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Research Papers

Morphometric differences in central stress-regulating structures between women with and without borderline personality disorder

Andrea Kuhlmann, Katja Bertsch, Ilinca Schmidinger, Philipp A. Thomann and Sabine C. Herpertz
J Psychiatry Neurosci March 01, 2013 38 (2) 129-137; DOI: https://doi.org/10.1503/jpn.120039
Andrea Kuhlmann
Department for General Psychiatry, University Hospital Heidelberg, Heidelberg, Germany
Roles: MD (candidate)
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Katja Bertsch
Department for General Psychiatry, University Hospital Heidelberg, Heidelberg, Germany
PhD
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Ilinca Schmidinger
Department for General Psychiatry, University Hospital Heidelberg, Heidelberg, Germany
MD
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Philipp A. Thomann
Department for General Psychiatry, University Hospital Heidelberg, Heidelberg, Germany
MD
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Sabine C. Herpertz
Department for General Psychiatry, University Hospital Heidelberg, Heidelberg, Germany
MD
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  • For correspondence: [email protected]
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    Fig. 1

    Increased grey matter volume in the left hypothalamus of patients with borderline personality disorder compared with healthy controls (region of Interest analysis p≤ 0.05, family-wise error–corrected).

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    Table 1

    Demographic characteristics of patients with borderline personality disorder and healthy controls

    Group; mean (SD)
    CharacteristicBPDControlt61p value*
    Age, yr23.7 (4.6)24.4 (4.1)−0.690.49
    Education, school yr11.8 (1.6)12.0 (1.4)−1.180.66
    IQ†112.4 (12.2)112.7 (10.9)−0.110.91
    GAF score69.3 (8.57)100 (0.0)−5.83< 0.001
    Intracranial volume, mL1338.0 (121.1)1378.2 (116.7)−0.730.19
    BPD criteria, IPDE score6.9 (1.4)0.0 (0.0)8.84< 0.001
    BDI score24.3 (12.9)5.7 (8.7)6.75< 0.001
    BIS score62.2 (13.9)60.8 (4.7)0.710.48
    BSL score1.6 (0.9)0.1 (0.2)9.27< 0.001
    CTQ score56.2 (17.5)30.6 (7.5)7.65< 0.001
    FAF score
     Spontaneous aggression3.9 (2.9)1.4 (2.1)4.12< 0.001
     Reactive aggression3.9 (2.2)1.4 (1.6)5.21< 0.001
     Irritability7.7 (3.4)3.6 (2.7)5.46< 0.001
     Self-aggression7.7 (2.8)1.9 (2.6)8.71< 0.001
     Inhibition5.5 (2.0)5.5 (1.9)0.160.87
     Openness6.8 (1.7)4.3 (2.2)5.04< 0.001
     Aggression sum15.6 (7.2)6.3 (5.497)5.79< 0.001
    STAXI score
     Anger temperament11.8 (4.3)7.9 (3.0)4.29< 0.001
     Anger reaction12.3 (4.2)8.2 (2.8)4.65< 0.001
     Anger, in20.7 (6.5)13.7 (4.6)5.05< 0.001
     Anger, out15.1 (5.3)10.5 (3.0)4.29< 0.001
     Anger, control19.9 (5.3)24.0 (3.8)−3.56< 0.001
    • BDI = Beck Depression Inventory; (21) BIS = Barratt Impulsiveness Scale; (22) BPD = borderline personality disorder; BSL = Borderline Symptom List; (23) CTQ = Childhood Trauma Questionnaire; (24) FAF = Questionnaire for the Assessment of Factors of Aggression; (25) GAF = Global Assessment Functioning; (26) IPDE = International Disorder Examination for DSM–IV; (27) SD = standard deviation; STAXI = State–Trait Anger Inventory. (28)

    • ↵* Uncorrected for multiple comparisons.

