Borderline Personality Disorder Clinical Trial
Official title:
Repetitive Transcranial Magnetic Stimulation in Borderline Personality Disorder Patients. Effects in Clinical Measurements, Inhibition, Cognitive Flexibility, and Social Cognition Process
The purpose of this study is to determine the potential effects of repetitive transcranial magnetic stimulation in the improvement of neuropsychological deficits and symptomatology in borderline personality disorder patients. Specially in cognitive flexibility, inhibition control and social cognition.
This is a randomized, parallel group clinical trial to evaluate the efficacy of two
protocols of repetitive Transcranial Magnetic Stimulation (rTMS), the application will be
over dorsolateral prefrontal cortex (DLPFC) right and left, in patients with borderline
personality disorder. 40 ambulatory patients with a borderline personality disorder
diagnosis from the National Institute of Psychiatry in México will be included. All Patients
will be randomly assigned and will complete a total of 23 sessions rTMS, in any of two
groups:
5 Hz Group.- This group will receive rTMS sessions, 5 per week during three weeks (acute
treatment phase), and after that, one session a week for the next eight weeks (follow up).
The rTMS will be applied over the left DLPFC at 5 Hz, 1500 pulses per session in 100% of
Motor threshold
1 Hz Group.- This group will receive rTMS sessions, 5 per week during three weeks (acute
treatment phase), and after that, one session a week for the next eight weeks (follow up).
The rTMS will be applied over the right DLPFC at 1 Hz, 900 pulses per session in 100% of
Motor threshold All sessions will be applied with a "Dantec" transcranial magnetic
stimulator. The affective, borderline and anxiety symptoms will be evaluated at baseline,
and every 5 TMS sessions during the acute treatment phase, and once at the end of the
8-weeks follow up. In same form for neuropsychological evaluations .
Categorical variables will be described by percentages and frequencies. Continuous variables
will be described by means and standard deviations. Treatment groups will be compared using
Student's T test. Cognitive, anxiety, borderline and affective symptom scale scores between
treatment groups will be compared using repeated measures ANOVA
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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