Deficient amygdala-prefrontal intrinsic connectivity after effortful emotion regulation in borderline personality disorder.
Identifieur interne : 000158 ( Main/Exploration ); précédent : 000157; suivant : 000159Deficient amygdala-prefrontal intrinsic connectivity after effortful emotion regulation in borderline personality disorder.
Auteurs : Blazej M. Baczkowski [Pays-Bas] ; Linda Van Zutphen [Pays-Bas] ; Nicolette Siep [Pays-Bas] ; Gitta A. Jacob [Allemagne] ; Gregor Domes [Allemagne] ; Simon Maier [Allemagne] ; Andreas Sprenger [Allemagne] ; Alena Senft [Allemagne] ; Bastian Willenborg [Allemagne] ; Oliver Tüscher [Allemagne] ; Arnoud Arntz [Pays-Bas] ; Vincent Van De Ven [Pays-Bas]Source :
- European archives of psychiatry and clinical neuroscience [ 1433-8491 ] ; 2016.
Abstract
Emotion instability in borderline personality disorder (BPD) has been associated with an impaired fronto-limbic inhibitory network. However, functional connectivity (FC) underlying altered emotion regulation in BPD has yet to be established. Here, we used resting-state fMRI to investigate enduring effects of effortful emotion regulation on the amygdala intrinsic FC in BPD. In this multicenter study, resting-state fMRI was acquired before and after an emotion regulation task in 48 BPD patients and 39 non-patient comparison individuals. The bilateral amygdalae were used as a seed in the whole-brain FC analysis and two-way mixed ANOVA to test whether BPD patients exhibited weaker post-task increase in the amygdala intrinsic FC with the prefrontal cortex (PFC), compared to non-patients. Subsequently, we explored whether the results are common for personality disorders characterized by emotional problems, using additional data of 21 cluster-C personality disorder patients. In contrast to non-patients, BPD patients failed to show increased post-task amygdala resting-state FC with the medial, dorsolateral, ventrolateral PFC, and superior temporal gyrus, but surprisingly exhibited decreased FC with the posterior cingulate cortex and increased FC with the superior parietal lobule. In BPD patients, the emotion regulation task failed to increase resting-state amygdala FC with brain regions essential for effortful emotion regulation, which suggests: (a) altered cognitive control typically used to indirectly alleviate distress by reinterpreting the meaning of emotional stimuli; (b) impaired direct regulation of emotional responses, which might be common for personality disorders;
DOI: 10.1007/s00406-016-0760-z
PubMed: 28039553
Affiliations:
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Baczkowski</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Van Zutphen, Linda" sort="Van Zutphen, Linda" uniqKey="Van Zutphen L" first="Linda" last="Van Zutphen">Linda Van Zutphen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. linda.vanzutphen@maastrichtuniversity.nl.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Siep, Nicolette" sort="Siep, Nicolette" uniqKey="Siep N" first="Nicolette" last="Siep">Nicolette Siep</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Jacob, Gitta A" sort="Jacob, Gitta A" uniqKey="Jacob G" first="Gitta A" last="Jacob">Gitta A. Jacob</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical Psychology and Psychotherapy, University of Freiburg, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Clinical Psychology and Psychotherapy, University of Freiburg, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Domes, Gregor" sort="Domes, Gregor" uniqKey="Domes G" first="Gregor" last="Domes">Gregor Domes</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychology, Laboratory for Biological and Personality Psychology, University of Freiburg, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychology, Laboratory for Biological and Personality Psychology, University of Freiburg, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Maier, Simon" sort="Maier, Simon" uniqKey="Maier S" first="Simon" last="Maier">Simon Maier</name><affiliation wicri:level="3"><nlm:affiliation>Freiburg Brain Imaging Center, University Medical Center, University of Freiburg, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Freiburg Brain Imaging Center, University Medical Center, University of Freiburg, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Sprenger, Andreas" sort="Sprenger, Andreas" uniqKey="Sprenger A" first="Andreas" last="Sprenger">Andreas Sprenger</name><affiliation wicri:level="1"><nlm:affiliation>Departments of Neurology and Psychology, University of Lübeck, Lübeck, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Departments of Neurology and Psychology, University of Lübeck, Lübeck</wicri:regionArea><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion></affiliation></author><author><name sortKey="Senft, Alena" sort="Senft, Alena" uniqKey="Senft A" first="Alena" last="Senft">Alena Senft</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck</wicri:regionArea><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion></affiliation></author><author><name