Borderline Personality, Borderline Personality Disorder, BPD - Borderline Personality Disorder
Conditions
Keywords
BPD, rTMS, TMS, Borderline Personality Disorder
Brief summary
This project studies the effectiveness of brain stimulation on borderline personality disorder (BPD) symptoms. This study is blinded, randomized and will enroll up to 30 participants. Participant will be consented for the study remotely via a secure internet platform called Zoom. Participants will undergo up to 2 MRI scans, 2 brain wave recording sessions and up to 30 brain stimulation treatments, and complete symptom assessments and cognitive behavioral tasks on a computer. Participation requires minimum of 17 in person visits over the course of 2.5 months. Participants are randomly assigned active or sham brain stimulation. Participants who received sham brain stimulation have the option to receive additional 15 active brain stimulation session.
Detailed description
Borderline personality disorder (BPD) is a serious and pervasive psychiatric condition with a prevalence of 1-5% among the general population. Two core symptoms of BPD are dysfunctional emotion regulation and marked impulsivity resulting in severe psychological suffering in terms of depression and anxiety as well as maladaptive impulsive acts, particularly self-harming behaviors including suicide. Recent advances in affective neuroscience of BPD combined with progress in brain imaging and neuromodulation technologies have opened new avenues for the development of innovative, brain-based, and more effective treatments for BPD. This project aims to test the efficacy of a novel circuit-based treatment for BPD. The investigators will utilize multimodal neuroimaging Magnetic Resonance Imaging (MRI), and electroencephalogram (EEG) and BPD-, depression- and anxiety-related clinical scales to objectively measure the impact of Transcranial Magnetic Stimulation (TMS) treatment on overall BPD as well as depressive and anxiety symptom severity. Furthermore, a battery of cognitive tasks will be used to specifically measure the effect of TMS on the neurobehavioral indicators of impulsivity and emotion regulation.
Interventions
DEVICETranscranial Magnetic Stimulation (TMS)
Transcranial magnetic stimulation (TMS) is a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Using pulsed magnetic fields, transcranial magnetic stimulation therapy stimulates the part of the brain thought to be involved with mood regulation. These magnetic fields do not directly affect the whole brain; they only reach about 2-3 centimeters into the brain directly beneath the treatment coil.As these magnetic fields move into the brain, they produce very small electrical currents. These electrical currents activate cells within the brain, causing them to rewire, a process called neuroplasticity.
Sponsors
University of California, Los Angeles
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age of 18-65 * DSM-5 Diagnosis of BPD based upon a psychiatric evaluation and ZAN-BPD * Fluent English speaker * Signed informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Borderline Symptom List 23 (BSL-23) | Baseline (Day 1) and Post treatment (Day 17) | Borderline Symptom List 23 (BSL-23) |
| Clinical Global Impression for Borderline Personality Disorder (CGI-BPD) | Baseline (Day 1) and Post treatment (Day 17) | Clinical Global Impression for Borderline Personality Disorder (CGI-BPD) |
| Difficulties in Emotion Regulation Scale (DERS) | Baseline (Day 1) and Post treatment (Day 17) | Difficulties in Emotion Regulation Scale (DERS) |
Countries
United States
Contacts
CONTACTElizabeth Pinkerton
CONTACTResearch Coordinator
Outcome results
None listed