Differential relations of executive functioning to borderline personality disorder presentations in adolescents

Published on May 1, 2018in Personality and Mental Health3.816
· DOI :10.1002/PMH.1410
Allison Kalpakci7
Estimated H-index: 7
(UH: University of Houston),
Carolyn Ha15
Estimated H-index: 15
(UH: University of Houston),
Carla Sharp59
Estimated H-index: 59
(UH: University of Houston)
Borderline personality disorder (BPD) in adolescents is highly complex and heterogeneous. Within the disorder, research has suggested the existence of at least two subgroups: one with predominantly internalizing psychopathology features and one with predominantly externalizing psychopathology features. One process that may differentiate these groups is executive functioning (EF), given that poor EF is linked to externalizing psychopathology. Against this background, the current study used a multi-informant approach to examine whether adolescent patients with predominantly externalizing BPD presentations experience greater deficits in EF than adolescent patients with predominantly internalizing presentations. The sample included inpatient adolescents ages 12–17 (M = 15.26; SD = 1.51). Analyses revealed that multiple EF domains distinguished the BPD subgroups. More specifically, adolescents with externalizing presentations exhibited greater difficulties in broad domains related to global executive functioning, metacognition and behavioural regulation and specific domains related to inhibitory control, working memory, planning/organizing, monitoring and organization of materials. While this study is the first to examine EF and adolescent BPD in the context of internalizing and externalizing psychopathology, alternative approaches to examining this question are discussed. Copyright © 2018 John Wiley & Sons, Ltd.
📖 Papers frequently viewed together
#1Stephanie D. Stepp (University of Pittsburgh)H-Index: 40
#2Sophie A. Lazarus (University of Pittsburgh)H-Index: 14
Last. Amy L. Byrd (University of Pittsburgh)H-Index: 16
view all 3 authors...
: There is an urgent need to identify signs that harbinger onset of borderline personality disorder (BPD). Advancement in this area is required to refine developmental theories, discover etiological mechanisms, improve early detection, and achieve our ultimate goal of prevention. Though many studies have supported a wide range of factors that increase subsequent risk for BPD, this literature has yet to be critically evaluated, and there are no comprehensive reviews that examine and integrate the...
#1Catherine Winsper (Warw.: University of Warwick)H-Index: 21
#2Suzet Tanya Lereya (Warw.: University of Warwick)H-Index: 18
Last. Swaran P. Singh (Warw.: University of Warwick)H-Index: 60
view all 6 authors...
Controversy surrounds the diagnosis of Borderline Personality Disorder (BPD) in youth. This meta-analysis summarised evidence regarding the aetiological and psychopathological validity of youth BPD (the extent to which youth and adult BPD share common risk factors and psychopathology). We identified 61 studies satisfying predetermined inclusion criteria. Statistically significant pooled associations with youth (19years of age and under) BPD were observed for sexual abuse (all youth: odds ratio=4...
#1Michael Kaess (University Hospital Heidelberg)H-Index: 39
#2Peter Parzer (University Hospital Heidelberg)H-Index: 40
Last. Romuald Brunner (University Hospital Heidelberg)H-Index: 48
view all 5 authors...
Research to elucidate early alterations of higher cognitive processes in adolescents with BPD is rare. This study investigated differences in dual-task performance in adolescents with BPD during stress and non-stress conditions. The study sample comprised 30 female adolescents with BPD and 34 healthy controls. The impact of stress on dual-task performance was measured using a standardized stressor. Self-reports of distress and measures of heart rate (HR) were obtained to measure stress reactivit...
#1Hila Z. Gvirts (TAU: Tel Aviv University)H-Index: 8
#2Hagai Harari (TAU: Tel Aviv University)H-Index: 9
Last. Yechiel Levkovitz (TAU: Tel Aviv University)H-Index: 46
view all 6 authors...
Background: Studies focusing on executive functioning in patients with borderline personality disorder (BPD) have shown divergent results. Moreover, little attention has been paid to the potential role of deficits in executive functions as markers of familial vulnerability to BPD. Thus, the aim of the present study was to investigate executive functions in both patients BPD and their unaffected first-degree relatives (parents). Method: We examined executive functions in four groups: patients wit...
#1Matteo Lazzaretti (UNIPV: University of Pavia)H-Index: 7
#2Niccolò Morandotti (UNIPV: University of Pavia)H-Index: 6
Last. Paolo Brambilla (University of Udine)H-Index: 79
view all 12 authors...
Lazzaretti M, Morandotti N, Sala M, Isola M, Frangou S, De Vidovich G, Marraffini E, Gambini F, Barale F, Zappoli F, Caverzasi E, Brambilla P. Impaired working memory and normal sustained attention in borderline personality disorder. Objective: Although reports in the literature describe deficits in working memory in borderline personality disorder (BPD), the evidence is limited and inconsistent. The aim of this study was to evaluate further this cognitive dimension and its clinical correlates i...
#1Arielle R. Baskin-Sommers (UW: University of Wisconsin-Madison)H-Index: 29
#2John J. Curtin (UW: University of Wisconsin-Madison)H-Index: 47
Last. Joseph P. Newman (UW: University of Wisconsin-Madison)H-Index: 79
view all 6 authors...
a b s t r a c t Externalizing traits are characterized by exaggerated emotional (e.g., frustration, anger) and behavioral (e.g., drug seeking, reactive aggression) reactions to motivationally significant stimuli. Explanations for this exaggerated reactivity emphasize attention, executive function, and affective processes, but the associations among these processes are rarely investigated. To examine these interactions, we measure fear potentiated startle (FPS; Experiment 1) and neural activation...
