Insensitivity to the Magnitude of Potential Gains or Losses When Making Risky Choices: Women With Borderline Personality Disorder Compared With Bipolar Disorder and Controls

Poor decision-making is a feature of borderline personality disorder (BPD) and bipolar disorder (BD). Twenty women with BPD, 20 women with BD, and 20 healthy females completed a risky choice task. Those with BPD exhibited altered processing of information about potential gains and losses, with a bia...

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Bibliographic Details
Published in:Journal of personality disorders 2016-08, Vol.30 (4), p.530-544
Main Authors: Saunders, Kate E A, Goodwin, Guy M, Rogers, Robert D
Format: Article
Language:English
Subjects:
Adult
Aggression
Bipolar disorder
Bipolar Disorder - therapy
Borderline Personality Disorder - physiopathology
Borderline Personality Disorder - therapy
Case-Control Studies
Choice Behavior
Cognitive Ability
Comparative studies
Conceptual Tempo
Control Groups
Decision Making
Executive Function
Female
Females
Games, Experimental
Gender Differences
Humans
Interpersonal Relationship
Memory
Middle Aged
Neuroses
Patients
Personality
Personality disorders
Personality Problems
Personality Traits
Probability
Psychiatry
Psychometrics
Rating Scales
Reinforcement, Psychology
Research Committees
Resistance (Psychology)
Reward
Risk
Risk-Taking
Sex Characteristics
Short Term Memory
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Summary:Poor decision-making is a feature of borderline personality disorder (BPD) and bipolar disorder (BD). Twenty women with BPD, 20 women with BD, and 20 healthy females completed a risky choice task. Those with BPD exhibited altered processing of information about potential gains and losses, with a bias toward large compared to small gains, large compared to small losses, and a tendency to choose outcomes with a negative expected value. This failure to use explicit reinforcement signals was not observed in those with BD. Difficulties using reward information to make decisions may impair day-to-day function. Such impairments offer new treatment targets in BPD.
ISSN:0885-579X
1943-2763
DOI:10.1521/pedi_2015_29_216