The broken trust and cooperation in borderline personality disorder

Seres, Imola; Unoka, Zsolt; Kéri, Szabolcs

doi:10.1097/wnr.0b013e328324eb4d

Cited by 39 publications

(29 citation statements)

References 23 publications

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“…The investor could share an amount of money with the trustee and the trustee could honor the investor's trust by returning some money. The authors reported reduced trusting behavior in BPD patients (see also Seres et al, 2009). Notably, these results were present only in the trust condition and not in the risk control condition where the investor could transfer money to a lottery.…”

Section: Experimental Methods Based On Game Theory Developed In Behavmentioning

confidence: 92%

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Inconsistency and social decision making in patients with Borderline Personality Disorder

Preuss

Brändle

Hager

et al. 2016

Psychiatry Research

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Inconsistent social behavior is a core psychopathological feature of borderline personality disorder. The goal of the present study was to examine inconsistency in social decision-making using simple economic social experiments. We investigated the decisions of 17 female patients with BPD, 24 patients with major depressive disorder (MDD), and 36 healthy controls in three single shot economic experiments measuring trust, cooperation, and punishment. BPD severity was assessed using the Zanarini Rating Scale for BPD. Investments across identical one-shot trust and punishment games were significantly more inconsistent in BPD patients than in controls. Such inconsistencies were only found in the social risk conditions of the trust and punishment conditions but not in the non-social control conditions. MDD patients did not show such inconsistencies. Furthermore, social support was negatively correlated with inconsistent decision-making in the trust and punishment game, which underscores the clinical relevance of this finding.

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Section: Experimental Methods Based On Game Theory Developed In Behavmentioning

confidence: 92%

“…Areas such as the anterior insula, the lateral orbitofrontal cortex and the right dorsolateral prefrontal cortex have been implicated as target regions of BPD (KingCasas et al, 2008;Seres et al, 2009;Spitzer et al, 2007). Furthermore, Berdahl (2010) suggested the involvement of the vmPFC in a neural network model of BPD.…”

Section: Discussionmentioning

confidence: 99%

Inconsistency and social decision making in patients with Borderline Personality Disorder

Preuss

Brändle

Hager

et al. 2016

Psychiatry Research

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“…First, when inflicting noncooperative exchanges on social partners, both healthy and BPD participants show increased insula activity, highlighting that the insula in BPD is specifically insensitive to level of trust received and likely related to abnormal perception of social partners’ actions. Second, subsequent work showed the decreased trust to be specific to BPD when compared with individuals with major depression, a common comorbid condition of BPD (67,68). Finally, individuals with BPD differ from control groups when making decisions involving social risk (trust game), but not nonsocial risk (gambles) (67,68).…”

Section: Multiplayer Economic Games Quantify the Behavioral Dynamics mentioning

confidence: 99%

Understanding Interpersonal Function in Psychiatric Illness Through Multiplayer Economic Games

King‐Casas

Chiu

2012

Biological Psychiatry

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Interpersonal factors play significant roles in the onset, maintenance, and remission of psychiatric conditions. In the current major diagnostic classification systems for psychiatric disorders, some conditions are defined by the presence of impairments in social interaction or maintaining interpersonal relationships; these include autism, social phobia, and the personality disorders. Other psychopathologies confer significant difficulties in the social domain, including major depression, posttraumatic stress disorder, and psychotic disorders. Still other mental health conditions, including substance abuse and eating disorders, seem to be exacerbated or triggered in part by the influence of social peers. For each of these and other psychiatric conditions, the extent and quality of social support is a strong determinant of outcome such that high social support predicts symptom improvement and remission. Despite the central role of interpersonal factors in psychiatric illness, the neurobiology of social impairments remains largely unexplored, in part due to difficulties eliciting and quantifying interpersonal processes in a parametric manner. Recent advances in functional neuroimaging, combined with multiplayer exchange games drawn from behavioral economics, and computational/quantitative approaches more generally, provide a fitting paradigm within which to study interpersonal function and dysfunction in psychiatric conditions. In this review, we outline the importance of interpersonal factors in psychiatric illness and discuss ways in which neuroeconomics provides a tractable framework within which to examine the neurobiology of social dysfunction.

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“…In summary, alterations in executive functioning, declarative/explicit memory and decision making has widely been reported in BPD (Beblo et al, 2006;Black et al, 2009;Haaland et al, 2009;Haaland and Landrø, 2007;LeGris et al, 2012;Minzenberg et al, 2008;Rentrop et al, 2007;Richman and Unoka, 2015;Ruocco, 2005;Seres et al, 2009). In contrast, non-declarative, implicit learning has been neglected in this population.…”

Section: Introductionmentioning

confidence: 99%

“…In a recent meta-analysis (Unoka and Richman, 2016) it was found a large overall effect size for global cognition deficit in BPD, with a large effect size for decision making, memory and executive functioning, and a small effect size for visuospatial abilities, attention, and verbal intelligence and processing speed (Beblo et al, 2006;Black et al, 2009;Haaland et al, 2009;Haaland and Landrø, 2007;LeGris et al, 2012;Minzenberg et al, 2008;Rentrop et al, 2007;Richman and Unoka, 2015;Ruocco, 2005;Seres et al, 2009). Although previous studies have focused on several aspects of declarative/explicit learning and memory (e.g., recognition and recall, the effect of emotions on learning) (Ebner-Priemer et al, 2009), to best of our knowledge, no study has investigated non-declarative, implicit learning yet.…”

Section: Introductionmentioning

confidence: 99%

Intact implicit statistical learning in borderline personality disorder

Unoka¹,

Vizin²,

Bjelik³

et al. 2017

Psychiatry Research

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A B S T R A C TWide-spread neuropsychological deficits have been identified in borderline personality disorder (BPD). Previous research found impairments in decision making, declarative memory, working memory and executive functions; however, no studies have focused on implicit learning in BPD yet. The aim of our study was to investigate implicit statistical learning by comparing learning performance of 19 BPD patients and 19 healthy, age-, education-and gender-matched controls on a probabilistic sequence learning task. Moreover, we also tested whether participants retain the acquired knowledge after a delay period. To this end, participants were retested on a shorter version of the same task 24 h after the learning phase. We found intact implicit statistical learning as well as retention of the acquired knowledge in this personality disorder. BPD patients seem to be able to extract and represent regularities implicitly, which is in line with the notion that implicit learning is less susceptible to illness compared to the more explicit processes.

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The broken trust and cooperation in borderline personality disorder

Cited by 39 publications

References 23 publications

Inconsistency and social decision making in patients with Borderline Personality Disorder

Inconsistency and social decision making in patients with Borderline Personality Disorder

Understanding Interpersonal Function in Psychiatric Illness Through Multiplayer Economic Games

Intact implicit statistical learning in borderline personality disorder

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