Cited by 88Neuroendocrine regulation and behaviorPersonality Disorders and PsychopathologyAttachment and Relationship Dynamics

Lower Oxytocin Plasma Levels in Borderline Patients with Unresolved Attachment Representations

Open access
Jobst, Andrea, Padberg, Frank, Mauer, Maria-Christine, Daltrozzo, Tanja, Bauriedl-Schmidt, Christine, Sabass, Lena, Sarubin, Nina, Falkai, Peter +4 more·2016·Frontiers in Human Neuroscience

Abstract

Interpersonal problems and affective dysregulation are core characteristics of borderline personality disorder (BPD). BPD patients predominantly show unresolved attachment representations. The oxytocin (OT) system is associated with human social attachment and affiliative behavior, and OT dysregulation may be related to distinct attachment characteristics. Here, we investigated whether attachment representations are related to peripheral OT levels in BPD patients. Twenty-one female BPD patients and 20 age-, gender-, and education-matched healthy controls (HCs) were assessed with clinical scales and measures of interpersonal and attachment-related characteristics, including the Adult Attachment Projective Picture System (AAP). Plasma OT concentrations were measured prior to and during social exclusion in a virtual ball tossing game (Cyberball). The majority of BPD patients (63.2%) but no HCs showed unresolved (disorganized) attachment representations. In this subgroup of patients, baseline OT plasma levels were significantly lower than in BPD patients with organized attachment representations. This pilot study extends previous findings of altered OT regulation in BPD as a putative key mechanism underlying interpersonal dysregulation. Our results provide first evidence that altered OT plasma levels are related to disorganized attachment representations in BPD patients.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3389/fnhum.2016.00125

