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Cited by 563Personality Disorders and PsychopathologyPsychoanalysis and Psychopathology ResearchPosttraumatic Stress Disorder Research

Magnetic resonance imaging volumes of the hippocampus and the amygdala in women with borderline personality disorder and early traumatization

Driessen, Martin, Herrmann, Jörg, Stahl, Kerstin, Zwaan, Martin, Meier, Szilvia, Hill, Andreas, Osterheider, Marita, Petersen, Dirk·2000·Archives of General Psychiatry
DOI 10.1001/archpsyc.57.12.1115
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Abstract

BACKGROUND: Based on findings of stress-induced neural disturbances in animals and smaller hippocampal volumes in humans with posttraumatic stress disorder), we hypothesized that patients with borderline personality disorders (BPD), who often are victims of early traumatization, have smaller volumes of the hippocampus and the amygdala. We assumed that volumes of these brain regions are negatively correlated with traumatic experiences and with neuropsychological deficits. METHODS: We studied 21 female patients with BPD and a similar group of healthy controls. We performed clinical assessments, a modified version of the Childhood Trauma Questionnaire, and magnetic resonance imaging volumetric measurements of the hippocampus, amygdala, temporal lobes, and prosencephalon. Neuropsychological testing included scales on which disturbances in BPD were previously reported. RESULTS: The patients with BPD had nearly 16% smaller volumes of the hippocampus (P<.001) and 8% smaller volumes of the amygdala (P<.05) than the healthy controls. The results for both hemispheres were nearly identical and were controlled for the volume of the prosencephalon and for head tilts. The volumes of the hippocampus were negatively correlated with the extent and the duration of self-reported early traumatization only when BPD and control subjects were considered together. Levels of neuropsychological functioning were associated with the severity of depression but not with the volumes of the hippocampus. CONCLUSION: In female patients with BPD, we found reduction of the volumes of the hippocampus (and perhaps of the amygdala), but the association of volume reduction and traumatic experiences remains unclear. Arch Gen Psychiatry. 2000;57:1115-1122.

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Authors
Driessen, M., Herrmann, J., Stahl, K., Zwaan, M., Meier, S., Hill, A., Osterheider, M., & Petersen, D.
ORCID
Venue
Archives of General Psychiatry
Publisher
American Medical Association (AMA)
Published
2000-12-01
Volume
57
Issue
12
Pages
1115
ISSN
0003-990X (ISSN-L)
DOI
10.1001/archpsyc.57.12.1115
OpenAlex
W2010523062
Cited by
562
References
63
Citations by year
2026: 7 · 2025: 6 · 2024: 11 · 2023: 10 · 2022: 14 · 2021: 12 · 2020: 22 · 2019: 14 · 2018: 19 · 2017: 18 · 2016: 28 · 2015: 19 · 2014: 29 · 2013: 27 · 2012: 31
FWCI
16.51
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of General Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
borderline personality disorder, early childhood trauma, hippocampal volume, amygdala volume, brain volumetry, women, depression, temporal lobe, neuropsychological deficits
MeSH terms
Adult, Amygdala, Borderline Personality Disorder, Child, Child Abuse, Depressive Disorder, Female, Hippocampus, Humans, Functional Laterality, Magnetic Resonance Imaging, Neuropsychological Tests, Psychiatric Status Rating Scales, Surveys and Questionnaires, Severity of Illness Index, Sex Factors, Temporal Lobe, Comorbidity, Prosencephalon

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