Decreased oxytocin levels related to social cognition impairment in borderline personality disorder.

Journal: Acta psychiatrica Scandinavica

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Affiliated Institutions:  Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Madrid, Spain. Department of Legal Medicine, Psychiatry and Pathology, Faculty of Medicine, Universidad Complutense de Madrid (UCM), Madrid, Spain. Centre for Biomedical Research in Mental Health (CIBERSAM), Madrid, Spain.

Abstract summary 

Dysfunctions in the oxytocin system have been reported in patients with borderline personality disorder (BPD). Deficits could be related to interpersonal hypersensitivity, which has been previously associated with failures in social cognition (SC) in this disorder, especially in Theory of Mind (ToM) skills. The aim of this work is to study the links between the oxytocin system and SC impairments in patients with BPD.Plasma oxytocin levels (OXT) and protein expression of oxytocin receptors in blood mononuclear cells (OXTR) were examined in 33 patients with a diagnosis of BPD (age: M 28.85, DT = 8.83). Social cognition was assessed using the Movie for the Assessment of Social Cognition (MASC). Statistical associations between biochemical factors and different response errors in MASC were analyzed through generalized linear regression controlling for relevant clinical factors.Generalized linear regression showed a significant relationship between lower OXTR and overmentalization in BPD patients (OR = 0.90).This work supports the relationship between alterations in the oxytocin system and ToM impairments observed in BPD patients, enhancing the search for endophenotypes related to the phenotypic features of the disorder to improve current clinical knowledge and address more specific therapeutic targets.

Authors & Co-authors:  Galvez-Merlin López-Villatoro de la Higuera-González de la Torre-Luque McDowell Díaz-Marsá Leza Carrasco

Study Outcome 

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Statistics
Citations :  American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition, Text Revision). American Psychiatric Association; 2022.
Authors :  8
Identifiers
Doi : 10.1111/acps.13679
SSN : 1600-0447
Study Population
Male,Female
Mesh Terms
Other Terms
borderline personality disorder;interpersonal hypersensitivity;oxytocin;social cognition;theory of mind
Study Design
Study Approach
Country of Study
Publication Country
United States