sortKey="Willenborg, Bastian" sort="Willenborg, Bastian" uniqKey="Willenborg B" first="Bastian" last="Willenborg">Bastian Willenborg</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck</wicri:regionArea><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion></affiliation></author><author><name sortKey="Tuscher, Oliver" sort="Tuscher, Oliver" uniqKey="Tuscher O" first="Oliver" last="Tüscher">Oliver Tüscher</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical Psychology and Psychotherapy, University of Freiburg, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Clinical Psychology and Psychotherapy, University of Freiburg, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Arntz, Arnoud" sort="Arntz, Arnoud" uniqKey="Arntz A" first="Arnoud" last="Arntz">Arnoud Arntz</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Van De Ven, Vincent" sort="Van De Ven, Vincent" uniqKey="Van De Ven V" first="Vincent" last="Van De Ven">Vincent Van De Ven</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cognitive Neuroscience, Maastricht University, Maastricht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Cognitive Neuroscience, Maastricht University, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author></analytic><series><title level="j">European archives of psychiatry and clinical neuroscience</title><idno type="eISSN">1433-8491</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Emotion instability in borderline personality disorder (BPD) has been associated with an impaired fronto-limbic inhibitory network. However, functional connectivity (FC) underlying altered emotion regulation in BPD has yet to be established. Here, we used resting-state fMRI to investigate enduring effects of effortful emotion regulation on the amygdala intrinsic FC in BPD. In this multicenter study, resting-state fMRI was acquired before and after an emotion regulation task in 48 BPD patients and 39 non-patient comparison individuals. The bilateral amygdalae were used as a seed in the whole-brain FC analysis and two-way mixed ANOVA to test whether BPD patients exhibited weaker post-task increase in the amygdala intrinsic FC with the prefrontal cortex (PFC), compared to non-patients. Subsequently, we explored whether the results are common for personality disorders characterized by emotional problems, using additional data of 21 cluster-C personality disorder patients. In contrast to non-patients, BPD patients failed to show increased post-task amygdala resting-state FC with the medial, dorsolateral, ventrolateral PFC, and superior temporal gyrus, but surprisingly exhibited decreased FC with the posterior cingulate cortex and increased FC with the superior parietal lobule. In BPD patients, the emotion regulation task failed to increase resting-state amygdala FC with brain regions essential for effortful emotion regulation, which suggests: (a) altered cognitive control typically used to indirectly alleviate distress by reinterpreting the meaning of emotional stimuli; (b) impaired direct regulation of emotional responses, which might be common for personality disorders;</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Pays-Bas</li></country><region><li>Bade-Wurtemberg</li><li>District de Fribourg-en-Brisgau</li></region><settlement><li>Fribourg-en-Brisgau</li></settlement></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Baczkowski, Blazej M" sort="Baczkowski, Blazej M" uniqKey="Baczkowski B" first="Blazej M" last="Baczkowski">Blazej M. Baczkowski</name></noRegion><name sortKey="Arntz, Arnoud" sort="Arntz, Arnoud" uniqKey="Arntz A" first="Arnoud" last="Arntz">Arnoud Arntz</name><name sortKey="Siep, Nicolette" sort="Siep, Nicolette" uniqKey="Siep N" first="Nicolette" last="Siep">Nicolette Siep</name><name sortKey="Van De Ven, Vincent" sort="Van De Ven, Vincent" uniqKey="Van De Ven V" first="Vincent" last="Van De Ven">Vincent Van De Ven</name><name sortKey="Van Zutphen, Linda" sort="Van Zutphen, Linda" uniqKey="Van Zutphen L" first="Linda" last="Van Zutphen">Linda Van Zutphen</name></country><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Jacob, Gitta A" sort="Jacob, Gitta A" uniqKey="Jacob G" first="Gitta A" last="Jacob">Gitta A. Jacob</name></region><name sortKey="Domes, Gregor" sort="Domes, Gregor" uniqKey="Domes G" first="Gregor" last="Domes">Gregor Domes</name><name sortKey="Maier, Simon" sort="Maier, Simon" uniqKey="Maier S" first="Simon" last="Maier">Simon Maier</name><name sortKey="Senft, Alena" sort="Senft, Alena" uniqKey="Senft A" first="Alena" last="Senft">Alena Senft</name><name sortKey="Sprenger, Andreas" sort="Sprenger, Andreas" uniqKey="Sprenger A" first="Andreas" last="Sprenger">Andreas Sprenger</name><name sortKey="Tuscher, Oliver" sort="Tuscher, Oliver" uniqKey="Tuscher O" first="Oliver" last="Tüscher">Oliver Tüscher</name><name sortKey="Willenborg, Bastian" sort="Willenborg, Bastian" uniqKey="Willenborg B" first="Bastian" last="Willenborg">Bastian Willenborg</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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