Cites

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

The citation lists haven’t been fetched yet

References 76 · Cited by 88

Research works printed but not linked: 60

  1. Agrawal H. R. Gunderson J. Holmes B. M. Lyons-Ruth K. (2004). Attachment studies with borderline patients: a review. Harv. Rev. Psychiatry 12 94– 104. 10.1080/10673220490447218 15204804 PMC1857277 · DOI · Paper page
  2. Bakermans-Kranenburg M. J. van IJzendoorn M. H. (2009). The first 10,000 adult attachment interviews: distributions of adult attachment representations in clinical and non-clinical groups. Attach. Hum. Dev. 11 223– 263. 10.1080/14616730902814762 19455453 · DOI
  3. Barone L. (2003). Developmental protective and risk factors in borderline personality disorder: a study using the Adult Attachment Interview. Attach. Hum. Dev. 5 64– 77. 10.1080/1461673031000078634 12745829 · DOI
  4. Bartz J. Simeon D. Hamilton H. Kim S. Crystal S. Braun A. (2011). Oxytocin can hinder trust and cooperation in borderline personality disorder. Soc. Cogn. Affect. Neurosci. 6 556– 563. 10.1093/scan/nsq085 21115541 PMC3190211 · DOI · Paper page
  5. Bass E. C. Stednitz S. J. Simonson K. Shen T. Gahtan E. (2014). Physiological stress reactivity and empathy following social exclusion: a test of the defensive emotional analgesia hypothesis. Soc. Neurosci. 9 504– 513. 10.1080/17470919.2014.929533 24933604 · DOI
  6. Bernstein D. P. Stein J. A. Newcomb M. D. Walker E. Pogge D. Ahluvalia T. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl. 27 169– 190. 10.1016/S0145-2134(02)00541-0 12615092 · DOI · Paper page
  7. Bertsch K. Schmidinger I. Neumann I. D. Herpertz S. C. (2012). Reduced plasma oxytocin levels in female patients with borderline personality disorder. Horm. Behav. 63 424– 429. 10.1016/j.yhbeh.2012.11.013 23201337 · DOI · Paper page
  8. Bohus M. Kleindienst N. Limberger M. F. Stieglitz R. D. Domsalla M. Chapman A. L. (2009). The short version of the borderline symptom list (BSL-23): development and initial data on psychometric properties. Psychopathology 42 32– 39. 10.1159/000173701 19023232 · DOI
  9. Brüne M. (2015). On the role of oxytocin in borderline personality disorder. Br. J. Clin. Psychol. 10.1111/bjc.12100 [Epub ahead of print]. 26616386 · DOI
  10. Brüne M. Ebert A. Kolb M. Tas C. Edel M. A. Roser P. (2013). Oxytocin influences avoidant reactions to social threat in adults with borderline personality disorder. Hum. Psychopharmacol. 28 552– 561. 10.1002/hup.2343 23950057 · DOI
  11. Buchheim A. George C. (2011). “ Attachment disorganization in borderline personality disorder and anxiety disorder,” in Disorganized Attachment and Caregiving, eds Solomon J. George C. (New York, NY: Guilford Press), 343– 382.
  12. Buchheim A. George C. (2012). “ Using the AAP in neurobiology research,” in The Adult Attachment Projective Picture System, eds George C. West M. (New York, NY: Guilford Press), 253– 274.
  13. Carson D. S. Berquist S. W. Trujillo T. H. Garner J. P. Hannah S. L. Hyde S. A. (2015). Cerebrospinal fluid and plasma oxytocin concentrations are positively correlated and negatively predict anxiety in children. Mol. Psychiatry 20 1085– 1090. 10.1038/mp.2014.132 25349162 · DOI · Paper page
  14. Champagne F. A. (2008). Epigenetic mechanisms and the transgenerational effects of maternal care. Front. Neuroendocrinol. 29 386– 397. 10.1016/j.yfrne.2008.03.003 18462782 PMC2682215 · DOI · Paper page
  15. Dal Monte O. Noble P. L. Turchi J. Cummins A. Averbeck B. B. (2014). CSF and blood oxytocin concentration changes following intranasal delivery in macaque. PLoS ONE 9: e103677 10.1371/journal.pone.0103677 PMC4136720 25133536 · DOI · Paper page
  16. Domes G. Heinrichs M. Michel A. Berger C. Herpertz S. C. (2007). Oxytocin improves “mind-reading” in humans. Biol. Psychiatry 61 731– 733. 10.1016/j.biopsych.2006.07.015 17137561 · DOI · Paper page
  17. Eapen V. Dadds M. Barnett B. Kohlhoff J. Khan F. Radom N. (2014). Separation anxiety, attachment and inter-personal representations: disentangling the role of oxytocin in the perinatal period. PLoS ONE 9: e107745 10.1371/journal.pone.0107745 PMC4168132 25229827 · DOI
  18. Ebert A. Kolb M. Heller J. Edel M. A. Roser P. Brune M. (2013). Modulation of interpersonal trust in borderline personality disorder by intranasal oxytocin and childhood trauma. Soc. Neurosci. 8 305– 313. 10.1080/17470919.2013.807301 23802121 · DOI · Paper page
  19. Eckstein M. Hurlemann R. (2013). [Oxytocin: evidence for a therapeutic potential of the social neuromodulator]. Nervenarzt 84 1321– 1328. 10.1007/s00115-013-3832-6 24190030 · DOI · Paper page
  20. Feldman R. (2012). Oxytocin and social affiliation in humans. Horm Behav. 61 380– 391. 10.1016/j.yhbeh.2012.01.008 22285934 · DOI · Paper page
