Functional Connectivity in BPD
- The typical areas that have been subject to study are the nuclei clusters comprising the amygdalae and the prefrontal cortex (PFC) as their functionality and activation is abnormal relative to healthy controls.
- The amygdalae constitute part of the limbic system and play a role in the emotional response to a stimulus, most notably inducing physiological reactions to fear, anger, anxiety, and aggression.
- Hyperarousal of the amygdalae give rise to the intense emotional responses that are characteristic of BPD.
- The PFC is a major contributor to our executive control, influencing emotional and motivational behaviors.
- Diminished efficacy of top-down cortical modulation—wherein the brain uses models, ideas, and expectations to interpret sensory information—is observed in BPD, as misinterpretation of events often invokes the onset of a crisis.
- The amygdalae constitute part of the limbic system and play a role in the emotional response to a stimulus, most notably inducing physiological reactions to fear, anger, anxiety, and aggression.
- Both the amygdalae and the PFC are associated with different neural networks.
- Within the SN, a network that detects and incorporates emotional and sensory stimuli, the amygdalae are considered a subcortical node.
- Subsections of the PFC are classified as cortical nodes in the DFN, a network involved in various functions but guessed at being the primary determinant of the neurological basis for the self.
- Abnormal neuronal connectivity of the amygdalae and the PFC may be an underlying cause of the impaired communication between the aforementioned neural networks often reported in BPD.
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References
Functional connectivity
The amygdaloid nuclear complex: Anatomic study of the human amygdala
Neural systems involved in fear and anxiety measured with fear-potentiated startle
Hyper-modulation of brain networks by the amygdala among women with Borderline Personality Disorder: Network signatures of affective interference during cognitive processing
The prefrontal cortex as an executive, emotional, and social brain
Anterior cingulate cortex: Unique role in cognition and emotion
Chapter 3: Functions of the Salience Network
The brain’s default network and its adaptive role in internal mentation
You say ‘prefrontal cortex’ and I say ‘anterior cingulate’: Meta-analysis of spatial overlap in amygdala-to-prefrontal connectivity and internalizing symptomology
Deficient amygdala-prefrontal intrinsic connectivity after effortful emotion regulation in borderline personality disorder
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A research study compares brain activity in two groups of participants: one group with a diagnosed anxiety disorder and a control group with no disorder. Both groups are shown a series of images, some of which are emotionally neutral and others designed to elicit a fear response. Based on the known function of a key brain structure in processing fear, which of the following outcomes would be most expected?