Deficient Amygdala Habituation to Threatening Stimuli in Borderline Personality Disorder Relates to Adverse Childhood Experiences.


Journal

Biological psychiatry
ISSN: 1873-2402
Titre abrégé: Biol Psychiatry
Pays: United States
ID NLM: 0213264

Informations de publication

Date de publication:
15 12 2019
Historique:
received: 20 03 2019
revised: 20 05 2019
accepted: 09 06 2019
pubmed: 2 8 2019
medline: 30 9 2020
entrez: 2 8 2019
Statut: ppublish

Résumé

Heightened amygdala response to threatening cues has been repeatedly observed in borderline personality disorder (BPD). A previous report linked hyperactivation to deficient amygdala habituation to repeated stimuli, but the biological underpinnings are incompletely understood. We examined a sample of 120 patients with BPD and 115 healthy control subjects with a well-established functional magnetic resonance imaging emotional face processing task to replicate the previously reported amygdala habituation deficit in BPD and probed this neural phenotype for associations with symptom severity and early social risk exposure. Our results confirm a significant reduction in amygdala habituation to repeated negative stimuli in BPD (p Our data replicate a prior report on deficient amygdala habituation in BPD and link this neural phenotype to early adversity, a well-established social environmental risk factor for emotion dysregulation and psychiatric illness.

Sections du résumé

BACKGROUND
Heightened amygdala response to threatening cues has been repeatedly observed in borderline personality disorder (BPD). A previous report linked hyperactivation to deficient amygdala habituation to repeated stimuli, but the biological underpinnings are incompletely understood.
METHODS
We examined a sample of 120 patients with BPD and 115 healthy control subjects with a well-established functional magnetic resonance imaging emotional face processing task to replicate the previously reported amygdala habituation deficit in BPD and probed this neural phenotype for associations with symptom severity and early social risk exposure.
RESULTS
Our results confirm a significant reduction in amygdala habituation to repeated negative stimuli in BPD (p
CONCLUSIONS
Our data replicate a prior report on deficient amygdala habituation in BPD and link this neural phenotype to early adversity, a well-established social environmental risk factor for emotion dysregulation and psychiatric illness.

Identifiants

pubmed: 31366446
pii: S0006-3223(19)31447-7
doi: 10.1016/j.biopsych.2019.06.008
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

930-938

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2019 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.

Auteurs

Edda Bilek (E)

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany. Electronic address: edda.bilek@zi-mannheim.de.

Marlena L Itz (ML)

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

Gabriela Stößel (G)

Department of Clinical Psychology, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

Ren Ma (R)

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

Oksana Berhe (O)

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

Laura Clement (L)

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

Zhenxiang Zang (Z)

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

Lydia Robnik (L)

Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

Michael M Plichta (MM)

Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt am Main, Germany.

Corinne Neukel (C)

Department of Psychosocial Medicine, Heidelberg University, Heidelberg, Germany.

Christian Schmahl (C)

Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

Peter Kirsch (P)

Department of Clinical Psychology, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

Andreas Meyer-Lindenberg (A)

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

Heike Tost (H)

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelburg University, Mannheim, Germany.

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