PTSD Clinical Trial
Official title:
Why Does Cortisol Enhance Memory Retrieval in Patients With Borderline Personality Disorder and Posttraumatic Stress Disorder? Investigating the Neuronal Correlates of Cortisol Administration and the Effects of Stress Exposure
To investigate which neuronal correlates underlie cortisol-induced enhancement of memory retrieval in PTSD and BPD.
The investigators have recently shown that hydrocortisone enhances rather than impairs memory
retrieval in patients with posttraumatic stress disorder (PTSD) and borderline personality
disorder (BPD). In contrast, in healthy participants memory retrieval was impaired after
hydrocortisone compared to placebo.
The proposed studies aim to further investigate these findings and to understand the
underlying neuronal correlates. Thus, the mechanisms of enhanced memory retrieval after
hydrocortisone in patients with BPD and PTSD will be investigated by fMRI.
In a placebo-controlled study, the effects of 10mg hydrocortisone on brain activity, in
particular the hippocampus, will be investigated in patients with PTSD and BPD and will be
compared with those in healthy control participants. During the fMRI session, a declarative
memory task (retrieval of a previous learned word list) and an autobiographical memory test
will be performed. Effects of hydrocortisone on resting state brain activity and the neuronal
correlates of memory retrieval will be analysed.
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