC and BPD ( p < .001 and p < .05 resp.), whereas BPD patients scored in between Sz and HC. The difference with HC was significant as well ( p < .05). BPD patients with psychotic-like symptoms showed more inhibition errors than BPD patients without these symptoms ( p < .05). BPD patients showed more anticipatory errors than HC ( p < .001), whereas Sz patients did not ( p < .26). The data demonstrate that inhibition deficits, as measured with anti-saccadic eye movement task, may be characteristic among BPD patients and in a larger extent in patients with psychotic-like symptoms. This inhibition deficit was distinct from a general predisposition to response impulsively as measured by anticipatory errors, which was found in the whole group of BPD patients. Psychotic-like symptoms may be an important target dimension for future BPD research and treatment.
doi_str_mv 10.1016/j.pnpbp.2007.08.020
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Furthermore, we investigated whether these inhibition errors were more prominent among BPD patients with psychotic-like symptoms than among BPD patients without these symptoms. An anti-saccade task was administered in 32 BPD patients (among them, 20 had with psychotic-like symptoms), 21 patients with recent onset schizophrenia (Sz), and 25 healthy controls (HC). The percentage inhibition errors in the anti-saccade task were the primary outcome variable, in addition, the percentage of anticipatory errors was measured. Sz patients showed more inhibition errors than HC and BPD ( p < .001 and p < .05 resp.), whereas BPD patients scored in between Sz and HC. The difference with HC was significant as well ( p < .05). BPD patients with psychotic-like symptoms showed more inhibition errors than BPD patients without these symptoms ( p < .05). BPD patients showed more anticipatory errors than HC ( p < .001), whereas Sz patients did not ( p < .26). The data demonstrate that inhibition deficits, as measured with anti-saccadic eye movement task, may be characteristic among BPD patients and in a larger extent in patients with psychotic-like symptoms. This inhibition deficit was distinct from a general predisposition to response impulsively as measured by anticipatory errors, which was found in the whole group of BPD patients. 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Furthermore, we investigated whether these inhibition errors were more prominent among BPD patients with psychotic-like symptoms than among BPD patients without these symptoms. An anti-saccade task was administered in 32 BPD patients (among them, 20 had with psychotic-like symptoms), 21 patients with recent onset schizophrenia (Sz), and 25 healthy controls (HC). The percentage inhibition errors in the anti-saccade task were the primary outcome variable, in addition, the percentage of anticipatory errors was measured. Sz patients showed more inhibition errors than HC and BPD ( p < .001 and p < .05 resp.), whereas BPD patients scored in between Sz and HC. The difference with HC was significant as well ( p < .05). BPD patients with psychotic-like symptoms showed more inhibition errors than BPD patients without these symptoms ( p < .05). BPD patients showed more anticipatory errors than HC ( p < .001), whereas Sz patients did not ( p < .26). The data demonstrate that inhibition deficits, as measured with anti-saccadic eye movement task, may be characteristic among BPD patients and in a larger extent in patients with psychotic-like symptoms. This inhibition deficit was distinct from a general predisposition to response impulsively as measured by anticipatory errors, which was found in the whole group of BPD patients. 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Drug treatments</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology. 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The data demonstrate that inhibition deficits, as measured with anti-saccadic eye movement task, may be characteristic among BPD patients and in a larger extent in patients with psychotic-like symptoms. This inhibition deficit was distinct from a general predisposition to response impulsively as measured by anticipatory errors, which was found in the whole group of BPD patients. Psychotic-like symptoms may be an important target dimension for future BPD research and treatment.]]></abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>17889419</pmid><doi>10.1016/j.pnpbp.2007.08.020</doi><tpages>7</tpages></addata></record>
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subjects Adult
Adult and adolescent clinical studies
Analysis of Variance
Biological and medical sciences
Borderline personality disorder
Borderline Personality Disorder - complications
Electrooculography - methods
Eye Movements - physiology
Female
Humans
Impulsivity
Inhibition
Inhibition (Psychology)
Male
Medical sciences
Neuropharmacology
Neuropsychological Tests
Personality disorders
Pharmacology. Drug treatments
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
Psychoses
Psychosis
Psychotic Disorders - economics
Saccades
Schizophrenia
Schizophrenia - physiopathology
title Inhibition errors in borderline personality disorder with psychotic-like symptoms
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