Abstract:
:Previous research suggests disturbed emotional learning and memory in borderline personality disorder (BPD). Studies investigating the neural correlates of aversive differential delay conditioning in BPD are currently lacking. We aimed to investigate acquisition, within-session extinction, between-session extinction recall, and reacquisition. We expected increased activation in the insula, amygdala, and anterior cingulate, and decreased prefrontal activation in BPD patients. During functional magnetic resonance imaging, 27 medication-free female BPD patients and 26 female healthy controls (HC) performed a differential delay aversive conditioning paradigm. An electric shock served as unconditioned stimulus, two neutral pictures as conditioned stimuli (CS+/CS-). Dependent variables were blood-oxygen-level-dependent response, skin conductance response (SCR), and subjective ratings (valence, arousal). No significant between-group differences in brain activation were found [all p(FDR) > 0.05]. Within-group comparisons for CS+unpaired > CS- revealed increased insula activity in BPD patients but not in HC during early acquisition; during late acquisition, both groups recruited fronto-parietal areas [p(FDR) < 0.05]. During extinction, BPD patients rated both CS+ and CS- as significantly more arousing and aversive than HC and activated the amygdala in response to CS+. In contrast, HC showed increased prefrontal activity in response to CS+ > CS during extinction. During extinction recall, there was a trend for stronger SCR to CS+ > CS in BPD patients. Amygdala habituation to CS+paired (CS+ in temporal contingency with the aversive event) during acquisition was found in HC but not in patients. Our findings suggest altered temporal response patterns in terms of increased vigilance already during early acquisition and delayed extinction processes in individuals with BPD.
journal_name
Eur Arch Psychiatry Clin Neurosciauthors
Krause-Utz A,Keibel-Mauchnik J,Ebner-Priemer U,Bohus M,Schmahl Cdoi
10.1007/s00406-015-0593-1subject
Has Abstractpub_date
2016-06-01 00:00:00pages
291-305issue
4eissn
0940-1334issn
1433-8491pii
10.1007/s00406-015-0593-1journal_volume
266pub_type
杂志文章abstract::Cognitive models suggest that top-down and emotional processes increase false perceptions in schizophrenia spectrum disorders (SSD). However, little is still known about the interaction of these processes in false auditory perceptions. The present study aimed at investigating the specific as well as joint impacts of e...
journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
doi:10.1007/s00406-019-01065-2
更新日期:2019-09-06 00:00:00
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 临床试验,杂志文章
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章,meta分析,评审
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
doi:10.1007/s00406-007-0796-1
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
doi:10.1007/s00406-009-0073-6
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
doi:10.1007/s00406-016-0740-3
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journal_title:European archives of psychiatry and clinical neuroscience
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章,评审
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章,多中心研究
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章,评审
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章,评审
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章,随机对照试验
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
doi:10.1007/s00406-015-0589-x
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
doi:10.1007/s00406-012-0382-z
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章,评审
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
doi:10.1007/s00406-015-0644-7
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
doi:10.1007/s00406-019-01006-z
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
doi:10.1007/s00406-004-0510-5
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
doi:10.1007/BF02191146
更新日期:1991-01-01 00:00:00
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journal_title:European archives of psychiatry and clinical neuroscience
pub_type: 杂志文章
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