102 results match your criteria Borderline personality disorder and emotion dysregulation[Journal]


A research programme to evaluate DBT-PTSD, a modular treatment approach for Complex PTSD after childhood abuse.

Borderline Personal Disord Emot Dysregul 2019 5;6. Epub 2019 Mar 5.

1Institute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim / Heidelberg University, J5, 68159 Mannheim, Germany.

Background: Posttraumatic stress disorder (PTSD) after childhood abuse (CA) is often related to severe co-occurring psychopathology, such as symptoms of borderline personality disorder (BPD). The ICD-11 has included Complex PTSD as a new diagnosis, which is defined by PTSD symptoms plus disturbances in emotion regulation, self-concept, and interpersonal relationships. Unfortunately, the empirical database on psychosocial treatments for survivors of CA is quite limited. Read More

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http://dx.doi.org/10.1186/s40479-019-0099-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402166PMC
March 2019
2 Reads

Self-reported impulsivity in women with borderline personality disorder: the role of childhood maltreatment severity and emotion regulation difficulties.

Borderline Personal Disord Emot Dysregul 2019 5;6. Epub 2019 Mar 5.

Department of Clinical Psychology, Institute of Psychology, Leiden, The Netherlands.

Background: Childhood maltreatment, such as severe emotional, physical, and sexual abuse and neglect, has been linked to impulse control problems and dysfunctional emotional coping. In borderline personality disorder (BPD), a history of childhood maltreatment may worsen difficulties in emotion regulation, which may in turn give rise to impulsive behaviours. The aim of this self-report study was to investigate associations between childhood maltreatment severity, emotion regulation difficulties, and impulsivity in women with BPD compared to healthy and clinical controls. Read More

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http://dx.doi.org/10.1186/s40479-019-0101-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399941PMC
March 2019
1 Read

Low positive affect display mediates the association between borderline personality disorder and negative evaluations at zero acquaintance.

Borderline Personal Disord Emot Dysregul 2019 3;6. Epub 2019 Mar 3.

1Department of Psychosomatic Medicine, Central Institute of Mental Health, Medical Faculty Mannheim at Heidelberg University, J5, 68159 Mannheim, Germany.

Background: Several recent studies have demonstrated that naïve raters tend to evaluate individuals with Borderline Personality Disorder (BPD) negatively at zero-acquaintance (i.e., in a 'first impression' type situation, where the rater has no knowledge of the individual and no prior interactions with them). Read More

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http://dx.doi.org/10.1186/s40479-019-0103-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397744PMC
March 2019
1 Read

The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review.

Borderline Personal Disord Emot Dysregul 2019 12;6. Epub 2019 Feb 12.

3Research Department of Clinical, Education and Health Psychology, University College London, Gower Street, London, WC1E 6BT UK.

Background: Dialectical behaviour therapy (DBT) is a third wave behaviour therapy combining behaviour based components with elements of mindfulness. Although DBT effectiveness has been explored, relatively little attention has been given to its implementation. Frameworks are often the basis for gathering information about implementation and can also direct how the implementation of an intervention is conducted. Read More

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http://dx.doi.org/10.1186/s40479-019-0102-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373034PMC
February 2019
1 Read

Impact of comorbid borderline personality disorder on inpatient treatment for bulimia nervosa: analysis of routine data.

Borderline Personal Disord Emot Dysregul 2019 16;6. Epub 2019 Jan 16.

Schoen Clinic Roseneck, Am Roseneck 6, D-83209, Prien am Chiemsee, Germany.

Background: A substantial rate of patients with bulimia nervosa (BN) also suffer from Borderline personality disorder (BN + BPD). It is widely unknown how these comorbid patients with BN + BPD present and respond to inpatient treatment. Aims of the study were to examine (1) specific characteristics of patients with BN + BPD at admission, discharge, and during treatment, and (2) differential effects of inpatient treatment for BN vs. Read More

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http://dx.doi.org/10.1186/s40479-018-0098-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335811PMC
January 2019
1 Read

Differentiating BPD in adolescents with NSSI disorder: the role of adverse childhood experiences and current social relationships.

Borderline Personal Disord Emot Dysregul 2018 7;5:20. Epub 2018 Dec 7.

4University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.

Background: As borderline personality disorder (BPD) is increasingly considered a lifespan developmental disorder, we need to focus on risk factors and precursors in the developmental pathways to BPD, in order to enable early detection and intervention. Within this developmental pathway, adolescence is a crucial phase in the light of the manifestation of the disorder. Relational factors such as adverse childhood experiences and current relational problems can be considered important in adolescents who are at-risk for BPD. