Decision making as measured with the Iowa Gambling Task in patients with borderline personality disorder

Vegard Øksendal Haaland · Nils Inge Landrø

93 citations0/0 files storedJournal of the International Neuropsychological Society

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Personality Disorders and Psychopathology Personality Traits and Psychology Neural and Behavioral Psychology Studies

Abstract

Affective instability is a core dimension of borderline personality disorder. The somatic marker hypothesis suggests that emotions play a crucial role in decision making. In this preliminary study, decision making was assessed in individuals with borderline personality disorder. Patients with borderline personality disorder (n = 20) and healthy comparison subjects (n = 15) were tested with the Iowa Gambling Task (IGT). The patients showed less advantageous choices on the IGT than did the healthy comparison subjects. The results could not be explained by indicators of general cognitive function or by symptoms of depression. These findings demonstrate that deficits in decision making in borderline personality disorder may manifest themselves in an ecologically valid neuropsychological test. Future studies should address whether those deficits are related to the behavioral characteristics of affective dysregulation and/or impulsivity, to the proposed dysfunctions and reduced volume of the orbitofrontal cortex and/or the amygdala, and to other neuropsychological functions.

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References

1967Development of a Rating Scale for Primary Depressive Illness 2002The borderline diagnosis I: psychopathology, comorbidity, and personaltity structure 2003Amygdala hyperreactivity in borderline personality disorder: implications for emotional dysregulation 2005Impaired Decision Making in Suicide Attempters 2003Frontolimbic brain abnormalities in patients with borderline personality disorder 2003Impulsivity and prefrontal hypometabolism in borderline personality disorder 2005Borderline Personality Disorder, Impulsivity, and the Orbitofrontal Cortex 2002Neurocognitive deficits in decision-making and planning of patients with DSM-III-R borderline personality disorder

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2010Neuropsychobiological Aspects, Comorbidity Patterns and Dimensional Models in Borderline Personality Disorder 2014The cost of fear: Avoidant decision making in a spider gambling task 2017A Personalidade na Tomada de Decisão com o Iowa Gambling Task: Uma Revisão Integrativa

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