Borderline Personality Disorder BPD
Conditions
Brief summary
Borderline Personality Disorder (BPD) involves altered social cognition, notably dysfunctional processing of cues signaling potential social exclusion and heightened social pain. This study uses EEG during a controlled Cyberball task to test whether BPD patients show a functionally altered social-pain network, particularly increased theta activity, when experiencing induced social exclusion.
Detailed description
A central feature of borderline personality disorder (BPD) is an alteration of social cognition processes. Among the impairments described in the literature, the processing of signals evoking potential social exclusion appears to be particularly dysfunctional in patients with BPD. This deficient processing may underlie the experiences of "social pain" frequently reported in this population. Social pain refers to the negative experience felt when an individual perceives themselves as being excluded from a social context. Over the past several years, the development of experimental paradigms aimed at exploring social cognition has shown that it is possible to induce feelings of social pain in controlled settings. These studies have also revealed that neural substrates such as the anterior insula, the anterior cingulate cortex, and the prefrontal cortex are involved not only in the processing of physical pain signals but also in the processing of social pain. Although the neural networks associated with social pain are now well identified, the underlying neural and cognitive mechanisms remain poorly understood. One possible avenue for understanding the neural and cognitive mechanisms of social pain in patients with BPD lies in examining electroencephalographic activity originating from these regions during the processing of social exclusion signals. Indeed, previous studies have highlighted the involvement of theta rhythms in the processing of social exclusion signals in healthy individuals.
Interventions
BEHAVIORAL2 Tasks : - stop signal reaction time and Cyberball then ill out an evaluation form
Upon arrival, during electrode placement, participants will complete a stop-signal reaction time (SSRT) task measuring cognitive control for approximately ten minutes. Following this, they will participate in an online ball game, Cyberball, a controlled laboratory task simulating social inclusion or exclusion. The Cyberball task will last approximately 20 minutes and will consist of three experimental conditions presented in a fixed order: passive viewing, inclusion, and then exclusion. During this time, participants' visual activity will be measured using eye tracking. At the end of the Cyberball game, participants will complete: * Social Ostracism and Cohesion Rating Scales * Need Threat Scale
Sponsors
Hôpital le Vinatier
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Outcomes Assessor)
Intervention model description
A prospective study comparing a group of healthy volunteers and a group of subjects diagnosed with borderline personality disorder during a single experimental EEG session.
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* For patients, a diagnosis of borderline personality disorder (established by a board-certified psychiatrist during a structured interview using the MINI) based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) * For healthy individuals, no psychiatric disorders according to the DSM-5 (except for tobacco use) * Must be between 18 and 40 years old * Must provide a signed, free, and informed consent form * To be affiliated with a social security scheme in France or to be a beneficiary of such a scheme
Exclusion criteria
* Known neurological disorders (patient group and control participants) * Comorbid psychiatric disorders (e.g., current depressive episode; ADHD treated with methylphenidate; bipolar disorder) * Active substance use disorder (excluding tobacco) * Pregnancy or breastfeeding * Guardianship * Consuming more than three alcoholic drinks in the past 24 hours * Consuming alcohol on the day of the experiment * Consuming tea or coffee less than one hour before the experiment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Theta oscillation power in brain regions associated with social pain (e.g., frontal cortex, insula, ACC). | From enrollment to the unique visit which last 2 hours. Cyberball Game during EEG: duration about 20 minutes | Using EEG, this project aims to determine whether patients with borderline personality disorder show alterations within the neural network of social pain (increased theta) when they experience social pain (Cyberball task score from 0% to 100%), a heightened perception of social pain compared to control subjects, and dysfunctional social attentional capture. The findings could deepen our understanding of social pain and the dysfunctional mechanisms underlying the disorder. The project may open new avenues for interventions aimed at reducing social pain or sensitivity to social pain in individuals with borderline personality disorder. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The degree of social pain perception | From enrollment until the unique visit which last 2 hours. The scale completion last 10 minutes. | Score on the Needs Threat Scale (Van Beest \& Williams, 2006) Score from 12 to 62 , assessing the degree of social pain |
| Social attention | From enrollment until the unique visit which last 2 hours. 30 minutes before Cyberball | The Visual attention as measured by eye tracking during the social pain task |
| the characterization of cognitive control performance between TPB patients and volunteers | From enrollment until the unique visit which last 2 hours | — |
Countries
France
Outcome results
None listed