Characterization of the Neural Bases of Mental Imagery in Individuals With Borderline Personality Disorder: An EEG Study (BABO)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
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
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Bron, France, 69500
- Centre Hospitalier le Vinatier
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Contact:
- Jérôme J BRUNELIN, PhD
- Phone Number: +33 +33 (0)437915297
- Email: jerome.brunelin@ch-le-vinatier.fr
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Contact:
- Irene I Cristofori
- Phone Number: +33 +33(0)4 37 91 12 68
- Email: irene.cristofori@univ.lyon1.fr
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Principal Investigator:
- Emmanuel E Poulet, Professor
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Principal Investigator:
- Jérôme J BRUNELIN, PhD
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
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
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: matched healthy controls
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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:
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Active Comparator: patient with borderline personality disorder
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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:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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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
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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.
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From enrollment to the unique visit which last 2 hours. Cyberball Game during EEG: duration about 20 minutes
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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The degree of social pain perception
Time Frame: From enrollment until the unique visit which last 2 hours. The scale completion last 10 minutes.
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Score on the Needs Threat Scale (Van Beest & Williams, 2006) Score from 12 to 62 , assessing the degree of social pain
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From enrollment until the unique visit which last 2 hours. The scale completion last 10 minutes.
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Social attention
Time Frame: From enrollment until the unique visit which last 2 hours. 30 minutes before Cyberball
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The Visual attention as measured by eye tracking during the social pain task
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From enrollment until the unique visit which last 2 hours. 30 minutes before Cyberball
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the characterization of cognitive control performance between TPB patients and volunteers
Time Frame: From enrollment until the unique visit which last 2 hours
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From enrollment until the unique visit which last 2 hours
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 2025-A02401-48
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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