Suboptimal decision making in borderline personality disordereffect of potential losses

  1. Sánchez Navarro, Juan Pedro 2
  2. Weller, Joshua A. 1
  3. López Navarro, José Manuel 3
  4. Martínez Selva, José María 2
  5. Bechara, Antoine 4
  1. 1 Idaho State University
    info

    Idaho State University

    Pocatello, Estados Unidos

    ROR https://ror.org/0162z8b04

  2. 2 Universidad de Murcia
    info

    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

  3. 3 Hospital General Universitario Reina Sofía
    info

    Hospital General Universitario Reina Sofía

    Murcia, España

    ROR https://ror.org/037n5ae88

  4. 4 University of Southern California
    info

    University of Southern California

    Los Ángeles, Estados Unidos

    ROR https://ror.org/03taz7m60

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Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Any de publicació: 2014

Volum: 17

Pàgines: 1-9

Tipus: Article

DOI: 10.1017/SJP.2014.39 DIALNET GOOGLE SCHOLAR lock_openAccés obert editor

Altres publicacions en: The Spanish Journal of Psychology

Objectius de Desenvolupament Sostenible

Resum

This research explored the underlying processes mediating risky decisions for individuals with Borderline Personality Disorder (BPD). We tested whether BPD patients were more apt to take risks compared to a matched comparison group. We used two controlled tasks designed to assess risky decision-making, both to achieve gains and to avoid losses. Overall, BPD patients showed increased risk-taking compared to the comparison group (p = .011, ?2 = .224), and were especially likely to be risk-seeking when the decision was framed as a potential loss (p < .0001, d = 1.77). When the outcome involved pure losses, BPD patients were insensitive to the relative expected value between choice options resulting in suboptimal decision making (p = .004, d = 1.24), but did not differ from the comparison group when taking risks to achieve gains (p = .603, d = 0.21). We discuss these results in the context of behavioral and neuropsychiatric research suggesting abnormalities BPD patients� ability to effectively regulate affect.

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