    • ↵† Hamburg–Wechsler Intelligence Test. (29)

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    Table 2

    Voxel-based morphometric differences between patients with borderline personality disorder and healthy controls in whole brain analysis

    MNI peak voxel
    Contrast; location of peak voxels*xyztp value†zCluster size, k
    Controls > BPD
     Left hippocampus−26−30−46.670.0015.7559
     Vermis 102−42−406.340.0025.5225
     Left inferior parietal gyrus−30−82446.10.0055.3624
     Left middle temporal gyrus−58−7205.50.0364.9332
     Right hippocampus28−30−24.930.204.517
     Left superior parietal gyrus−26−72544.910.214.4819
     Left middle temporal gyrus−70−38−24.910.214.4846
     Left precentral gyrus−36−20604.840.264.4320
     Left paracentral lobe−22−26744.750.324.3658
     Right superior frontal gyrus28−10704.740.334.3510
     Left middle occipital gyrus−22−98104.740.334.3542
     Inferior triangular frontal part482664.640.424.2712
     —−2−6184.620.444.2525
     Left medial superior frontal gyrus−870164.280.783.9818
     Right postcentral gyrus26−34664.170.873.8922
     Right middle temporal gyrus46−50124.110.913.8512
     Right paracentral lobe10−40644.100.923.8343
     Right inferior occipital gyrus34−96−24.060.943.823
     Right caudate61864.020.963.7610
     Left inferior temporal gyrus−64−56−143.970.973.7311
     Left middle temporal gyrus−60−44−123.950.983.7132
     Left middle temporal pole−2212−383.890.993.6618
     Left postcentral lobe−58−8443.870.993.6416
     Right medial orbitofrontal gyrus1446−43.82> 0.993.610
     —−50−80−123.73> 0.993.5210
    BPD > controls
     Left putamen−32−2206.210.0035.4486
     Right Heschl42−2645.870.0115.227
     Right putamen right32−1225.690.0195.07111
     Left supplementary motor area2−6505.300.074.7821
     Left cerebellum 7−20−70−425.130.114.6515
     Right middle frontal gyrus3424465.090.134.6212
     Left superior temporal gyrus−40−2825.080.134.6111
     Right middle cingulum86344.710.364.3214
     Left superior occipital gyrus−22−80324.180.873.941
     Left cerebellum 6−22−50−324.150.893.8720
     —16−50−303.880.993.6510
     —−6−50−243.86> 0.993.6410
     —4−36−423.85> 0.993.6270
     Left cerebellum−30−66−203.80> 0.993.5838
     Vermis 6/Vermis 4/54−66−103.66> 0.993.4718
    • BPD = borderline personality disorder; MNI = Montreal Neurological Institute.

    • ↵* According to Automated Anatomic Labelling atlas.

    • ↵† p < 0.05, family-wise error–corrected in bold; all others p < 0.05, uncorrected.

    • View popup
    Table 3

    Voxel-based morphometric differences between patients with borderline personality disorder and healthy controls in regions of interest analysis

    Contrast; location of peak voxels*MNI peak voxeltp value†zCluster size, k
    xyz
    Controls > BPD
     Right hippocampus28−30−46.67< 0.0015.75111
     Left hippocampus−26−30−44.870.0034.4553
    BPD > controls
     Left hypothalamus−6−4−43.570.0233.3910
    −8−2−83.420.0333.25
    BPD with CTQ covaried
     Right hypothalamus4−6−123.690.073.2968
    −4−6−123.510.073.51
    • BPD = borderline personality disorder; CTQ = Childhood Trauma Questionnaire; (24) MNI = Montreal Neurological Institute.

    • ↵* According to Automated Anatomic Labelling atlas.

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Journal of Psychiatry and Neuroscience: 38 (2)
J Psychiatry Neurosci
Vol. 38, Issue 2
1 Mar 2013
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Morphometric differences in central stress-regulating structures between women with and without borderline personality disorder
Andrea Kuhlmann, Katja Bertsch, Ilinca Schmidinger, Philipp A. Thomann, Sabine C. Herpertz
J Psychiatry Neurosci Mar 2013, 38 (2) 129-137; DOI: 10.1503/jpn.120039

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Morphometric differences in central stress-regulating structures between women with and without borderline personality disorder
Andrea Kuhlmann, Katja Bertsch, Ilinca Schmidinger, Philipp A. Thomann, Sabine C. Herpertz
J Psychiatry Neurosci Mar 2013, 38 (2) 129-137; DOI: 10.1503/jpn.120039
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