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Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
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Executive dysfunction in bipolar disorder and borderline personality disorder.

H Z Gvirts1, Y Braw2, H Harari1

  • 1The Emotion-Cognition Research Center, Shalvata Mental Health Care Center, Hod-Hasharon, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

European Psychiatry : the Journal of the Association of European Psychiatrists
|December 10, 2015
PubMed
Summary

Bipolar disorder (BD) patients exhibit executive dysfunction in strategy formation and planning compared to borderline personality disorder (BPD) patients. These cognitive differences may help distinguish between BD and BPD.

Keywords:
Bipolar disorderBorderline personality disorderCognitionExecutive dysfunction

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Cognitive Psychology

Background:

  • The distinction between bipolar disorder (BD) and borderline personality disorder (BPD) remains a clinical challenge.
  • Limited research directly compares the cognitive profiles of these patient groups.

Purpose of the Study:

  • To compare the executive functioning (EF) profiles of patients with BD and BPD.
  • To investigate how EF deficits might differentiate these two disorders.

Main Methods:

  • Executive functioning was assessed in 30 BD outpatients and 32 BPD outpatients using the Cambridge Neuropsychological Test Automated Battery (CANTAB).
  • Participants were compared to each other and to a group of healthy controls.

Main Results:

  • BD patients demonstrated significant deficits in strategy formation and planning compared to both BPD patients and healthy controls.
  • BPD patients showed planning deficits (shorter deliberation time) compared to BD patients and controls.
  • BPD patients exhibited problem-solving deficits relative to healthy controls.

Conclusions:

  • Executive dysfunction patterns differ between BD and BPD patients.
  • Cognitive dimensions, particularly executive functioning, may be crucial for clarifying the diagnostic boundary between BD and BPD.