106 Participants Needed

Stress Induction for Borderline Personality Disorder

MN
Overseen ByMichael N Hallquist, PhD
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: University of North Carolina, Chapel Hill
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to explore how personality traits and the body's stress hormones affect decision-making, particularly in people with Borderline Personality Disorder (BPD). Participants will engage in various activities, including stress-inducing tasks and completing surveys. Researchers will monitor heart rate, blood flow, and stress responses using simple measures like heart and skin sensors. Individuals with BPD who experience mood swings and have at least three BPD symptoms, including emotional instability, might be a good fit for this study. As an unphased trial, this study offers a unique opportunity to contribute to understanding BPD and its effects on decision-making.

Will I have to stop taking my current medications?

The trial requires participants to refrain from using certain medications, specifically as needed antihypertensive agents and psychotropic medications, for 12 hours before the lab visit.

What prior data suggests that this stress induction procedure is safe?

Research has shown that people with Borderline Personality Disorder (BPD) often experience stronger stress reactions. They typically find it harder to relax, whether calm or under stress, which means they might feel stress more intensely than others. However, these stress reactions usually don't cause physical harm.

During stress tests in trials, researchers closely monitor participants. They might check heart rate and blood flow, among other things, to ensure safety. While people with BPD might feel more stress, studies have not found any major problems directly caused by the stress tests themselves.

Overall, researchers have used the stress test method safely in research, but participants should always inform the research team if they feel uncomfortable.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores stress induction as a novel approach for understanding Borderline Personality Disorder (BPD). Unlike traditional treatments for BPD, such as psychotherapy and medication that focus on managing symptoms, this technique aims to study how controlled stress exposure affects individuals with BPD. By observing these responses, researchers hope to uncover new insights into the condition's mechanisms, potentially leading to more effective therapies in the future. This exploration could pave the way for innovative strategies that address the core aspects of BPD rather than just alleviating its symptoms.

What evidence suggests that stress induction is effective for studying decision-making in borderline personality disorder?

Research has shown that people with borderline personality disorder (BPD) often react strongly to stress. One study found that individuals with BPD are more likely to experience stress-related issues, such as memory problems and difficulty controlling impulses. This intense stress response can influence their decisions and actions. Many with BPD have also experienced traumatic events, increasing their sensitivity to stress. The trial will involve a controlled stress induction to better understand how stress affects individuals with BPD, potentially leading to improved treatments.678910

Who Is on the Research Team?

MH

Michael Hallquist, PhD

Principal Investigator

University of North Carolina, Chapel Hill

Are You a Good Fit for This Trial?

This trial is for individuals aged 18-45 who may have personality traits associated with impulsivity or are diagnosed with Borderline Personality Disorder (BPD). Healthy participants without these conditions can also join as controls. Specific eligibility criteria details were not provided.

Inclusion Criteria

Borderline Personality Disorder (BPD) group: Score of 38 or higher on Personality Assessment Inventory-Borderline Scale (PAI-BOR)
Borderline Personality Disorder (BPD) group: Participants must score at least 80 on the Reynolds Intellectual Screening Test (RIST)
Health Control (HC) Group: Score of 12 or lower on PAI-BOR
See 7 more

Exclusion Criteria

I haven't taken any emergency blood pressure medication in the last 12 hours.
Excluded for any of the following: cardiac pacemaker, aneurysm clip, cochlear implants, pregnancy, shrapnel, history of metal fragments in eyes, neurostimulators, weight of 250 lbs. or more, or claustrophobia
History of psychotic disorder, Bipolar I disorder, autism spectrum disorder, reactive attachment disorder, pervasive developmental disorder, motor disorder, head injury, mental retardation, neurological disorder, or current substance dependence
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Session 1

Participants complete online behavioral tasks, a stress induction procedure, self-report surveys, and a cognitive assessment. Psychophysiological measures are collected.

One-time session
1 visit (in-person)

Follow-up

Participants are monitored for any immediate effects post-session and data is analyzed for decision-making patterns.

1-2 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Stress Induction
Trial Overview The study investigates the relationship between neuroendocrine activity and decision-making in people with BPD compared to healthy controls. It involves online tasks, stress induction, surveys, cognitive tests, and monitoring heart rate, blood flow, skin conductance, and hormone levels.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: StressExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of North Carolina, Chapel Hill

Lead Sponsor

Trials
1,588
Recruited
4,364,000+

North Carolina Translational and Clinical Sciences Institute

Collaborator

Trials
61
Recruited
4,600+

Citations

Borderline personality disorder: Stress reactivity or stress ...Our longitudinal study of a well-characterized clinical sample found more evidence for stress generation than for stress-induced decompensation in BPD.
Effects of acute stress on executive functions in depression ...This review found a heightened susceptibility to stress-induced impairment of working memory in depression, and of response inhibition in borderline personality ...
How Do Stress Exposure and Stress Regulation Relate to ...Overall, traumatic events were found in 70.7% of patients with BPD, among which were emotional neglect (43.7%), witnessing violence (43.0%), physical abuse ( ...
Characteristics and outcomes of individuals screening positive ...This study aims to distinguish the clinical profile and outcomes of patients screening positive for a threshold of BPD traits in the inpatient psychiatric ...
What we have learned about early detection and intervention ...Individuals diagnosed with BPD face an increased risk of physical health issues (El-Gabalawy, Katz, & Sareen, 2010) and premature mortality, ...
Characteristics and outcomes of individuals screening ...MSI-BPD + patients report significantly higher severity of anxiety, depression, suicidality, self-harm, and global symptoms on admission than ...
Patients with borderline personality disorder show initially ...BPD patients exhibit lower psychophysiological relaxation levels at baseline and throughout the experiment, while there was no significant difference in ...
Borderline Personality Disorder: Risk Factors and Early ...In the general population, cumulative prevalence rates of BPD in 16-year-olds and 22-year-olds are 1.4% and 3.2%, respectively, while in mental health settings, ...
(PDF) Stress reactivity and pain-mediated stress regulation ...However, recent findings revealed enhanced stress responsivity in remitted BPD compared to HC, as remitted BPD patients react with an increased urge for self- ...
Borderline Personality Disorder (BPD): In the Midst of ...Under stressful conditions, BPD patients are unable to regulate their emotions and quickly return to their baseline emotional states. Since BPD ...
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