Update on the Neurobiology of Borderline Personality Disorder: A Review of Structural, Resting-State and Task-Based Brain Imaging Studies.

IF 5.5 2区 医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2024-10-30 DOI:10.1007/s11920-024-01553-w
Anthony C Ruocco, Ely M Marceau
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Abstract

Purpose of review: This review summarizes recent advances in research on the neurobiology of borderline personality disorder (BPD) according to structural brain imaging investigations and resting-state and task-based functional brain activation studies.

Recent findings: Extending established findings on differences in regional brain volumes and cortical thickness between BPD and healthy controls, recent research illuminates shared and distinct brain structural characteristics compared to other psychiatric diagnoses, and uncovers relations of these brain structures with transdiagnostic symptoms and clinical features. Resting-state functional brain imaging studies reveal disruptions among adolescents and adults with BPD in frontolimbic and default-mode networks, which primarily underlie affect regulation and self-referential processes, respectively. Recent task-based functional brain imaging research builds on existing neurobiological understanding of emotion and cognition in BPD by revealing novel intersections with interpersonal- and stress-related processes. Studies of psychological and pharmacological interventions suggest possible effects on neural regions underlying emotion processing and behavioral control. Recent advances in neurobiological research on BPD underscore the pathophysiology of affective, behavioral and self-interpersonal symptoms, with growing interest in adolescents with BPD and the impacts of psychological and biological interventions. Corresponding with the increased prominence of alternative dimensional models of personality disorder in recent years, there is a gradual rise in studies examining the relationships of brain structures and functional brain activation with BPD-relevant symptom dimensions, including within transdiagnostic samples.

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边缘型人格障碍的最新神经生物学研究:结构、静息态和任务型脑成像研究综述》。
综述的目的:本综述总结了根据脑结构成像调查以及静息态和基于任务的脑功能激活研究对边缘型人格障碍(BPD)神经生物学研究的最新进展:最近的研究结果:最近的研究扩展了关于边缘型人格障碍与健康对照组之间大脑区域体积和皮层厚度差异的已有研究结果,揭示了与其他精神疾病诊断相比共同和独特的大脑结构特征,并发现了这些大脑结构与跨诊断症状和临床特征之间的关系。静息态脑功能成像研究显示,患有 BPD 的青少年和成年人的前边缘网络和默认模式网络出现紊乱,而这两个网络分别是情感调节和自我参照过程的主要基础。最近基于任务的脑功能成像研究通过揭示与人际关系和压力相关过程的新交叉点,在现有神经生物学对 BPD 患者情绪和认知的理解基础上更进一步。心理和药物干预研究表明,这些研究可能会对情绪处理和行为控制的神经区域产生影响。
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来源期刊
CiteScore
11.30
自引率
3.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
期刊最新文献
Addressing Racial and Ethnic Inequities in Opioid Overdose Mortality: Strategies for Equitable Interventions and Structural Change. Update on the Neurobiology of Borderline Personality Disorder: A Review of Structural, Resting-State and Task-Based Brain Imaging Studies. Abortion and Mental Health and Wellbeing: A Contemporary Review of the Literature. Addressing Stigma-Related Health Disparities for Autistic Individuals Through Cultural Competemility: Insights from Research and Lived Experience. Autism Early Intervention - Progress, Steps Backward, and the Reconciliation of Conflicting Narratives.
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