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  Change in emotional and theory of mind processing in borderline personality disorder: A pilot study

Kramer, U., Kolly, S., Maillard, P., Pascual-Leone, A., Samson, A. C., Schmitt, R., et al. (2018). Change in emotional and theory of mind processing in borderline personality disorder: A pilot study. The Journal of Nervous and Mental Disease, 206(12), 935-943. doi:10.1097/NMD.0000000000000905.

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Item Permalink: http://hdl.handle.net/21.11116/0000-0002-BDAB-9 Version Permalink: http://hdl.handle.net/21.11116/0000-0003-9347-7
Genre: Journal Article

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 Creators:
Kramer, Ueli 1, 2, 3, Author
Kolly , Stéphane2, Author
Maillard , Pauline1, Author
Pascual-Leone, Antonio3, Author
Samson, , Andrea C.4, 5, 6, Author
Schmitt, Ruth7, Author
Bernini, Adriano8, Author
Allenbach, Gilles2, Author
Charbon, Patrick2, Author
de Roten, Yves1, Author
Conus, Philippe2, Author
Despland, Jean-Nicolas1, Author
Draganski, Bogdan8, 9, Author              
Affiliations:
1University Institute of Psychotherapy (IUP), Centre hospitalier universitaire vaudois, Lausanne, Switzerland, ou_persistent22              
2Department of Psychiatry, Centre hospitalier universitaire vaudois, Lausanne, Switzerland, ou_persistent22              
3Department of Psychology, University of Windsor, ON, Canada, ou_persistent22              
4Swiss Center for Affective Sciences, University of Geneva, Switzerland, ou_persistent22              
5Swiss Distance Learning University, Brig, Switzerland, ou_persistent22              
6Institut of Special Education, University of Fribourg, Switzerland, ou_persistent22              
7Department of General Psychiatry, Heidelberg University Hospital, Germany, ou_persistent22              
8Laboratoire de Recherche en Neuroimagerie (LREN), Centre hospitalier universitaire vaudois, Lausanne, Switzerland, ou_persistent22              
9Department Neurology, MPI for Human Cognitive and Brain Sciences, Max Planck Society, ou_634549              

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 Abstract: Changes 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 patient's self-criticism in a two-chair dialogue, an individual's 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.

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Language(s): eng - English
 Dates: 2018-12-01
 Publication Status: Published in print
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Method: Peer
 Identifiers: DOI: 10.1097/NMD.0000000000000905
PMID: 30507735
 Degree: -

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Grant ID : 32003B_159780
Funding program : NCCR Synapsy
Funding organization : Swiss National Science Foundation
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Funding program : -
Funding organization : Foundation Synapsis
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Funding organization : Roger De Spoelberch Foundation
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Funding organization : Partridge Foundation

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Title: The Journal of Nervous and Mental Disease
Source Genre: Journal
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Publ. Info: Philadelphia : Lippincott Williams & Wilkins
Pages: - Volume / Issue: 206 (12) Sequence Number: - Start / End Page: 935 - 943 Identifier: ISSN: 1539-736X
CoNE: https://pure.mpg.de/cone/journals/resource/1539-736X