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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Journal:
The Spanish Journal of Psychology

ISSN: 1138-7416

Year of publication: 2014

Volume: 17

Pages: 1-9

Type: Article

DOI: 10.1017/SJP.2014.39 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: The Spanish Journal of Psychology

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Abstract

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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