  21. Feldman R. Weller A. Zagoory-Sharon O. Levine A. (2007). Evidence for a neuroendocrinological foundation of human affiliation: plasma oxytocin levels across pregnancy and the postpartum period predict mother-infant bonding. Psychol. Sci. 18 965– 970. 10.1111/j.1467-9280.2007.02010.x 17958710 · DOI · Paper page
  22. Fertuck E. A. Jekal A. Song I. Wyman B. Morris M. C. Wilson S. T. (2009). Enhanced ‘Reading the Mind in the Eyes’ in borderline personality disorder compared to healthy controls. Psychol. Med. 39 1979– 1988. 10.1017/S003329170900600X 19460187 PMC3427787 · DOI
  23. George C. West M. (2011). The adult attachment projective picture system: integrating attachment into clinical assessment. J. Pers. Assess. 93 407– 416. 10.1080/00223891.2011.594133 21859280 · DOI
  24. George C. West M. (2012). The Adult Attachment Projective Picture System. New York, NY: Guilford Press.
  25. George C. West M. Pettem O. (1999). “ The adult attachment projective: disorganization of adult attachment at the level of representation,” in Attachment Disorganization, eds Solomon J. George C. (New York, NY: Guilford Press).
  26. Gross J. J. Levenson R. W. (1995). Emotion elicitation using films. Cogn. Emot. 9 87– 108. 10.1080/02699939508408966 · DOI · Paper page
  27. Gunderson J. G. Lyons-Ruth K. (2008). BPD’s interpersonal hypersensitivity phenotype: a gene-environment-developmental model. J. Pers. Disord. 22 22– 41. 10.1521/pedi.2008.22.1.22 18312121 PMC2596628 · DOI · Paper page
  28. Hamilton M. (1960). A rating scale for depression. J. Neurol. Neurosurg. Psychiatry 23 56– 62. 10.1136/jnnp.23.1.56 14399272 PMC495331 · DOI · Paper page
  29. Heim C. Young L. J. Newport D. J. Mletzko T. Miller A. H. Nemeroff C. B. (2009). Lower CSF oxytocin concentrations in women with a history of childhood abuse. Mol. Psychiatry 14 954– 958. 10.1038/mp.2008.112 18957940 · DOI · Paper page
  30. Heinrichs M. Domes G. (2008). Neuropeptides and social behaviour: effects of oxytocin and vasopressin in humans. Prog. Brain Res. 170 337– 350. 10.1016/S0079-6123(08)00428-7 18655894 · DOI · Paper page
  31. Herpertz S. (1995). Self-injurious behaviour. Psychopathological and nosological characteristics in subtypes of self-injurers. Acta Psychiatr. Scand. 91 57– 68. 10.1111/j.1600-0447.1995.tb09743.x 7754789 · DOI
  32. Herpertz S. C. Bertsch K. (2015). A New perspective on the pathophysiology of borderline personality disorder: a model of the role of oxytocin. Am. J. Psychiatry 172 840– 851. 10.1176/appi.ajp.2015.15020216 26324303 · DOI
  33. Jobst A. Albert A. Bauriedl-Schmidt C. Mauer M. C. Renneberg B. Buchheim A. (2014). Social exclusion leads to divergent changes of oxytocin levels in borderline patients and healthy subjects. Psychother. Psychosom. 83 252– 254. 10.1159/000358526 24969030 · DOI
  34. King-Casas B. Sharp C. Lomax-Bream L. Lohrenz T. Fonagy P. Montague P. R. (2008). The rupture and repair of cooperation in borderline personality disorder. Science 321 806– 810. 10.1126/science.1156902 18687957 PMC4105006 · DOI
  35. Kirsch P. Esslinger C. Chen Q. Mier D. Lis S. Siddhanti S. (2005). Oxytocin modulates neural circuitry for social cognition and fear in humans. J. Neurosci. 25 11489– 11493. 10.1523/JNEUROSCI.3984-05.2005 16339042 PMC6725903 · DOI · Paper page
  36. Klinitzke G. Romppel M. Hauser W. Brahler E. Glaesmer H. (2012). [The German version of the childhood trauma questionnaire (CTQ): psychometric characteristics in a representative sample of the general population]. Psychother. Psychosom. Med. Psychol. 62 47– 51. 10.1055/s-0031-1295495 22203470 · DOI
  37. Kumsta R. Heinrichs M. (2013). Oxytocin, stress and social behavior: neurogenetics of the human oxytocin system. Curr. Opin. Neurobiol. 23 11– 16. 10.1016/j.conb.2012.09.004 23040540 · DOI
  38. Levy K. N. Meehan K. B. Kelly K. M. Reynoso J. S. Weber M. Clarkin J. F. (2006). Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. J. Consult. Clin. Psychol. 74 1027– 1040. 10.1037/0022-006X.74.6.1027 17154733 · DOI
  39. Lyons-Ruth K. Jacobvitz D. (2008). “ Attachment disorganization: unresolved loss, relational violence, and lapses in behavioral and attentional strategies,” in Handbook of Attachment: Theory, Research, and Clinical Applications, 2nd Edn, eds Cassidy J. Shaver P. R. (New York, NY: Guilford Press).
  40. Macdonald K. Macdonald T. M. (2010). The peptide that binds: a systematic review of oxytocin and its prosocial effects in humans. Harv. Rev. Psychiatry 18 1– 21. 10.3109/10673220903523615 20047458 · DOI · Paper page
  41. Macdonald K. Macdonald T. M. Brune M. Lamb K. Wilson M. P. Golshan S. (2013). Oxytocin and psychotherapy: a pilot study of its physiological, behavioral and subjective effects in males with depression. Psychoneuroendocrinology 38 2831– 2843. 10.1016/j.psyneuen.2013.05.014 23810433 · DOI · Paper page
