EEG Features in Adolescent Patients with Borderline and Narcissistic Personality Disorder

Introduction Personality disorders (PD) in adolescence are widespread. It creates problems of social adaptation of patients and represents significant risk factors for auto-aggressive behavior, including suicidal one. The neurobiological basis and EEG markers of PD in adolescence have not been adeq...

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Main Authors: A. Iznak, E. Iznak, E. Damyanovich, E. Krylova, A. Kuleshov, V. Kaleda
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822009464/type/journal_article
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author A. Iznak
E. Iznak
E. Damyanovich
E. Krylova
A. Kuleshov
V. Kaleda
author_facet A. Iznak
E. Iznak
E. Damyanovich
E. Krylova
A. Kuleshov
V. Kaleda
author_sort A. Iznak
collection DOAJ
description Introduction Personality disorders (PD) in adolescence are widespread. It creates problems of social adaptation of patients and represents significant risk factors for auto-aggressive behavior, including suicidal one. The neurobiological basis and EEG markers of PD in adolescence have not been adequately studied. Objectives The aim of the study was to reveal the EEG features and their correlations with clinical parameters in male adolescents with borderline personality disorder (BPD) and narcissistic personality disorder (NPD), possibly mediating some aspects of their clinical traits. Methods 28 BPD patients (301.83, by DSM-5) and 24 NPD patients (301.81, by DSM-5), as well as 24 healthy controls (HC) aged 16-25 years were enrolled in the study. HDRS-21 and HAM-A scales were used for quantitative assessment of patient’s conditions. Pre-treatment resting EEG was recorded, and EEG spectral analysis was carried out in 8 narrow frequency sub-bands. Descriptive statistics and correlation analysis of EEG and clinical data were performed. Results EEG spectral parameters in BPD group did not differ significantly from those of HC. NPD group shows the EEG signs of more activated brain cortex than in both BPD and norm groups caused by decreased functional state of the anterior cortical regions. The structure of correlations between EEG parameters and clinical scores also differed between BPD and NPD groups. Conclusions The data obtained suggests that these features of the brain activity may contribute to the disturbance of emotion regulation and of behavior control in adolescent patients with BPD and NPD, more pronounced in NPD group. Disclosure No significant relationships.
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spelling doaj.art-8a7864cb262e43de90c0997f722d9b392023-11-17T05:07:44ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S373S37310.1192/j.eurpsy.2022.946EEG Features in Adolescent Patients with Borderline and Narcissistic Personality DisorderA. Iznak0E. Iznak1E. Damyanovich2E. Krylova3A. Kuleshov4V. Kaleda5Mental Health Research Centre, Laboratory Of Neurophysiology, Moscow, Russian FederationMental Health Research Centre, Laboratory Of Neurophysiology, Moscow, Russian FederationMental Health Research Centre, Laboratory Of Neurophysiology, Moscow, Russian FederationMental Health Research Centre, Department Of Youth Psychatry, Moscow, Russian FederationMental Health Research Centre, Department Of Youth Psychatry, Moscow, Russian FederationMental Health Research Centre, Department Of Youth Psychatry, Moscow, Russian Federation Introduction Personality disorders (PD) in adolescence are widespread. It creates problems of social adaptation of patients and represents significant risk factors for auto-aggressive behavior, including suicidal one. The neurobiological basis and EEG markers of PD in adolescence have not been adequately studied. Objectives The aim of the study was to reveal the EEG features and their correlations with clinical parameters in male adolescents with borderline personality disorder (BPD) and narcissistic personality disorder (NPD), possibly mediating some aspects of their clinical traits. Methods 28 BPD patients (301.83, by DSM-5) and 24 NPD patients (301.81, by DSM-5), as well as 24 healthy controls (HC) aged 16-25 years were enrolled in the study. HDRS-21 and HAM-A scales were used for quantitative assessment of patient’s conditions. Pre-treatment resting EEG was recorded, and EEG spectral analysis was carried out in 8 narrow frequency sub-bands. Descriptive statistics and correlation analysis of EEG and clinical data were performed. Results EEG spectral parameters in BPD group did not differ significantly from those of HC. NPD group shows the EEG signs of more activated brain cortex than in both BPD and norm groups caused by decreased functional state of the anterior cortical regions. The structure of correlations between EEG parameters and clinical scores also differed between BPD and NPD groups. Conclusions The data obtained suggests that these features of the brain activity may contribute to the disturbance of emotion regulation and of behavior control in adolescent patients with BPD and NPD, more pronounced in NPD group. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822009464/type/journal_articleadolescencenarcissistic personality disorderborderline personality disorderquantitative electroencephalography
spellingShingle A. Iznak
E. Iznak
E. Damyanovich
E. Krylova
A. Kuleshov
V. Kaleda
EEG Features in Adolescent Patients with Borderline and Narcissistic Personality Disorder
European Psychiatry
adolescence
narcissistic personality disorder
borderline personality disorder
quantitative electroencephalography
title EEG Features in Adolescent Patients with Borderline and Narcissistic Personality Disorder
title_full EEG Features in Adolescent Patients with Borderline and Narcissistic Personality Disorder
title_fullStr EEG Features in Adolescent Patients with Borderline and Narcissistic Personality Disorder
title_full_unstemmed EEG Features in Adolescent Patients with Borderline and Narcissistic Personality Disorder
title_short EEG Features in Adolescent Patients with Borderline and Narcissistic Personality Disorder
title_sort eeg features in adolescent patients with borderline and narcissistic personality disorder
topic adolescence
narcissistic personality disorder
borderline personality disorder
quantitative electroencephalography
url https://www.cambridge.org/core/product/identifier/S0924933822009464/type/journal_article
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