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ArticleEuropean child & adolescent psychiatry2024

Altered gray matter volume and functional connectivity in adolescent borderline personality disorder with non-suicidal self-injury behavior.

Xiaoping Yi, Yan Fu, Jun Ding, Furong Jiang, Zaide Han, Yinping Zhang, Zhejia Zhang, Qian Xiao, Bihong T Chen

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Article in European child & adolescent psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Xiaoping Yi *Department of Radiology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, People's Republic of China.
Yan Fu *Department of Radiology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, People's Republic of China.
Jun DingDepartment of Public Health, Shenzhen Mental Health Center, Shenzhen Kangning Hospital, Shenzhen, Guangdong, People's Republic of China.
Furong JiangMental Health Center of Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410008, Hunan, People's Republic of China.
Zaide HanDepartment of Radiology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, People's Republic of China.
Yinping ZhangDepartment of Radiology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, People's Republic of China.
Zhejia ZhangDepartment of General Surgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410008, Hunan, People's Republic of China. chiachia163@163.com.
Qian XiaoMental Health Center of Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410008, Hunan, People's Republic of China. xiaoqian851112@126.com.
Bihong T ChenDepartment of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, USA.

Funding

China Post-Doctoral Science Foundation 2022M713536iangya-Peking University, Wei Ming Clinical and Rehabilitation Research Fund xywm2015I35Natural Science Foundation of Hunan Province 2022JJ30979the Youth Fund of National Natural Science Foundation of China 82201702the Youth Science Foundation of Xiangya Hospital 2020Q20
6 · The paper itself

Abstract

BACKGROUND AND

objectivesNon-suicidal self-injury (NSSI) behavior is one of the characteristics of borderline personality disorder (BPD) in adolescents. Prior studies have shown that adolescents with BPD may have a unique pattern of brain alterations. The purpose of this study was to investigate the alterations in brain structure and function including gray matter volume and resting-state functional connectivity in adolescents with BPD, and to assess the association between NSSI behavior and brain changes on neuroimaging in adolescents with BPD.

methods53 adolescents with BPD aged 12-17 years and 39 age-gender matched healthy controls (HCs) were enrolled into this study. Brain magnetic resonance imaging (MRI) was acquired with both 3D-T1 weighted structural imaging and resting-state functional imaging. Voxel-based morphometry (VBM) analysis for gray matter volume and seed-based functional connectivity (FC) analysis were performed for assessing gray matter volume and FC. Clinical assessment for NSSI, mood, and depression was also obtained. Correlative analysis of gray matter alterations with self-injury or mood scales were performed.

resultsThere were reductions of gray matter volume in the limbic-cortical circuit and default mode network in adolescents with BPD as compared to HCs (FWE P < 0.05, cluster size ≥ 1000). The diminished gray matter volumes in the left putamen and left middle occipital gyrus were negatively correlated with NSSI in adolescents with BPD (r = - 0.277 and P = 0.045, r = - 0.422 and P = 0.002, respectively). Furthermore, there were alterations of FC in these two regions with diminished gray matter volumes (voxel P < 0.001, cluster P < 0.05, FWE corrected).

conclusionsOur results suggest that diminished gray matter volume of the limbic-cortical circuit and default mode network may be an important neural correlate in adolescent BPD. In addition, the reduced gray matter volume and the altered functional connectivity may be associated with NSSI behavior in adolescents with BPD.

Indexed as

Borderline Personality DisorderSelf-Injurious BehaviorAdolescentBrainGray MatterHumansMagnetic Resonance ImagingAdolescentBorderline personality disorderDefault mode networkFunctional connectivityLimbic-cortical circuitNon-suicidal self-injury behaviorVoxel-based morphometry

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.