Altered emotion processing circuits during the anticipation of emotional stimuli in women with borderline personality disorder
Open accessAbstract
Borderline personality disorder (BPD) is associated with disturbed emotion processing, typically encompassing intense and fast emotional reactions toward affective stimuli. In this study, we were interested in whether emotional dysregulation in BPD occurs not only during the perception of emotional stimuli, but also during the anticipation of upcoming emotional pictures in the absence of concrete stimuli. Eighteen female patients with a diagnosis of BPD and 18 healthy control subjects anticipated cued visual stimuli with prior known emotional valence or prior unknown emotional content during functional magnetic resonance imaging. Brain activity during the anticipation of emotional stimuli was compared between both groups. When anticipating negative pictures, BPD patients demonstrated less signal change in the left dorsal anterior cingulate cortex (dACC) and left middle cingulate cortex (MCC), and enhanced activations in the left pregenual ACC, left posterior cingulate cortex (PCC) as well as in left visual cortical areas including the lingual gyrus. During the anticipation of ambiguously announced stimuli, brain activity in BPD was also reduced in the left MCC extending into the medial and bilateral dorsolateral prefrontal cortex. Results point out that deficient recruitment of brain areas related to cognitive-emotional interaction already during the anticipation phase may add to emotional dysregulation in BPD. Stronger activation of the PCC could correspond to an increased autobiographical reference in BPD. Moreover, increased preparatory visual activity during negative anticipation may contribute to hypersensitivity toward emotional cues in this disorder.
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In BPD, deficits in interpersonal trust, tolerance of aloneness, and recognition of conventional norms of social cooperation/fairness also have been documented and shown to be associated with altered patterns of anterior cingulate, temporal lobe, and insula activation.
“In BPD, deficits in interpersonal trust, tolerance of aloneness, and recognition of conventional norms of social cooperation/fairness also have been documented and shown to be associated with altered patterns of anterior cingulate, temporal lobe, and insula activation [97, 149].”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [149]
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“However, already the anticipation period prior to actual stimulus exposure is associated with intense emotional processes and is sensitive to distortions and biases on the behavioral level as well as on the neural level (healthy subjects [25, 26]; major depression [27–29]; anxiety [30– 33]; rodent model [34]).”
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The Latest Neuroimaging Findings in Borderline Personality Disorder
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- Authors
- Scherpiet, S., Brühl, A. B., Opialla, S., Roth, L., Jäncke, L., & Herwig, U.
- Affiliations
- University of Zurich (CH)
- University Hospital Zurich (CH)
- Universität Ulm (DE)
- Corresponding author
- Scherpiet, Sigrid
- Venue
- European Archives of Psychiatry and Clinical Neuroscience
- Published
- 2013-10-08
- Volume
- 264
- Issue
- 1
- Pages
- 45-60
- ISSN
- 0003-9373 (ISSN-L)
- 0940-1334
- 1433-8491
- OpenAlex
- W2020520370
- Cited by
- 46
- References
- 111
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 7 · 2015: 4 · 2014: 6 · 2013: 1
- FWCI
- 6.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Archives of Psychiatry and Clinical Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- reroDoc Digital Library (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (3200B0)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- borderline personality disorder, emotional anticipation, emotional processing, emotional dysregulation, dorsal anterior cingulate cortex, middle cingulate cortex, pregenual anterior cingulate cortex, posterior cingulate cortex, dorsolateral prefrontal cortex, visual cortex activation, negative emotional stimuli, cognitive-emotional interaction, autobiographical memory
- MeSH terms
- Adult, Affective Symptoms, Borderline Personality Disorder, Brain, Brain Mapping, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Middle Aged, Motivation, Oxygen, Photic Stimulation, Psychometrics, Young Adult, Self Report
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