Inconsistency and social decision making in patients with borderline personality disorder

Preuss, Nora; Brändle, Laura S; Hager, Oliver M; Haynes, Melanie; Fischbacher, Urs; Hasler, Gregor (2016). Inconsistency and social decision making in patients with borderline personality disorder. Psychiatry research, 243, pp. 115-122. Elsevier 10.1016/j.psychres.2016.06.017

[img] Text
Preuss_Hasler_2016_social_decisoin_inconsistency_borderline_PD.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (822kB) | Request a copy
[img]
Preview
Text
post_print.pdf - Accepted Version
Available under License Creative Commons: Attribution-Noncommercial-No Derivative Works (CC-BY-NC-ND).

Download (353kB) | Preview

Inconsistent social behavior is a core psychopathological feature of borderline personality disorder. The goal of the present study was to examine inconsistency in social decision-making using simple economic social experiments. We investigated the decisions of 17 female patients with BPD, 24 patients with major depressive disorder (MDD), and 36 healthy controls in three single shot economic experiments measuring trust, cooperation, and punishment. BPD severity was assessed using the Zanarini Rating Scale for BPD. Investments across identical one-shot trust and punishment games were significantly more inconsistent in BPD patients than in controls. Such inconsistencies were only found in the social risk conditions of the trust and punishment conditions but not in the non-social control conditions. MDD patients did not show such inconsistencies. Furthermore, social support was negatively correlated with inconsistent decision-making in the trust and punishment game, which underscores the clinical relevance of this finding.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Translational Research Center
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Healthcare Research

UniBE Contributor:

Haynes, Melanie and Hasler, Gregor

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0165-1781

Publisher:

Elsevier

Language:

English

Submitter:

Gregor Hasler

Date Deposited:

23 Feb 2017 14:16

Last Modified:

18 Jun 2017 02:30

Publisher DOI:

10.1016/j.psychres.2016.06.017

PubMed ID:

27380424

Uncontrolled Keywords:

Behavioral economics, Borderline personality disorder, Game theory, Interpersonal behavior, Intra-individual variability

BORIS DOI:

10.7892/boris.92332

URI:

https://boris.unibe.ch/id/eprint/92332

Actions (login required)

Edit item Edit item
Provide Feedback