Negative reward expectations in Borderline Personality Disorder patients: neurophysiological evidence

Biol Psychol. 2013 Oct;94(2):388-96. doi: 10.1016/j.biopsycho.2013.08.002. Epub 2013 Aug 19.

Abstract

Borderline Personality Disorder (BPD) patients present profound disturbances in affect regulation and impulse control which could reflect a dysfunction in reward-related processes. The current study investigated these processes in a sample of 18 BPD patients and 18 matched healthy controls, using an event-related brain potentials methodology. Results revealed a reduction in the amplitude of the Feedback-Related Negativity of BPD patients, which is a neurophysiological index of the impact of negative feedback in reward-related tasks. This reduction, in the effect of negative feedback in BPD patients, was accompanied by a different behavioral pattern of risk choice compared to healthy participants. These findings confirm a dysfunctional reward system in BDP patients, which might compromise their capacity to build positive expectations of future rewards and decision making.

Keywords: Borderline Personality Disorder; Error; Feedback-Related Negativity; Reward; Theta oscillatory activity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Affect / physiology*
  • Analysis of Variance
  • Borderline Personality Disorder / physiopathology*
  • Borderline Personality Disorder / psychology
  • Chi-Square Distribution
  • Electroencephalography
  • Evoked Potentials / physiology*
  • Feedback, Psychological / physiology*
  • Female
  • Games, Experimental
  • Humans
  • Middle Aged
  • Reward*
  • Surveys and Questionnaires
  • Visual Analog Scale
  • Young Adult