  42. Meyer-Lindenberg A. Domes G. Kirsch P. Heinrichs M. (2011). Oxytocin and vasopressin in the human brain: social neuropeptides for translational medicine. Nat. Rev. Neurosci. 12 524– 538. 10.1038/nrn3044 21852800 · DOI · Paper page
  43. Munro M. L. Brown S. L. Pournajafi-Nazarloo H. Carter C. S. Lopez W. D. Seng J. S. (2013). In search of an adult attachment stress provocation to measure effect on the oxytocin system: a pilot validation study. J. Am. Psychiatr. Nurses Assoc. 19 180– 191. 10.1177/1078390313492173 23950541 PMC4214250 · DOI
  44. Nicol K. Pope M. Sprengelmeyer R. Young A. W. Hall J. (2013). Social judgement in borderline personality disorder. PLoS ONE 8: e73440 10.1371/journal.pone.0073440 PMC3819347 24223110 · DOI
  45. Olff M. Frijling J. L. Kubzansky L. D. Bradley B. Ellenbogen M. A. Cardoso C. (2013). The role of oxytocin in social bonding, stress regulation and mental health: an update on the moderating effects of context and interindividual differences. Psychoneuroendocrinology 38 1883– 1894. 10.1016/j.psyneuen.2013.06.019 23856187 · DOI · Paper page
  46. Pierrehumbert B. Torrisi R. Ansermet F. Borghini A. Halfon O. (2012). Adult attachment representations predict cortisol and oxytocin responses to stress. Attach. Hum. Dev. 14 453– 476. 10.1080/14616734.2012.706394 22856618 · DOI
  47. Pierrehumbert B. Torrisi R. Laufer D. Halfon O. Ansermet F. Beck Popovic M. (2010). Oxytocin response to an experimental psychosocial challenge in adults exposed to traumatic experiences during childhood or adolescence. Neuroscience 166 168– 177. 10.1016/j.neuroscience.2009.12.016 20018229 · DOI · Paper page
  48. Quintana D. S. Woolley J. D. (2015). Intranasal oxytocin mechanisms can be better understood, but its effects on social cognition and behavior are not to be sniffed at. Biol. Psychiatry 10.1016/j.biopsych.2015.06.021 [Epub ahead of print]. 26212900 · DOI · Paper page
  49. Salonia A. Nappi R. E. Pontillo M. Daverio R. Smeraldi A. Briganti A. (2005). Menstrual cycle-related changes in plasma oxytocin are relevant to normal sexual function in healthy women. Horm. Behav. 47 164– 169. 10.1016/j.yhbeh.2004.10.002 15664019 · DOI
  50. Seltzer L. J. Ziegler T. Connolly M. J. Prososki A. R. Pollak S. D. (2014). Stress-induced elevation of oxytocin in maltreated children: evolution, neurodevelopment, and social behavior. Child Dev. 85 501– 512. 10.1111/cdev.12136 23865588 PMC4127329 · DOI
  51. Simeon D. Bartz J. Hamilton H. Crystal S. Braun A. Ketay S. (2011). Oxytocin administration attenuates stress reactivity in borderline personality disorder: a pilot study. Psychoneuroendocrinology 36 1418– 1421. 10.1016/j.psyneuen.2011.03.013 21546164 · DOI
  52. Stalker C. A. Davies F. (1995). Attachment organization and adaptation in sexually-abused women. Can. J. Psychiatry 40 234– 240. 7553541
  53. Stanley B. Siever L. J. (2010). The interpersonal dimension of borderline personality disorder: toward a neuropeptide model. Am. J. Psychiatry 167 24– 39. 10.1176/appi.ajp.2009.09050744 19952075 PMC4176877 · DOI
  54. Stiglmayr C. E. Grathwol T. Linehan M. M. Ihorst G. Fahrenberg J. Bohus M. (2005). Aversive tension in patients with borderline personality disorder: a computer-based controlled field study. Acta Psychiatr. Scand. 111 372– 379. 10.1111/j.1600-0447.2004.00466.x 15819731 · DOI
  55. Stoesz B. M. Hare J. F. Snow W. M. (2013). Neurophysiological mechanisms underlying affiliative social behavior: insights from comparative research. Neurosci. Biobehav. Rev. 37 123– 132. 10.1016/j.neubiorev.2012.11.007 23182913 · DOI
  56. Szeto A. Mccabe P. M. Nation D. A. Tabak B. A. Rossetti M. A. Mccullough M. E. (2011). Evaluation of enzyme immunoassay and radioimmunoassay methods for the measurement of plasma oxytocin. Psychosom. Med. 73 393– 400. 10.1097/PSY.0b013e31821df0c2 21636661 PMC3118424 · DOI · Paper page
  57. Williams K. D. Jarvis B. (2006). Cyberball: a program for use in research on interpersonal ostracism and acceptance. Behav. Res. Methods 38 174– 180. 10.3758/BF03192765 16817529 · DOI
  58. Winter D. Herbert C. Koplin K. Schmahl C. Bohus M. Lis S. (2015). Negative evaluation bias for positive self-referential information in borderline personality disorder. PLoS ONE 10: e0117083 10.1371/journal.pone.0117083 PMC4303263 25612212 · DOI
  59. Zwolinski J. (2012). Psychological and neuroendocrine reactivity to ostracism. Aggress Behav. 38 108– 125. 22331583
  60. Zöller C. Maroof P. Weik U. Deinzer R. (2010). No effect of social exclusion on salivary cortisol secretion in women in a randomized controlled study. Psychoneuroendocrinology 35 1294– 1298. 10.1016/j.psyneuen.2010.02.019 20334980 · DOI

