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

Montrer des affiliations +
Revue:
The Spanish Journal of Psychology

ISSN: 1138-7416

Année de publication: 2014

Volumen: 17

Pages: 1-9

Type: Article

DOI: 10.1017/SJP.2014.39 DIALNET GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: The Spanish Journal of Psychology

Objectifs de Développement Durable

Résumé

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.

Références bibliographiques

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th Ed.). Washington, DC: Author.
  • Banks S. J., Eddy K. T., Angstadt M., Nathan P. J., & Phan K. L. (2007). Amygdala-frontal connectivity during emotion regulation. Social Cognitive and Affective Neuroscience, 2, 303-312. http://dx.doi.org/10.1093/scan/nsm029
  • Bazanis E., Rogers R. D., Dowson J. H., Taylor P., Meux C., Staley C., ⋯ Sahakian J. (2002). Neurocognitive deficits in decision-making and planning of patients with DSM-III-R borderline personality disorder. Psychological Medicine, 32, 1395-1405. http://dx.doi.org/10.1017/S0033291702006657
  • Bechara A., Damasio H., Damasio A. R., & Lee G. P. (1999). Different contributions of the human amygdala and ventromedial prefrontal cortex to decision-making. The Journal of Neuroscience, 19, 5473-5481.
  • Bechara A., Damasio H., Tranel D., & Damasio A. R. (1997). Deciding advantageously before knowing the advantageous strategy. Science, 275, 129 3-1295. http://dx.doi.org/10.1126/science.275.5304.1293
  • Cavedini P., Riboldi G., Keller R., D'Annucci A., & Bellodi L. (2002). Frontal lobe dysfunction in pathological gambling patients. Biological Psychiatry, 51, 334-341. http://dx.doi.org/10.1016/S0006-3223(01)01227-6
  • Crowell S. E., Beuchaine T. P., & Linehan M. M. (2009). A biosocial developmental model of borderline personality: Elabor ating and extending linehan's theory. Psychological Bulletin, 135, 495-510. http://dx.doi.org/10.1037/a0015616
  • Damasio A. R. (1994). Descartes' error: Emotion, reason, and the human brain. New York, NY: Grosset/Putnam.
  • de Martino B., Kumaran D., Seymour B., & Dolan R. (2006). Frames, biases, and ration al decision-making in the human brain. Science, 313, 684-687. http://dx.doi.org/10.1126/science.1128356
  • First M. B., Spitzer R. L., Gibbon M., & Williams J. B. W. (1997a ). Structured clinical interview for DSM-IV personality disorders (SCID-II). Washington, DC: American Psychiatric Press, Inc.
  • First M. B., Spitzer R. L., Gibbon M., & Williams J. B. W. (1997b ). Structured clinical interview for DSM-I V-TR Axis i disorders, research version, patient edition. (SCID-I/P). NewYork, NY: Biometrics Research, New York State Psychiatric Institute.
  • Gehring W. J., & Willoughby A. R. (2002). The medial frontal cortex and the rapid processing of monetary gains and losses. Science, 295, 2279-2282. http://dx.doi.org/10.1126/science.1066893
  • Haaland V. O ., & Landrø N. I. (2007). Decision making as measured with the Iowa gambling task in patients with borderline personality disorder. Journal of the International Neuropsychological Society, 13, 699-703. http://dx.doi.org/10.1017/S1355617707070890
  • Kahneman D., & Tversky A. (1979). Prospect theory: An analysis of decision under risk. Econometrica, 47, 263-292. http://dx.doi.org/10.2307/1914185
  • Kirkpatrick T., Joyce E., Milton J., Duggan C., Tyrer P., & Rogers R. D. (2007). Altered emotional decision-making in prisoners with borderline personality disorder. Journal of Personality Disorders, 21, 243-261. http://dx.doi.org/10.1521/pedi.2007.21.3.243
  • Koenigsberg H. W., Siever L. J., Lee H., Pizzarello S., New A. S., Goodman M., ⋯ Prohovnik I. (2009). Neural correlates of emotion processing in borderline personality disorder. Psychiatry Research: Neuroimaging, 172, 192-199. http://dx.doi.org/1 0.1016/j.pscychresns.2008.07.010
  • Maurex L., Zaboli G., Wiens S., Asberg M., Leopardi R., & Öhman A. (2009). Emotionally controlled decision-making and a gene variant related to serotonin synthesis in women with borderline personality disorder. Scandinavian Journal of Psychology, 50, 5-10. http://dx.doi.org/10.1111/j.1467-9450.2008.00689.x
  • Mohr P. N., Biele G., & Heekeren H. R. (2010). Neural processing of risk. Journal of Neuroscience, 30, 6613-6619. http://dx.doi.org/10.1523/JNEUROSCI.0003-10.2010
  • Mortensen J. A., Rausmussen I. A., & Håberg A. (2010). Trait impulsivity in female patients with border line personality disorder and matched controls. Acta Neuropsychiatrica, 22, 139-149. http://dx.doi.org/10.1111/j.1601-5215.2010.00468.x
