Magnetic resonance imaging of hippocampal and amygdala volume in women with childhood abuse and borderline personality disorder

Borderline personality disorder (BPD) is a common disorder associated with emotional dysregulation and other symptoms that have been hypothesized to be related to dysfunction of limbic brain areas including hippocampus and amygdala. The purpose of this study was to measure hippocampal and amygdala volumes in BPD. Hippocampal and amygdala volumes were measured with magnetic resonance imaging (MRI) in 10 patients with BPD and 23 control subjects. Patients with BPD had a 21.9% smaller mean amygdala volume and a 13.1% smaller hippocampal volume, compared to controls. These findings are consistent with the hypothesis that alterations in the hippocampus and amygdala are associated with BPD.

[1]  S. Southwick,et al.  MRI-based measurement of hippocampal volume in patients with combat-related posttraumatic stress disorder. , 1995, The American journal of psychiatry.

[2]  S. Torgersen,et al.  The prevalence of personality disorders in a community sample. , 2001, Archives of general psychiatry.

[3]  J. Bremner,et al.  Structural Changes in the Brain in Depression and Relationship to Symptom Recurrence , 2002, CNS Spectrums.

[4]  J. Csernansky,et al.  Hippocampal atrophy in recurrent major depression. , 1996, Proceedings of the National Academy of Sciences of the United States of America.

[5]  R. Sapolsky Why Stress Is Bad for Your Brain , 1996, Science.

[6]  C. Mazure,et al.  Development and preliminary psychometric properties of an instrument for the measurement of childhood trauma: The early trauma inventory , 2000, Depression and anxiety.

[7]  M. Stein,et al.  Hippocampal volume in women victimized by childhood sexual abuse , 1997, Psychological Medicine.

[8]  T. Travis Role of Sexual Abuse in the Etiology of Borderline Personality Disorder , 1998, American Journal of Psychiatry.

[9]  M. Zwaan,et al.  Magnetic resonance imaging volumes of the hippocampus and the amygdala in women with borderline personality disorder and early traumatization. , 2000, Archives of general psychiatry.

[10]  M. Zanarini Role of sexual abuse in etiology of borderline personality disorder , 1997 .

[11]  L. Lemieux,et al.  Increased amygdala volumes in female and depressed humans. A quantitative magnetic resonance imaging study , 2000, Neuroscience Letters.

[12]  T. McGlashan,et al.  Neurobiological correlates of borderline personality disorder. , 2002, Psychopharmacology bulletin.

[13]  R. Bronen,et al.  Magnetic resonance imaging-based measurement of hippocampal volume in posttraumatic stress disorder related to childhood physical and sexual abuse—a preliminary report , 1997, Biological Psychiatry.

[14]  S. Snyder,et al.  CT scans of patients with borderline personality disorder. , 1983, The American journal of psychiatry.

[15]  R. Kikinis,et al.  Magnetic resonance imaging study of hippocampal volume in chronic, combat-related posttraumatic stress disorder , 1996, Biological Psychiatry.

[16]  M. Meaney,et al.  Early, postnatal experience alters hypothalamic corticotropin-releasing factor (CRF) mRNA, median eminence CRF content and stress-induced release in adult rats. , 1993, Brain research. Molecular brain research.

[17]  R. Sapolsky,et al.  Effect of neonatal handling on age-related impairments associated with the hippocampus. , 1988, Science.

[18]  Louis Lemieux,et al.  Amygdala enlargement in dysthymia—a volumetric study of patients with temporal lobe epilepsy , 1999, Biological Psychiatry.

[19]  Bruce S. McEwen,et al.  Stress and hippocampal plasticity: implications for the pathophysiology of affective disorders , 2001, Human psychopharmacology.

[20]  L. Staib,et al.  Hippocampal volume reduction in major depression. , 2000, The American journal of psychiatry.

[21]  S. Yi Hippocampal atrophy in major depression: a result of depression-induced neurotoxicity? , 1996 .

[22]  J. Douglas Bremner,et al.  Does stress damage the brain? , 1999, Biological Psychiatry.

[23]  D. Pickar,et al.  Cerebral structure in borderline personality disorder , 1989, Psychiatry Research.

[24]  Effects of acute and repeated restraint stress on corticotropin-releasing hormone binding protein mRNA in rat amygdala and dorsal hippocampus , 2001, Neuroscience Letters.