Brain activation during an emotional task in participants with PTSD and borderline and/or cluster C personality disorders

Introduction: Although comorbidity of post-traumatic stress disorder (PTSD) with borderline personality disorder (BPD) and/or cluster C personality disorders (CPD) is common, neural correlates of this comorbidity are unknown. Methods: We acquired functional MRI scans during an emotional face task in...

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Main Authors: Inga Aarts, Chris Vriend, Odile A. van den Heuvel, Kathleen Thomaes
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:NeuroImage: Clinical
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158223002450
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author Inga Aarts
Chris Vriend
Odile A. van den Heuvel
Kathleen Thomaes
author_facet Inga Aarts
Chris Vriend
Odile A. van den Heuvel
Kathleen Thomaes
author_sort Inga Aarts
collection DOAJ
description Introduction: Although comorbidity of post-traumatic stress disorder (PTSD) with borderline personality disorder (BPD) and/or cluster C personality disorders (CPD) is common, neural correlates of this comorbidity are unknown. Methods: We acquired functional MRI scans during an emotional face task in participants with PTSD + CPD (n = 34), PTSD + BPD (n = 24), PTSD + BPD + CPD (n = 18) and controls (n = 30). We used ANCOVAs and Bayesian analyses on specific ROIs in a fearful vs. scrambled faces contrast. We also investigated associations with clinical measures. Results: There were no robust differences in brain activation between the groups with ANCOVAs. Transdiagnostically, we found a negative association between severity of dissociation and right insula and right dmPFC activation, and emotion regulation problems with right dmPFC activation. Bayesian analyses showed credible evidence for higher activation in all ROIs in the PTSD + BPD + CPD group compared to PTSD + BPD and PTSD + CPD. Discussion: Our Bayesian and correlation analyses support new dimensional conceptualizations of personality disorders.
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spelling doaj.art-c8bdb559b96142758318ab29fbae42c92024-03-13T04:45:33ZengElsevierNeuroImage: Clinical2213-15822024-01-0141103554Brain activation during an emotional task in participants with PTSD and borderline and/or cluster C personality disordersInga Aarts0Chris Vriend1Odile A. van den Heuvel2Kathleen Thomaes3Sinai Centrum, Arkin, Amstelveen, the Netherlands; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Department of Anatomy and Neurosciences, Boelelaan 1117, Amsterdam, the Netherlands; Corresponding author at: Sinai Centrum, Arkin, Amstelveen, The Netherlands.Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Department of Anatomy and Neurosciences, Boelelaan 1117, Amsterdam, the Netherlands; Amsterdam Neuroscience, Compulsivity, Impulsivity & Attention program, Amsterdam, the NetherlandsAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Department of Anatomy and Neurosciences, Boelelaan 1117, Amsterdam, the Netherlands; Amsterdam Neuroscience, Compulsivity, Impulsivity & Attention program, Amsterdam, the NetherlandsSinai Centrum, Arkin, Amstelveen, the Netherlands; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Department of Anatomy and Neurosciences, Boelelaan 1117, Amsterdam, the NetherlandsIntroduction: Although comorbidity of post-traumatic stress disorder (PTSD) with borderline personality disorder (BPD) and/or cluster C personality disorders (CPD) is common, neural correlates of this comorbidity are unknown. Methods: We acquired functional MRI scans during an emotional face task in participants with PTSD + CPD (n = 34), PTSD + BPD (n = 24), PTSD + BPD + CPD (n = 18) and controls (n = 30). We used ANCOVAs and Bayesian analyses on specific ROIs in a fearful vs. scrambled faces contrast. We also investigated associations with clinical measures. Results: There were no robust differences in brain activation between the groups with ANCOVAs. Transdiagnostically, we found a negative association between severity of dissociation and right insula and right dmPFC activation, and emotion regulation problems with right dmPFC activation. Bayesian analyses showed credible evidence for higher activation in all ROIs in the PTSD + BPD + CPD group compared to PTSD + BPD and PTSD + CPD. Discussion: Our Bayesian and correlation analyses support new dimensional conceptualizations of personality disorders.http://www.sciencedirect.com/science/article/pii/S2213158223002450PSTDBorderline Personality DisorderCluster c personality disorderEmotional face taskAvoidant personality disorderfMRI
spellingShingle Inga Aarts
Chris Vriend
Odile A. van den Heuvel
Kathleen Thomaes
Brain activation during an emotional task in participants with PTSD and borderline and/or cluster C personality disorders
NeuroImage: Clinical
PSTD
Borderline Personality Disorder
Cluster c personality disorder
Emotional face task
Avoidant personality disorder
fMRI
title Brain activation during an emotional task in participants with PTSD and borderline and/or cluster C personality disorders
title_full Brain activation during an emotional task in participants with PTSD and borderline and/or cluster C personality disorders
title_fullStr Brain activation during an emotional task in participants with PTSD and borderline and/or cluster C personality disorders
title_full_unstemmed Brain activation during an emotional task in participants with PTSD and borderline and/or cluster C personality disorders
title_short Brain activation during an emotional task in participants with PTSD and borderline and/or cluster C personality disorders
title_sort brain activation during an emotional task in participants with ptsd and borderline and or cluster c personality disorders
topic PSTD
Borderline Personality Disorder
Cluster c personality disorder
Emotional face task
Avoidant personality disorder
fMRI
url http://www.sciencedirect.com/science/article/pii/S2213158223002450
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