Changes in the Brain as Borderline Patients Learn to Regulate Their Emotions
An fMRI Study of the Enhancement of Emotion Regulation in Borderline Patients
1 other identifier
interventional
169
1 country
1
Brief Summary
Borderline Personality Disorder (BPD), a prevalent psychiatric disorder found in approximately 2% to 6% of the population and 20% of hospitalized psychiatric patients, has proven quite treatment resistant. This study is designed to determine whether patients with BPD can be trained to improve their ability to regulate their emotions and whether this leads to changes in how their brans regulate emotion.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2011
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2011
CompletedFirst Submitted
Initial submission to the registry
June 4, 2015
CompletedFirst Posted
Study publicly available on registry
June 8, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 21, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
September 21, 2017
CompletedOctober 31, 2017
October 1, 2017
6.1 years
June 4, 2015
October 27, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Changes in BOLD signal in brain
BOLD signal changes at 5 days compared to baseline to measure reappraisal success using fMRI to record brain activity.
baseline and 5 days
Changes in BOLD signal in brain
BOLD signal changes at 2 weeks compared to baseline to measure reappraisal success using fMRI to record brain activity.
baseline and 2 weeks
Secondary Outcomes (4)
Perceived Stress Scale
baseline and 5 days
Perceived Stress Scale
baseline and 2 weeks
State Trait Anger Expression Inventory (STAXI)
baseline and 5 days
State Trait Anger Expression Inventory (STAXI)
baseline and 2 weeks
Study Arms (6)
BPD Emotion Regulation Training
EXPERIMENTALGuided practice in reappraisal
BPD Control
NO INTERVENTIONno training in reappraisal
APD Emotion Regulation Training
EXPERIMENTALGuided practice in reappraisal
APD Controls
NO INTERVENTIONno training in reappraisal
Healthy Controls Emotion Regulation Training
EXPERIMENTALGuided practice in reappraisal
Healthy Controls
NO INTERVENTIONno training in reappraisal
Interventions
Eligibility Criteria
You may qualify if:
- BPD subjects 18 to 50 years old
- Meet criteria for DSM-IV Borderline Personality Disorder, including the DSM-IV criteria for affective instability (criterion #6), and not meet criteria for Schizotypal Personality Disorder (SPD) or AvPD.
- Subjects in the AvPD group meet DSM-IV criteria for AvPD and not for BPD or SPD.
- All subjects will be free of psychotropic medications for 2 weeks (6 weeks for fluoxetine).
- Subjects may be enrolled in psychotherapy
You may not qualify if:
- BPD and AvPD subjects will not meet DSM-IV criteria for past or present PTSD, bipolar I disorder, schizophrenia, schizoaffective disorder, substance dependence, head trauma, CNS neurological disease, seizure disorder or current major depression.
- Substance abuse disorder in the prior 6 months
- Significant medical illness
- Pregnancy
- Metallic foreign-bodies that contraindicate MRI
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Icahn School of Medicine at Mount Sinai
New York, New York, 10029, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Harold W Koenigsberg, MD
Icahn School of Medicine at Mount Sinai
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 4, 2015
First Posted
June 8, 2015
Study Start
September 1, 2011
Primary Completion
September 21, 2017
Study Completion
September 21, 2017
Last Updated
October 31, 2017
Record last verified: 2017-10