Stuck in a negative me: fMRI study on the role of disturbed self-views in social feedback processing in borderline personality disorder
Interpersonal difficulties in borderline personality disorder (BPD) could be related to the disturbed self-views of BPD patients. This study investigates affective and neural responses to positive and negative social feedback (SF) of BPD patients compared with healthy (HC) and low self-esteem (LSE)...
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| Veröffentlicht in: | Psychological medicine 2020-03, Vol.50 (4), p.625-635 |
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| creator | van Schie, Charlotte C Chiu, Chui-De Rombouts, Serge A R B Heiser, Willem J Elzinga, Bernet M |
| description | Interpersonal difficulties in borderline personality disorder (BPD) could be related to the disturbed self-views of BPD patients. This study investigates affective and neural responses to positive and negative social feedback (SF) of BPD patients compared with healthy (HC) and low self-esteem (LSE) controls and how this relates to individual self-views.
BPD (N = 26), HC (N = 32), and LSE (N = 22) performed a SF task in a magnetic resonance imaging scanner. Participants received 15 negative, intermediate and positive evaluative feedback words putatively given by another participant and rated their mood and applicability of the words to the self.
BPD had more negative self-views than HC and felt worse after negative feedback. Applicability of feedback was a less strong determinant of mood in BPD than HC. Increased precuneus activation was observed in HC to negative compared with positive feedback, whereas in BPD, this was similarly low for both valences. HC showed increased temporoparietal junction (TPJ) activation to positive v. negative feedback, while BPD showed more TPJ activation to negative feedback. The LSE group showed a different pattern of results suggesting that LSE cannot explain these findings in BPD.
The negative self-views that BPD have, may obstruct critically examining negative feedback, resulting in lower mood. Moreover, where HC focus on the positive feedback (based on TPJ activation), BPD seem to focus more on negative feedback, potentially maintaining negative self-views. Better balanced self-views may make BPD better equipped to deal with potential negative feedback and more open to positive interactions. |
| doi_str_mv | 10.1017/S0033291719000448 |
| format | Article |
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BPD (N = 26), HC (N = 32), and LSE (N = 22) performed a SF task in a magnetic resonance imaging scanner. Participants received 15 negative, intermediate and positive evaluative feedback words putatively given by another participant and rated their mood and applicability of the words to the self.
BPD had more negative self-views than HC and felt worse after negative feedback. Applicability of feedback was a less strong determinant of mood in BPD than HC. Increased precuneus activation was observed in HC to negative compared with positive feedback, whereas in BPD, this was similarly low for both valences. HC showed increased temporoparietal junction (TPJ) activation to positive v. negative feedback, while BPD showed more TPJ activation to negative feedback. The LSE group showed a different pattern of results suggesting that LSE cannot explain these findings in BPD.
The negative self-views that BPD have, may obstruct critically examining negative feedback, resulting in lower mood. Moreover, where HC focus on the positive feedback (based on TPJ activation), BPD seem to focus more on negative feedback, potentially maintaining negative self-views. Better balanced self-views may make BPD better equipped to deal with potential negative feedback and more open to positive interactions.</description><identifier>ISSN: 0033-2917</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S0033291719000448</identifier><identifier>PMID: 30867073</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Attribution ; Borderline personality disorder ; Borderline Personality Disorder - diagnostic imaging ; Borderline Personality Disorder - physiopathology ; Brain Mapping ; Colleges & universities ; Cortex (parietal) ; Fear & phobias ; Feedback ; Feedback, Psychological - physiology ; Female ; Functional magnetic resonance imaging ; Higher education ; Humans ; Magnetic Resonance Imaging ; Middle Aged ; Mood ; Original ; Parietal Lobe - diagnostic imaging ; Parietal Lobe - physiopathology ; Patient satisfaction ; Permission ; Personality ; Personality disorders ; Self Concept ; Self esteem ; Social Interaction ; Social interactions ; Temporal Lobe - diagnostic imaging ; Temporal Lobe - physiopathology ; Young Adult</subject><ispartof>Psychological medicine, 2020-03, Vol.50 (4), p.625-635</ispartof><rights>Copyright Cambridge University Press Mar 2020</rights><rights>Cambridge University Press 2019 2019 Cambridge University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-1566361820600830cee793cff5fbbdd103f8920fd3841f475a0873b712eff55e3</citedby><cites>FETCH-LOGICAL-c427t-1566361820600830cee793cff5fbbdd103f8920fd3841f475a0873b712eff55e3</cites><orcidid>0000-0003-0631-3289</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,12846,27924,27925,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30867073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Schie, Charlotte C</creatorcontrib><creatorcontrib>Chiu, Chui-De</creatorcontrib><creatorcontrib>Rombouts, Serge A R B</creatorcontrib><creatorcontrib>Heiser, Willem J</creatorcontrib><creatorcontrib>Elzinga, Bernet M</creatorcontrib><title>Stuck in a negative me: fMRI study on the role of disturbed self-views in social feedback processing in borderline personality disorder</title><title>Psychological medicine</title><addtitle>Psychol Med</addtitle><description>Interpersonal difficulties in borderline personality disorder (BPD) could be related to the disturbed self-views of BPD patients. This study investigates affective and neural responses to positive and negative social feedback (SF) of BPD patients compared with healthy (HC) and low self-esteem (LSE) controls and how this relates to individual self-views.
BPD (N = 26), HC (N = 32), and LSE (N = 22) performed a SF task in a magnetic resonance imaging scanner. Participants received 15 negative, intermediate and positive evaluative feedback words putatively given by another participant and rated their mood and applicability of the words to the self.
