NEUROIMAGERIE DU TROUBLE DE LA PERSONNALITE BORDERLINE A L'ADOLESCENCE AVEC ET SANS TROUBLE DE STRESS POST-TRAUMATIQUE

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Borderline personality disorder (BPD) is a common mental disorder in adolescents with significant individual and societal repercussions, characterized over the long term by emotional hyperresponsiveness, relational instability, identity disturbances and self-aggressive behavior. The etiology of BPD is multifactorial and involves exposure to traumatic life events, which are present in the majority of cases. This explains the very common co-morbidity between BPD and post-traumatic stress disorder (PTSD), which involves emotionally painful memory relapses of one or more traumatic events, associated with an emotional trauma avoidance syndrome (s). ) and hypervigilance. Brain imaging studies in adolescents with BPD have shown decreases in the volume of gray matter within the frontolimbic network, as well as a decrease in frontolimbic white matter bundles. These brain changes are considered to be biological markers of TPB. However, the exact same brain changes are seen in PTSD. Although it represents more than a third of adolescents hospitalized in psychiatry, neuroscientific studies of BPD in adolescence are still scarce. The expertise we have acquired in U1077 in adolescents with PTSD offers us an exceptional opportunity to characterize in BPD with and without PTSD structural anomalies, including the hippocampus, and functional at rest, never used for hour in the teenager's BPD. Beyond that, carrying out an 18-month follow-up of the patients will allow us to assess the predictive value of these anomalies on the level of general psychopathology in all the patients studied and the intensity of the symptoms of traumatic relapse in the patients with PTSD. This modeling of disorders integrating psychopathological, neuropsychological and neuroanatomical approaches will provide the clinician with new knowledge necessary for therapeutic innovation.

Eligibility
Participation Requirements
Sex: Female
Minimum Age: 13
Maximum Age: 18
Healthy Volunteers: t
View:

⁃ For the 3 groups:

• female

• Age between 13 and 17 years inclusive

• Oral and written comprehension of the French language

• Affiliation to the social security scheme

• Informed consent signed by the legal representatives holding the exercise of parental authority and the adolescent herself

⁃ For patients:

• Diagnosis of borderline personality disorder according to the criteria of the Diagnostic and Statistical Manual for mental disorders, fifth edition (DSM-5; American Psychiatric Association, 2013; SIDP-IV)

• Level of general psychopathology compatible with participation in the study (score\> 20 on the CGA-S)

⁃ TB + / PTSD + group:

⁃ \- Post-traumatic stress disorder according to DSM-5 criteria (American Psychiatric Association, 2013; K-SADS-PL)

⁃ In the control group :

• Absence of mental disorder according to DSM-5 criteria (American Psychiatric Association, 2013; K-SADS-PL and SIDP-IV)

• Oral and written comprehension of the French language

• Informed consent signed by the legal representative, the holder (s) of the exercise of parental authority and the adolescent herself

Locations
Other Locations
France
Caen University Hospital
RECRUITING
Caen
Contact Information
Primary
Fabian Guénolé, Pr.
guenole-f@chu-caen.fr
+33 (0) 231 272 309
Backup
Bérengère Guillery-Girard, Ass.Pr.
berengere.guillery@unicaen.fr
+33 (0) 231 568 399
Time Frame
Start Date: 2022-03-11
Estimated Completion Date: 2028-06-01
Participants
Target number of participants: 99
Treatments
Other: Borderline girls with PTSD
* female~* Age between 13 and 17 years inclusive~* Diagnosis of borderline personality disorder according to the criteria of the Diagnostic and Statistical Manual for mental disorders, fifth edition (DSM-5; American Psychiatric Association, 2013; SIDP-IV)~* Post-traumatic stress disorder according to DSM-5 criteria (American Psychiatric Association, 2013; K-SADS-PL)~* Level of general psychopathology compatible with participation in the study (score\> 20 on the CGA-S)~* Oral and written comprehension of the French language~* Affiliation to the social security scheme~* Informed consent signed by the legal representatives holding the exercise of parental authority and the adolescent herself
Other: Borderline girls without PTSD
* female~* Age between 13 and 17 years inclusive~* Diagnosis of borderline personality disorder according to the criteria of the Diagnostic and Statistical Manual for mental disorders, fifth edition (DSM-5; American Psychiatric Association, 2013; SIDP-IV)~* Level of general psychopathology compatible with participation in the study (score\> 20 on the CGA-S)~* Oral and written comprehension of the French language~* Affiliation to the social security scheme~* Informed consent signed by the legal representatives holding the exercise of parental authority and the adolescent herself
Other: Healthy controls
* female~* Age between 13 and 17 years inclusive~* Absence of mental disorder according to DSM-5 (American Psychiatric Association, 2013 ; K-SADS-PL et SIDP-IV)~* Oral and written comprehension of the French language~* Affiliation to the social security scheme~* Informed consent signed by the legal representatives holding the exercise of parental authority and the adolescent herself
Related Therapeutic Areas
Sponsors
Collaborators: CHU de Rouen - Accueil, Institut National de la Santé Et de la Recherche Médicale, France, Centre Hospitalier du Rouvray, Groupe Hospitalier du Havre, Université de Caen Normandie, Centre Hospitalier Universitaire de Caen
Leads: University Hospital, Caen

This content was sourced from clinicaltrials.gov