https://m2.mtmt.hu/ hun 2026-09-21 22:47 JournalArticle 33641806 VALIDATED true Funding Agency and Grant Number: Hungarian National Research, Development and Innovation Fund [NKFI-132546]; Janos Bolyai Research Scholarship of the Hungarian Academy of Sciences; National Research, Development and Innovation Office [NKFI/OTKA FK 138385] Funding text: This work was supported by the Hungarian National Research, Development and Innovation Fund. Award Number: NKFI-132546 Recipient: Zsolt Unoka PI.; Bertalan Polner was supported by the Janos Bolyai Research Scholarship of the Hungarian Academy of Sciences.; Gabor Csukly was supported by the National Research, Development and Innovation Office (NKFI/OTKA FK 138385). 0 false 2026-05-22T18:18:40.791+0000 2025-09-30T08:04:34.392+0000 2023-02-15T12:30:11.129+0000 true 10000376 Kállai János /api/author/10000376 Author true 10000376 2025-09-24T12:13:21.262+0000 2024-02-06T15:04:40.317+0000 true 10028864 Horváth Klára /api/admin/10028864 Admin true 10028864 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Csukly, Gábor Stronger coupling of emotional instability with reward processing in borderline personality disorder is predicted by schema modes true true /api/journal/3810 REVIEWED true false 3810 false 3810 true 0033-2917 1469-8978 Journal FOREIGN 53 14 6714 6723 6714 10 2023 Background. Mood instability and risk-taking are hallmarks of borderline personality disorder (BPD). Schema modes are combinations of self-reflective evaluations, negative emotional states, and destructive coping strategies common in BPD. When activated, they can push patients with BPD into emotional turmoil and a dissociative state of mind. Our knowledge of the underlying neurocognitive mechanisms driving these changes is incomplete. We hypothesized that in patients with BPD, affective instability is more influenced by reward expectation, outcomes, and reward prediction errors (RPEs) during risky decision-making than in healthy controls. Additionally, we expected that these alterations would be related to schema modes. Methods. Thirty-two patients with BPD and thirty-one healthy controls were recruited. We used an established behavioral paradigm to measure mood fluctuations during risky decision-making. The impact of expectations and RPEs on momentary mood was quantified by a computational model, and its parameters were estimated with hierarchical Bayesian analysis. Model parameters were compared using High-Density Intervals. Results. We found that model parameters capturing the influence of RPE and Certain Rewards on mood were significantly higher in patients with BPD than in controls. These model parameters correlated significantly with schema modes, but not with depression severity. Conclusions. BPD is coupled with altered associations between mood fluctuation and reward processing under uncertainty. Our findings seem to be BPD-specific, as they stand in contrast with the correlates of depressive symptoms. Future studies should establish the clinical utility of these alterations, such as predicting or assessing therapeutic response in BPD. 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<div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10023954"><a href="/gui2/?type=authors&mode=browse&sel=10023954" target="_blank">Csukly Gábor ✉ (<span class="authorship-author-name">Csukly Gábor</span> <span class="authorAux-mtmt"> Pszichiátria</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Pszichiátriai és Pszichoterápiás Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10053194"><a href="/gui2/?type=authors&mode=browse&sel=10053194" target="_blank">Farkas Kinga<sup>*</sup> (<span class="authorship-author-name">Farkas Kinga</span> <span class="authorAux-mtmt"> Pszichiátria</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Pszichiátriai és Pszichoterápiás Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10102191"><a href="/gui2/?type=authors&mode=browse&sel=10102191" target="_blank">Fodor Tímea (<span class="authorship-author-name">Fodor Tímea</span> <span class="authorAux-mtmt"> pszichológia</span>) </a> </span> <span class="author-affil">Budapesti Műszaki és Gazdaságtudományi Egyetem</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10019575"><a href="/gui2/?type=authors&mode=browse&sel=10019575" target="_blank">Unoka Zsolt (<span class="authorship-author-name">Unoka Zsolt</span> <span class="authorAux-mtmt"> Pszichiátria</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Pszichiátriai és Pszichoterápiás Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10046919"><a href="/gui2/?type=authors&mode=browse&sel=10046919" target="_blank">Polner Bertalan (<span class="authorship-author-name">Polner Bertalan Kristóf</span> <span class="authorAux-mtmt"> kognitív tudomány</span>) </a> </span> <span class="author-affil"><span title="Eötvös Loránd Tudományegyetem">ELTE</span>/<span title="Pedagógiai és Pszichológiai Kar">PPK</span>/<span title="Pszichológiai Intézet">Pszich_Int</span>/Klinikai Pszichológia és Addiktológia Tanszék</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;33641806" target="_blank">Stronger coupling of emotional instability with reward processing in borderline personality disorder is predicted by schema modes</a></div> <div> <span class="journal-title">PSYCHOLOGICAL MEDICINE</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0033-2917">0033-2917</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1469-8978">1469-8978</a>)</span>: <span class="journal-volume">53</span> <span class="journal-issue">14</span> <span class="page"> pp 6714-6723 </span> <span class="year">(2023)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_GOLD" title=" Gold "> <a style="color:blue" title="10.1017/S0033291723000193" target="_blank" href="https://doi.org/10.1017/S0033291723000193"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000928699100001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000928699100001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85162848874" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85162848874"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="36754994" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=36754994&dopt=Abstract"> PubMed </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="https://www.cambridge.org/core/product/identifier/S0033291723000193/type/journal_article" target="_blank" href="https://www.cambridge.org/core/product/identifier/S0033291723000193/type/journal_article"> Egyéb URL </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Applied Psychology&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Psychiatry and Mental Health&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 5</span> | Független: 4 | Függő: 1 | Nem jelölt: 0 | WoS jelölt: 5 | Scopus jelölt:&nbsp;5 | WoS/Scopus jelölt:&nbsp;5 | DOI jelölt:&nbsp;5 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;33641806&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 2 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 33641806</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">kézi felvitel</span> </div> <div class="funder"> (NKFI-132546) Támogató: NKFIH, (János Bolyai Research Scholarship), (FK 138385) </div> <div class="lastModified">Utolsó módosítás: 2025.09.30. 10:04 Szatmári Erika (BME admin4) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Funding Agency and Grant Number: Hungarian National Research, Development and Innovation Fund [NKFI-132546]; Janos Bolyai Research Scholarship of the Hungarian Academy of Sciences; National Research, Development and Innovation Office [NKFI/OTKA FK 138385] Funding text: This work was supported by the Hungarian National Research, Development and Innovation Fund. Award Number: NKFI-132...</pre> </div></div>