Altered gray matter volume and functional connectivity in adolescent borderline personality disorder with non-suicidal self-injury behavior.

Background and objectives: Non-suicidal self-injury (NSSI) behavior is one of the characteristics of borderline personality disorder (BPD) in adolescents. Prior studies have shown that adolescents with BPD may have a unique pattern of brain alterations. The purpose of this study was to investigate t...

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Publicado en:European Child & Adolescent Psychiatry Vol. 33; no. 1; pp. 193 - 203
Autores principales: Yi, Xiaoping, Fu, Yan, Ding, Jun, Jiang, Furong, Han, Zaide, Zhang, Yinping, Zhang, Zhejia, Xiao, Qian, Chen, Bihong T.
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Jan2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-023-02161-4
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        atl: Altered gray matter volume and functional connectivity in adolescent borderline personality disorder with non-suicidal self-injury behavior.
      aug:
        au:
          Yi, Xiaoping
          Fu, Yan
          Ding, Jun
          Jiang, Furong
          Han, Zaide
          Zhang, Yinping
          Zhang, Zhejia
          Xiao, Qian
          Chen, Bihong T.
        affil: Department of Radiology, Xiangya Hospital, Central South University, 410008, Changsha, Hunan, People's Republic of China
      sug:
        subj:
          Self-Injurious Behavior Evaluation
          Gray Matter Physiopathology
          Functional Connectivity Evaluation
          Borderline Personality Disorder In Adolescence
          Brain Radiography
          Neuroradiography
          Brain Physiology
          Brain Anatomy and Histology
          Human
          Male
          Female
          Adolescence
          Magnetic Resonance Imaging
          Descriptive Statistics
          Funding Source
          Adolescent: 13-18 years
          Male
          Female
      ab: Background and objectives: Non-suicidal self-injury (NSSI) behavior is one of the characteristics of borderline personality disorder (BPD) in adolescents. Prior studies have shown that adolescents with BPD may have a unique pattern of brain alterations. The purpose of this study was to investigate the alterations in brain structure and function including gray matter volume and resting-state functional connectivity in adolescents with BPD, and to assess the association between NSSI behavior and brain changes on neuroimaging in adolescents with BPD. Methods: 53 adolescents with BPD aged 12–17 years and 39 age–gender matched healthy controls (HCs) were enrolled into this study. Brain magnetic resonance imaging (MRI) was acquired with both 3D-T1 weighted structural imaging and resting-state functional imaging. Voxel-based morphometry (VBM) analysis for gray matter volume and seed-based functional connectivity (FC) analysis were performed for assessing gray matter volume and FC. Clinical assessment for NSSI, mood, and depression was also obtained. Correlative analysis of gray matter alterations with self-injury or mood scales were performed. Results: There were reductions of gray matter volume in the limbic-cortical circuit and default mode network in adolescents with BPD as compared to HCs (FWE P < 0.05, cluster size ≥ 1000). The diminished gray matter volumes in the left putamen and left middle occipital gyrus were negatively correlated with NSSI in adolescents with BPD (r = − 0.277 and P = 0.045, r = − 0.422 and P = 0.002, respectively). Furthermore, there were alterations of FC in these two regions with diminished gray matter volumes (voxel P < 0.001, cluster P < 0.05, FWE corrected). Conclusions: Our results suggest that diminished gray matter volume of the limbic-cortical circuit and default mode network may be an important neural correlate in adolescent BPD. In addition, the reduced gray matter volume and the altered functional connectivity may be associated with NSSI behavior in adolescents with BPD.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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