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A Functional Connectivity Study to Investigate the Role of the Right Anterior Insula in Modulating Emotional Dysfunction in Borderline Personality Disorder.
Psychosom Med
January 2022
From the Centro de Investigación en Red-Enfermedades Neurodegenerativas (CIBERNED) (Sampedro, Aracil-Bolaños); Movement Disorders Unit, Neurology Department (Aracil-Bolaños), Hospital de la Santa Creu I Sant Pau, IIB-Sant Pau, and Department of Psychiatry (Carmona i Farrés, Soler, Schmidt, Elices, Pascual), Hospital de la Santa Creu I Sant Pau, IIB-Sant Pau, Barcelona; Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM (Carmona i Farrés, Soler, Elices, Pomarol-Clotet, Salvador, Pascual), Madrid; Institute Mar of Medical Research (IMIM) (Elices); Department of Psychiatry and Legal Medicine, Autonomous University of Barcelona, UAB (Soler, Vega, Pascual); FIDMAG Germanes Hospitalàries Research Foundation (Pomarol-Clotet, Salvador); and Servicio de Salud Mental, Hospital de Igualada (Vega), Consorci Sanitari de l'Anoia, Igualada, Barcelona, Spain.
Objective: Previous imaging studies in patients with borderline personality disorder (BPD) have detected functional brain dysfunctions. Mindfulness training may improve the symptoms of BPD, although the neural mechanisms involved remain poorly understood. This study had several key aims: a) to investigate the role of right anterior insula (rAI) functional connectivity in modulating baseline emotional status in BPD, b) to compare differences in connectivity changes after mindfulness training versus interpersonal effectiveness intervention, and c) to explore the correlation between longitudinal changes in imaging data and clinical indicators.
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