BPD had more negative self-views than HC and felt worse after negative feedback. Applicability of feedback was a less strong determinant of mood in BPD than HC. Increased precuneus activation was observed in HC to negative compared with positive feedback, whereas in BPD, this was similarly low for both valences. HC showed increased temporoparietal junction (TPJ) activation to positive v. negative feedback, while BPD showed more TPJ activation to negative feedback. The LSE group showed a different pattern of results suggesting that LSE cannot explain these findings in BPD.
The negative self-views that BPD have, may obstruct critically examining negative feedback, resulting in lower mood. Moreover, where HC focus on the positive feedback (based on TPJ activation), BPD seem to focus more on negative feedback, potentially maintaining negative self-views. Better balanced self-views may make BPD better equipped to deal with potential negative feedback and more open to positive interactions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Attribution</subject><subject>Borderline personality disorder</subject><subject>Borderline Personality Disorder - diagnostic imaging</subject><subject>Borderline Personality Disorder - physiopathology</subject><subject>Brain Mapping</subject><subject>Colleges & universities</subject><subject>Cortex (parietal)</subject><subject>Fear & phobias</subject><subject>Feedback</subject><subject>Feedback, Psychological - physiology</subject><subject>Female</subject><subject>Functional magnetic resonance imaging</subject><subject>Higher education</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Middle Aged</subject><subject>Mood</subject><subject>Original</subject><subject>Parietal Lobe - diagnostic imaging</subject><subject>Parietal Lobe - physiopathology</subject><subject>Patient satisfaction</subject><subject>Permission</subject><subject>Personality</subject><subject>Personality disorders</subject><subject>Self Concept</subject><subject>Self esteem</subject><subject>Social Interaction</subject><subject>Social interactions</subject><subject>Temporal Lobe - 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diagnostic imaging</topic><topic>Borderline Personality Disorder - physiopathology</topic><topic>Brain Mapping</topic><topic>Colleges & universities</topic><topic>Cortex (parietal)</topic><topic>Fear & phobias</topic><topic>Feedback</topic><topic>Feedback, Psychological - physiology</topic><topic>Female</topic><topic>Functional magnetic resonance imaging</topic><topic>Higher education</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Middle Aged</topic><topic>Mood</topic><topic>Original</topic><topic>Parietal Lobe - diagnostic imaging</topic><topic>Parietal Lobe - physiopathology</topic><topic>Patient satisfaction</topic><topic>Permission</topic><topic>Personality</topic><topic>Personality disorders</topic><topic>Self Concept</topic><topic>Self esteem</topic><topic>Social Interaction</topic><topic>Social interactions</topic><topic>Temporal Lobe - diagnostic imaging</topic><topic>Temporal Lobe - physiopathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Schie, Charlotte C</creatorcontrib><creatorcontrib>Chiu, Chui-De</creatorcontrib><creatorcontrib>Rombouts, Serge A R B</creatorcontrib><creatorcontrib>Heiser, Willem J</creatorcontrib><creatorcontrib>Elzinga, Bernet M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>ProQuest research library</collection><collection>ProQuest sociology</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psychological medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Schie, Charlotte C</au><au>Chiu, Chui-De</au><au>Rombouts, Serge A R B</au><au>Heiser, Willem J</au><au>Elzinga, Bernet M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stuck in a negative me: fMRI study on the role of disturbed self-views in social feedback processing in borderline personality disorder</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol Med</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>50</volume><issue>4</issue><spage>625</spage><epage>635</epage><pages>625-635</pages><issn>0033-2917</issn><eissn>1469-8978</eissn><abstract>Interpersonal difficulties in borderline personality disorder (BPD) could be related to the disturbed self-views of BPD patients. This study investigates affective and neural responses to positive and negative social feedback (SF) of BPD patients compared with healthy (HC) and low self-esteem (LSE) controls and how this relates to individual self-views.
BPD (N = 26), HC (N = 32), and LSE (N = 22) performed a SF task in a magnetic resonance imaging scanner. Participants received 15 negative, intermediate and positive evaluative feedback words putatively given by another participant and rated their mood and applicability of the words to the self.
BPD had more negative self-views than HC and felt worse after negative feedback. Applicability of feedback was a less strong determinant of mood in BPD than HC. Increased precuneus activation was observed in HC to negative compared with positive feedback, whereas in BPD, this was similarly low for both valences. HC showed increased temporoparietal junction (TPJ) activation to positive v. negative feedback, while BPD showed more TPJ activation to negative feedback. The LSE group showed a different pattern of results suggesting that LSE cannot explain these findings in BPD.
The negative self-views that BPD have, may obstruct critically examining negative feedback, resulting in lower mood. Moreover, where HC focus on the positive feedback (based on TPJ activation), BPD seem to focus more on negative feedback, potentially maintaining negative self-views. Better balanced self-views may make BPD better equipped to deal with potential negative feedback and more open to positive interactions.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>30867073</pmid><doi>10.1017/S0033291719000448</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-0631-3289</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Cambridge University Press Journals |
| subjects | Adolescent Adult Attribution Borderline personality disorder Borderline Personality Disorder - diagnostic imaging Borderline Personality Disorder - physiopathology Brain Mapping Colleges & universities Cortex (parietal) Fear & phobias Feedback Feedback, Psychological - physiology Female Functional magnetic resonance imaging Higher education Humans Magnetic Resonance Imaging Middle Aged Mood Original Parietal Lobe - diagnostic imaging Parietal Lobe - physiopathology Patient satisfaction Permission Personality Personality disorders Self Concept Self esteem Social Interaction Social interactions Temporal Lobe - diagnostic imaging Temporal Lobe - physiopathology Young Adult |
| title | Stuck in a negative me: fMRI study on the role of disturbed self-views in social feedback processing in borderline personality disorder |
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