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Hippocampal volume in borderline personality disorder with and without comorbid posttraumatic stress disorder: A meta-analysis

Published online by Cambridge University Press:  16 April 2020

E. Rodrigues ,
A. Wenzel ,
M.P. Ribeiro ,
L.C. Quarantini ,
A. Miranda-Scippa ,
E.P. de Sena  and
I.R. de Oliveira
E. Rodrigues
Affiliation:
Department of Neurosciences and Mental Health, School of Medicine, Federal University of Bahia, Salvador, Brazil
A. Wenzel
Affiliation:
Department of Psychiatry, University of Pennsylvania, Philadelphia, USA
M.P. Ribeiro
Affiliation:
Department of Neurosciences and Mental Health, School of Medicine, Federal University of Bahia, Salvador, Brazil
L.C. Quarantini
Affiliation:
Department of Neurosciences and Mental Health, School of Medicine, Federal University of Bahia, Salvador, Brazil
A. Miranda-Scippa
Affiliation:
Department of Neurosciences and Mental Health, School of Medicine, Federal University of Bahia, Salvador, Brazil
E.P. de Sena
Affiliation:
Department of Pharmacology and Physiology, Institute of Health Sciences, Federal University of Bahia, Salvador, Brazil
I.R. de Oliveira*
Affiliation:
Department of Neurosciences and Mental Health, School of Medicine, Federal University of Bahia, Salvador, Brazil
*
*Corresponding author. Tel.: +55 (71) 32417154; fax: +55 (71) 32417154. E-mail address: irismar.oliveira@uol.com.br
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Abstract

Background

Several studies have found a reduction in hippocampal volume in borderline personality disorder (BPD) patients.

Methods

In order to investigate the degree to which comorbid posttraumatic stress disorder (PTSD) could account for reduction in hippocampal volume in these patients, we conducted a systematic review and meta-analysis of studies that compared hippocampal volume in BPD patients with and without PTSD relative to healthy controls.

Results

Seven articles, involving 124 patients and 147 controls, were included. We found a statistically significant reduction for the left and right hippocampus. Data from the four studies that discriminated BPD patients with and without PTSD indicate that hippocampal volumes were reduced bilaterally in BPD patients with PTSD, relative to healthy controls, but that results were mixed for BPD patients without PTSD, relative to healthy controls.

Conclusions

Results from this meta-analysis suggest that hippocampal volumes are reduced in patients with BPD, relative to healthy controls, but particularly in cases in which patients are diagnosed with comorbid PTSD.

Keywords

Borderline personality disorderHippocampusMeta-analysisMagnetic resonance imagingPosttraumatic stress disorder
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 7 , October 2011 , pp. 452 - 456
Copyright
Copyright © European Psychiatric Association 2010

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