Characterization of the Neural Bases of Mental Imagery in Individuals With Borderline Personality Disorder: An EEG Study (BABO)

February 17, 2026 updated by: Hôpital le Vinatier
Borderline Personality Disorder (BPD) involves altered social cognition, notably dysfunctional processing of cues signaling potential social exclusion and heightened social pain. This study uses EEG during a controlled Cyberball task to test whether BPD patients show a functionally altered social-pain network, particularly increased theta activity, when experiencing induced social exclusion.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

A central feature of borderline personality disorder (BPD) is an alteration of social cognition processes. Among the impairments described in the literature, the processing of signals evoking potential social exclusion appears to be particularly dysfunctional in patients with BPD. This deficient processing may underlie the experiences of "social pain" frequently reported in this population. Social pain refers to the negative experience felt when an individual perceives themselves as being excluded from a social context.

Over the past several years, the development of experimental paradigms aimed at exploring social cognition has shown that it is possible to induce feelings of social pain in controlled settings. These studies have also revealed that neural substrates such as the anterior insula, the anterior cingulate cortex, and the prefrontal cortex are involved not only in the processing of physical pain signals but also in the processing of social pain.

Although the neural networks associated with social pain are now well identified, the underlying neural and cognitive mechanisms remain poorly understood.

One possible avenue for understanding the neural and cognitive mechanisms of social pain in patients with BPD lies in examining electroencephalographic activity originating from these regions during the processing of social exclusion signals. Indeed, previous studies have highlighted the involvement of theta rhythms in the processing of social exclusion signals in healthy individuals.

Study Type

Interventional

Enrollment (Estimated)

62

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Bron, France, 69500
        • Centre Hospitalier le Vinatier
        • Contact:
        • Contact:
        • Principal Investigator:
          • Emmanuel E Poulet, Professor
        • Principal Investigator:
          • Jérôme J BRUNELIN, PhD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • For patients, a diagnosis of borderline personality disorder (established by a board-certified psychiatrist during a structured interview using the MINI) based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
  • For healthy individuals, no psychiatric disorders according to the DSM-5 (except for tobacco use)
  • Must be between 18 and 40 years old
  • Must provide a signed, free, and informed consent form
  • To be affiliated with a social security scheme in France or to be a beneficiary of such a scheme

Exclusion Criteria:

  • Known neurological disorders (patient group and control participants)
  • Comorbid psychiatric disorders (e.g., current depressive episode; ADHD treated with methylphenidate; bipolar disorder)
  • Active substance use disorder (excluding tobacco)
  • Pregnancy or breastfeeding
  • Guardianship
  • Consuming more than three alcoholic drinks in the past 24 hours
  • Consuming alcohol on the day of the experiment
  • Consuming tea or coffee less than one hour before the experiment

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: matched healthy controls

Upon arrival, during electrode placement, participants will complete a stop-signal reaction time (SSRT) task measuring cognitive control for approximately ten minutes.

Following this, they will participate in an online ball game, Cyberball, a controlled laboratory task simulating social inclusion or exclusion.

The Cyberball task will last approximately 20 minutes and will consist of three experimental conditions presented in a fixed order: passive viewing, inclusion, and then exclusion. During this time, participants' visual activity will be measured using eye tracking.

At the end of the Cyberball game, participants will complete:

  • Social Ostracism and Cohesion Rating Scales
  • Need Threat Scale
Active Comparator: patient with borderline personality disorder

Upon arrival, during electrode placement, participants will complete a stop-signal reaction time (SSRT) task measuring cognitive control for approximately ten minutes.

Following this, they will participate in an online ball game, Cyberball, a controlled laboratory task simulating social inclusion or exclusion.

The Cyberball task will last approximately 20 minutes and will consist of three experimental conditions presented in a fixed order: passive viewing, inclusion, and then exclusion. During this time, participants' visual activity will be measured using eye tracking.

At the end of the Cyberball game, participants will complete:

  • Social Ostracism and Cohesion Rating Scales
  • Need Threat Scale

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Theta oscillation power in brain regions associated with social pain (e.g., frontal cortex, insula, ACC).
Time Frame: From enrollment to the unique visit which last 2 hours. Cyberball Game during EEG: duration about 20 minutes
Using EEG, this project aims to determine whether patients with borderline personality disorder show alterations within the neural network of social pain (increased theta) when they experience social pain (Cyberball task score from 0% to 100%), a heightened perception of social pain compared to control subjects, and dysfunctional social attentional capture. The findings could deepen our understanding of social pain and the dysfunctional mechanisms underlying the disorder. The project may open new avenues for interventions aimed at reducing social pain or sensitivity to social pain in individuals with borderline personality disorder.
From enrollment to the unique visit which last 2 hours. Cyberball Game during EEG: duration about 20 minutes

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The degree of social pain perception
Time Frame: From enrollment until the unique visit which last 2 hours. The scale completion last 10 minutes.
Score on the Needs Threat Scale (Van Beest & Williams, 2006) Score from 12 to 62 , assessing the degree of social pain
From enrollment until the unique visit which last 2 hours. The scale completion last 10 minutes.
Social attention
Time Frame: From enrollment until the unique visit which last 2 hours. 30 minutes before Cyberball
The Visual attention as measured by eye tracking during the social pain task
From enrollment until the unique visit which last 2 hours. 30 minutes before Cyberball
the characterization of cognitive control performance between TPB patients and volunteers
Time Frame: From enrollment until the unique visit which last 2 hours
From enrollment until the unique visit which last 2 hours

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

March 1, 2026

Primary Completion (Estimated)

March 1, 2026

Study Completion (Estimated)

March 1, 2029

Study Registration Dates

First Submitted

February 17, 2026

First Submitted That Met QC Criteria

February 17, 2026

First Posted (Actual)

February 23, 2026

Study Record Updates

Last Update Posted (Actual)

February 23, 2026

Last Update Submitted That Met QC Criteria

February 17, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • 2025-A02401-48

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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