Neurocognitive profile associated with borderline personality disorder: building specific indices of executive function.
Introduction: The objective of this work is the creation of specific indices of the different executive functions (EF), which allow a more complete understanding of the executive performance associated with borderline personality disorder (BPD) and not through isolated tests. Methodology: 118 patien...
| Published in: | Actas Espanolas de Psiquiatria Vol. 51; no. 5; pp. 220 - 229 |
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| Main Authors: | , , , , , , |
| Format: | Article |
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Maria Lopez-Ibor
sep/oct2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=174354037&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 174354037 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 11399287 IVZ jtl: Actas Espanolas de Psiquiatria issn: 11399287 maglogo: N pubinfo: dt: sep/oct2023 vid: 51 iid: 5 pid: 80014 pub: Maria Lopez-Ibor artinfo: ui: 174354037 ppf: 220 ppct: 9 formats: fmt: @attributes: type: P size: 249KB tig: atl: Neurocognitive profile associated with borderline personality disorder: building specific indices of executive function. aug: au: Lopez-Villatoro, Jose Manuel Diaz-Marsá, Marina Rico-Perez, Ana Fernandez-Rodrigues, Veronica Ayad-Ahmed, Wala Galvez-Merlin, Alejandra Carrasco, Jose Luis affil: Health Research Institute, Hospital Clínico San Carlos (IdISSC), Madrid, Spain Department of Legal Medicine, Psychiatry and Pathology, Faculty of Medicine, Universidad Complutense de Madrid (UCM) Madrid, Spain Research Group in Psychiatric Epidemiology and Mental Health (EPISAM), Complutense University of Madrid, Spain Biomedical Research Networking Consortium for Mental Health (CIBERSAM), Madrid, Spain Faculty of Psychology, Universidad Complutense de Madrid (UCM) Madrid, Spain MIGRASALUD, Parc Sanitari Sant Joan de Déu, Barcelona, Spain su: EXECUTIVE function NEUROBEHAVIORAL disorders BORDERLINE personality disorder NEUROPSYCHOLOGY COGNITIVE flexibility MENTALIZATION RESPONSE inhibition SHORT-term memory EMOTIONAL stability sug: subj: EXECUTIVE function NEUROBEHAVIORAL disorders BORDERLINE personality disorder NEUROPSYCHOLOGY COGNITIVE flexibility MENTALIZATION RESPONSE inhibition SHORT-term memory EMOTIONAL stability keyword: Borderline personality disorder executive functions impulsivity neuropsychology funciones ejecutivas impulsividad neuropsicología Trastorno límite de la personalidad ab: Introduction: The objective of this work is the creation of specific indices of the different executive functions (EF), which allow a more complete understanding of the executive performance associated with borderline personality disorder (BPD) and not through isolated tests. Methodology: 118 patients with BPD and 81 controls were evaluated with a neuropsychological battery. Three indices of attention, memory and FE were created. The tests that make up the executive domain were grouped into four different executive indices: cognitive flexibility, planning, working memory, and response inhibition. The batteries for each domain were compared through the standardized batteries of the tests that comprised them. Results: The results showed differences in the memory, attention, and EF indices, as well as in the different executive indices of cognitive flexibility, planning, working memory, and response inhibition, between BPD patients and controls. Conclusions: This study has allowed the creation of four executive indexes, being the first to do so. These results established a neurocognitive profile of BPD characterized by executive-specific impairment of cognitive flexibility, planning, working memory, and response inhibition. These findings support that patients with BPD will benefit from the application of neuropsychological programs, especially focused on improving a certain EF, and lay the foundations for the investigation of the relationship between these specific executive deficits and certain clinical characteristics of BPD, such as different types of Impulsive behavior and different mentalization errors. Introducción: El objetivo de este trabajo es la creación de índices específicos de las distintas funciones ejecutivas (FE), que permitan comprender de forma más completa y no mediante pruebas aisladas el rendimiento ejecutivo asociado al trastorno límite de la personalidad (TLP). Metodología: 118 pacientes con TLP y 81 controles fueron evaluados con una batería neuropsicológica. Se crearon tres índices de atención, memoria y FE. Las pruebas que forman el índice ejecutivo se agruparon en cuatro índices ejecutivos diferentes: flexibilidad cognitiva, planificación, memoria de trabajo e inhibición de respuesta. Las puntuaciones para cada dominio se obtuvieron a través de las puntuaciones estandarizadas de las pruebas que los componían. Resultados: Los resultados mostraron diferencias significativas en los índices de memoria, atención y FE, así como en los diferentes índices ejecutivos de flexibilidad cognitiva, planificación, memoria de trabajo e inhibición de respuesta, entre los pacientes con TLP y los controles. Conclusiones: Este estudio ha permitido la creación de cuatro índices ejecutivos, siendo el primero hasta la fecha en hacerlo. Estos resultados establecen un perfil neurocognitivo del TLP caracterizado por un deterioro ejecutivo específico de la flexibilidad cognitiva, la planificación, la memoria de trabajo y la inhibición de la respuesta. Estos hallazgos avalan que los pacientes con TLP podrían beneficiarse de la aplicación de programas neuropsicológicos, especialmente enfocados en mejorar determinadas FE, y sientan las bases para la investigación de la relación entre estos déficits ejecutivos específicos y ciertas características clínicas del TLP, como diferentes tipos de comportamiento impulsivo y diferentes errores de mentalización. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Actas Espanolas de Psiquiatria holder: Maria Lopez-Ibor dt: @attributes: year: 2023 holdings: @attributes: islocal: N |
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