#1Carla Sharp (UH: University of Houston)H-Index: 59
#2Carolyn Ha (UH: University of Houston)H-Index: 15
Last. Crystal Carbone (Menninger Foundation)H-Index: 3
view all 5 authors...
Empirical evidence is increasing in support of the validity of the construct of borderline personality disorder (BPD) in adolescence. There is growing consensus that the early identification and treatment of emerging borderline traits may be an important focus. However, few diagnostic (questionnaire- or interview-based) measures specifically developed or adapted for adolescents and children exist. The Childhood Interview for DSM-IV Borderline Personality Disorder (CI-BPD) [Zanarini, 2003] is a p...
#1Daniel W. Belsky (UNC: University of North Carolina at Chapel Hill)H-Index: 47
#2Avshalom Caspi (Duke University)H-Index: 184
Last. Terrie E. Moffitt (Duke University)H-Index: 198
view all 8 authors...
It has been reported that borderline personality related characteristics can be observed in children, and that these characteristics are associated with increased risk for the development of borderline personality disorder. It is not clear whether borderline personality related characteristics in children share etiological features with adult borderline personality disorder. We investigated the etiology of borderline personality related characteristics in a longitudinal cohort study of 1,116 pai...
#1Susan Nolen-Hoeksema (Yale University)H-Index: 92
#2Edward R. Watkins (University of Exeter)H-Index: 63
Transdiagnostic models of psychopathology are increasingly prominent because they focus on fundamental processes underlying multiple disorders, help to explain comorbidity among disorders, and may lead to more effective assessment and treatment of disorders. Current transdiagnostic models, however, have difficulty simultaneously explaining the mechanisms by which a transdiagnostic risk factor leads to multiple disorders (i.e., multifinality) and why one individual with a particular transdiagnost...
#1Mary C. Zanarini (McLean Hospital)H-Index: 102
#2Jeremy HorwoodH-Index: 30
Last. Bridget F. Grant (NIH: National Institutes of Health)H-Index: 140
view all 6 authors...
This study had two main objectives. The first was to assess the prevalence of DSM-IV borderline personality disorder and its constituent symptoms in a community sample of late-latency children. The second was to compare these rates to those found in a community sample of American adults. A birth cohort of 6,330 11-year-old children in Bristol, England, was interviewed concerning borderline psychopathology in 2002–2004. A community sample of 34,653 American adults was interviewed about borderline...
Cited By5
#1HiTOP Utility Workgroup (UMN: University of Minnesota)H-Index: 2
The Hierarchical Taxonomy of Psychopathology (HiTOP) is an empirical effort to address limitations of traditional mental disorder diagnoses. These include arbitrary boundaries between disorder and normality, disorder co-occurrence in the modal case, heterogeneity of presentation within dis-orders, and instability of diagnosis within patients. This paper reviews the evidence on the validity and utility of the disinhibited externalizing and antagonistic externalizing spectra of HiTOP, which togeth...
#1Chang Xi (CSU: Central South University)H-Index: 2
#2Zhaoxia Liu (CSU: Central South University)H-Index: 2
Last. Jinyao Yi (CSU: Central South University)H-Index: 19
view all 6 authors...
Abstract Background: Neurocognitive impairments might play a key role in the development of Borderline Personality Disorder (BPD), however, the pathophysiological mechanism underlying cognitive impairment of BPD is largely unknown. This study was aimed to examine the electrophysiological mechanism of deficits in set-shifting processing in patients with BPD. Methods: Twenty-seven drug-naive patients with BPD and twenty-four healthy controls were recruited. Demographic variables and clinical chara...
For young children, sleep is essential for healthy development. Inadequate sleep can affect emotional, behavioural, cognitive, and health outcomes. Low family income and resources can put children at risk for poor sleep quality, impairing their subsequent cognitive abilities. The current study examined low socioeconomic status (SES) as a factor that increases vulnerability to the negative effects of poor sleep quality on young children’s executive functioning (EF). It was hypothesized that sleep...
#1Daniel Vega (Autonomous University of Barcelona)H-Index: 11
#2Rafael Torrubia (Autonomous University of Barcelona)H-Index: 31
Last. Antoni Rodríguez-Fornells (Catalan Institution for Research and Advanced Studies)H-Index: 71
view all 5 authors...
Abstract Background Patients with Borderline Personality Disorder (BPD) are characterized by impoverished self-regulatory mechanisms and self-image distortions. An intriguing question is to what extent BPD individuals develop accurate perceptions of their self-regulatory everyday functioning. Here, we tackle this issue evaluating their metacognitive abilities. Methods One hundred and forty-four participants were enrolled in the study and divided into a BPD group and a healthy Control group, with...
#1Peter Tyrer (ICL: Imperial College London)H-Index: 85
#2Roger T. Mulder (University of Otago)H-Index: 73
This website uses cookies.
We use cookies to improve your online experience. By continuing to use our website we assume you agree to the placement of these cookies.
To learn more, you can find in our Privacy Policy.