Efficacy of transcranial direct current stimulation in reducing impulsivity in borderline personality disorder (TIMBER): study protocol of a randomized controlled clinical trial

Abstract Background Impulsivity is a core feature of borderline personality disorder (BPD) and is closely related to suicide risk and destructive and aggressive behaviors. Although transcranial direct current stimulation (tDCS) has shown its promising effects as an intervention to modulate impulsivi...

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Main Authors: Juliana Teti Mayer, Magali Nicolier, Damien Gabriel, Caroline Masse, Julie Giustiniani, Charline Compagne, Pierre Vandel, Lionel Pazart, Emmanuel Haffen, Djamila Bennabi
Format: Article
Language:English
Published: BMC 2019-06-01
Series:Trials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13063-019-3427-z
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author Juliana Teti Mayer
Magali Nicolier
Damien Gabriel
Caroline Masse
Julie Giustiniani
Charline Compagne
Pierre Vandel
Lionel Pazart
Emmanuel Haffen
Djamila Bennabi
author_facet Juliana Teti Mayer
Magali Nicolier
Damien Gabriel
Caroline Masse
Julie Giustiniani
Charline Compagne
Pierre Vandel
Lionel Pazart
Emmanuel Haffen
Djamila Bennabi
author_sort Juliana Teti Mayer
collection DOAJ
description Abstract Background Impulsivity is a core feature of borderline personality disorder (BPD) and is closely related to suicide risk and destructive and aggressive behaviors. Although transcranial direct current stimulation (tDCS) has shown its promising effects as an intervention to modulate impulsivity, no study has explored its potential regarding BPD. Methods/design This is a multicenter, crossover, double-blind study comparing active versus sham tDCS (2 mA, 30 min), applied over the dorsolateral prefrontal cortex for five consecutive days in 50 BPD patients. Participants will be assessed for impulsivity, depressive symptoms, and suicide risk. The main efficacy criteria on reduction of impulsivity will be the amplitude variation of one specific evoked potential detected by electroencephalography (EEG) during the balloon analogue risk task. Baseline measures will be compared to scores obtained immediately after sessions, then 12 and 30 days later. Discussion This study investigates the safety and effects of tDCS, which may have a significant impact on impulsivity in patients with BPD and may be useful to reduce risky behaviors. Trial registration ClinicalTrials.gov, NCT03498937. Registered on 17 April 2018.
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spelling doaj.art-29ca0170f41f4e58925a670b526b11aa2022-12-22T00:53:52ZengBMCTrials1745-62152019-06-012011710.1186/s13063-019-3427-zEfficacy of transcranial direct current stimulation in reducing impulsivity in borderline personality disorder (TIMBER): study protocol of a randomized controlled clinical trialJuliana Teti Mayer0Magali Nicolier1Damien Gabriel2Caroline Masse3Julie Giustiniani4Charline Compagne5Pierre Vandel6Lionel Pazart7Emmanuel Haffen8Djamila Bennabi9Service de Psychiatrie de l’Adulte, Centre Hospitalier Universitaire de BesançonService de Psychiatrie de l’Adulte, Centre Hospitalier Universitaire de BesançonCentre d’Investigation Clinique, INSERM CIC 1431, Centre Hospitalier Universitaire de BesançonService de Psychiatrie de l’Adulte, Centre Hospitalier Universitaire de BesançonService de Psychiatrie de l’Adulte, Centre Hospitalier Universitaire de BesançonCentre d’Investigation Clinique, INSERM CIC 1431, Centre Hospitalier Universitaire de BesançonService de Psychiatrie de l’Adulte, Centre Hospitalier Universitaire de BesançonCentre d’Investigation Clinique, INSERM CIC 1431, Centre Hospitalier Universitaire de BesançonService de Psychiatrie de l’Adulte, Centre Hospitalier Universitaire de BesançonService de Psychiatrie de l’Adulte, Centre Hospitalier Universitaire de BesançonAbstract Background Impulsivity is a core feature of borderline personality disorder (BPD) and is closely related to suicide risk and destructive and aggressive behaviors. Although transcranial direct current stimulation (tDCS) has shown its promising effects as an intervention to modulate impulsivity, no study has explored its potential regarding BPD. Methods/design This is a multicenter, crossover, double-blind study comparing active versus sham tDCS (2 mA, 30 min), applied over the dorsolateral prefrontal cortex for five consecutive days in 50 BPD patients. Participants will be assessed for impulsivity, depressive symptoms, and suicide risk. The main efficacy criteria on reduction of impulsivity will be the amplitude variation of one specific evoked potential detected by electroencephalography (EEG) during the balloon analogue risk task. Baseline measures will be compared to scores obtained immediately after sessions, then 12 and 30 days later. Discussion This study investigates the safety and effects of tDCS, which may have a significant impact on impulsivity in patients with BPD and may be useful to reduce risky behaviors. Trial registration ClinicalTrials.gov, NCT03498937. Registered on 17 April 2018.http://link.springer.com/article/10.1186/s13063-019-3427-zBorderline personality disorderTranscranial direct current stimulationImpulsivityRisk-takingDorsolateral prefrontal cortex
spellingShingle Juliana Teti Mayer
Magali Nicolier
Damien Gabriel
Caroline Masse
Julie Giustiniani
Charline Compagne
Pierre Vandel
Lionel Pazart
Emmanuel Haffen
Djamila Bennabi
Efficacy of transcranial direct current stimulation in reducing impulsivity in borderline personality disorder (TIMBER): study protocol of a randomized controlled clinical trial
Trials
Borderline personality disorder
Transcranial direct current stimulation
Impulsivity
Risk-taking
Dorsolateral prefrontal cortex
title Efficacy of transcranial direct current stimulation in reducing impulsivity in borderline personality disorder (TIMBER): study protocol of a randomized controlled clinical trial
title_full Efficacy of transcranial direct current stimulation in reducing impulsivity in borderline personality disorder (TIMBER): study protocol of a randomized controlled clinical trial
title_fullStr Efficacy of transcranial direct current stimulation in reducing impulsivity in borderline personality disorder (TIMBER): study protocol of a randomized controlled clinical trial
title_full_unstemmed Efficacy of transcranial direct current stimulation in reducing impulsivity in borderline personality disorder (TIMBER): study protocol of a randomized controlled clinical trial
title_short Efficacy of transcranial direct current stimulation in reducing impulsivity in borderline personality disorder (TIMBER): study protocol of a randomized controlled clinical trial
title_sort efficacy of transcranial direct current stimulation in reducing impulsivity in borderline personality disorder timber study protocol of a randomized controlled clinical trial
topic Borderline personality disorder
Transcranial direct current stimulation
Impulsivity
Risk-taking
Dorsolateral prefrontal cortex
url http://link.springer.com/article/10.1186/s13063-019-3427-z
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