  • Ruocco A. C., McCloskey M. S., Lee R., & Coccaro E. F. (2009). Indices of orbitofrontal and prefrontal function in Clusert B and Cluster C personality disorder. Psychiatry Research, 170, 282-285. http://dx.doi.org/10.1016/j.psychres.2008.12.003
  • Ruocco A. C., Medaglia J. D., Ayaz H., & Chute D. L. (2010). Abnormal prefrontal cortical response during affective processing in borderline personality disorder. Psychiatry Research: Neuroimaging, 182, 117-122. http://dx.doi.org/10.1016/j.pscychresns. 2010.01.011
  • Satterthwaite T. D.,Green L.,Myerson J.,Parker J.,Ramaratnam M.,Buckner R. L. 2007).Dissociable but inter-related systems of cognitive control and reward during decision making: Evidence from pupillometry and event-related fMRI Neuroimage 37 1017-1031 http://dx.doi.org/10.1016/j.neuroimage.2007.04.066
  • Schmahl C., & Bremmer J. D. (2006). Neuroimaging in borderline personality disorder. Journal of Psychiatric Research, 40, 419-427. http://dx.doi.org/10.1016/j.jpsychires.2005.08.011
  • Schonberg T., Fox C. R., & Poldrack R. A. (2010). Mind the gap: Bridging economic and naturalistic risk-taking with cognitive neuroscience. Trends in Cognitive Sciences, 15, 11-19. http://dx.doi.org/10.1016/j.tics.201 0.10.002
  • Schulze L., Domes G., Krüger A., Berger C., Fleischer M., Prehn K., ⋯ Herpertz S. C. (2011). Neuronal correlates of cognitive reappraisal in borderline patients with affective instability. Biological P sychiatry, 69, 564-573. http://dx.doi.org/10.1016/j.biopsych.2010.10.025
  • Selby E. A., & Joiner Jr., T. E. (2009). Cascades of emotion: The emergence of borderline personality disorder from emotional and behavioral dysregulation. Review of General Psychology, 13, 219-229. http://dx.doi.org/10.1037/a0015687
  • Seymour B., & Dolan R. (2008). Emotion, decision making, and the amygdala. Neuron, 58, 662-671. http://dx.doi.org/10.1016/j.neuron.2008.05.020
  • Sheehan D. V., L ecrubier Y., Harnett-Sheehan K., Amorim P., Janavs J., Weiller E., ⋯ Dunbar G. C. (1998). The MINI international neuropsychiatric interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DS;-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22-23.
  • Silbersweig D., Clarkin J. F., Goldstein M., Kernberg O. F., Tuescher O., Levy K. N., Stern E. (2007). Failure of frontolim bic inhibitory function in the context of negative emotion in borderline personality disorder. American Journal of Psychiatry, 164, 1832-1841. http://dx.doi.org/10.1176/appi.ajp.2007.06010126
  • Skodol A. E., Gunderso n J. G., Pfohl B., Widiger T. A., Livesley W. J., & Siever L. J. (2002). The borderline diagnosis I: Psychopathology, comorbidity, and personality structure. Biological Psychiatry, 51, 936-950. http://dx.doi.org/10.1016/S0006-3223(02)01324-0
  • Talmi D., Hurlemann R., Patin A., & Dolan R. J. (2010). Framing effect following bilateral amygdala lesion. Neuropsychologia, 48, 1823-1827. http://dx.doi.org/10.1016/j.neuropsychologia.2010.03.005
  • Tull M. T., Gratz K. L., & Weiss N. H. (2011). Exploring associations between borderline personality disorder, crack/cocaine dependence, gender, and risky sexual behavior amo ng substance-dependent inpatients. Personality Disorders: Theory, Research, and Treatment, 2, 209-219. http://dx.doi.org/10.1037/a0021878
  • Tversky A., & Kahneman D. (1981). The framing of decisions and the psychology of choice. Science, 211, 453-458. http://dx.doi.org/10.1126/science.7455683
  • Weber E. U., & Johnson E. J. (2008). Decisions under uncertainty: Psychological, economic, and neuroeconomic explan ations. In P. Glimcher, C. Camerer, E. Fehr, & R. Poldrack (Eds.), Neuroeconomics: Decision making and the brain (pp. 127-144). New York, NY: Elsevier.
  • Weller J. A., Levin I. P., & Denburg N. (2011). Traj ectory of advantageous decision making for risky gains and losses from ages 5 to 85. Journal of Behavioral Decision Making, 24, 331-344. http://dx.doi.org/10.1002/bdm.690
  • Weller J. A., Levin I. P., Shiv B., & Bechara A. (2007). Neural correlates of adaptive decision making for risky gains and losses. Psychological Science, 18, 958-964. http://dx.doi.org/10.1111/j.1467-9280.2007.02009.x
  • Weller J. A., Levin I. P., Shiv B., & Bechara A. (2009). The effects of insula damage on advantageous decision making for risky gains and losses. Social Neuroscience, 4, 347-358. http://dx.doi.org/10.1080/17470910902934400
La source de données: Dialnet