Authors
Jobst, A., Padberg, F., Mauer, M.-C., Daltrozzo, T., Bauriedl-Schmidt, C., Sabass, L., Sarubin, N., Falkai, P., Renneberg, B., Zill, P., Gander, M., & Buchheim, A.
Affiliations
  • Ludwig-Maximilians-Universität München (DE)
  • Freie Universität Berlin (DE)
  • Universität Innsbruck (AT)
Corresponding author
Buchheim, Anna
Venue
Frontiers in Human Neuroscience
Published
2016-03-30
Volume
10
Pages
125-125
ISSN
1662-5161 (ISSN-L)
OpenAlex
W2320889926
Cited by
88
References
76
Citations by year
2026: 5 · 2025: 22 · 2024: 7 · 2023: 11 · 2022: 5 · 2021: 8 · 2020: 5 · 2019: 8 · 2018: 12 · 2017: 5
FWCI
13.10
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Frontiers in Human Neuroscience (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Open access LMU (Ludwid Maxmilian's Universitat Munchen) (submittedVersion, cc-by)
  • Open access LMU (Ludwid Maxmilian's Universitat Munchen) (submittedVersion)
  • MPG.PuRe (Max Planck Society) (submittedVersion)
  • Refubium (Universitätsbibliothek der Freien Universität Berlin) (submittedVersion, cc-by)
  • Universitätsbibliothek der FU Berlin Hochschulschriftenstelle u. Dokumentenserver (cc-by)
Funders
  • Eli Lilly and Company
  • BrainsWay
  • H. Lundbeck A/S
  • Cilag
Topics
  • Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Keywords
borderline personality disorder, oxytocin, plasma oxytocin, attachment representations, disorganized attachment, interpersonal problems, emotional dysregulation, social exclusion, Cyberball, Adult Attachment Projective Picture System

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review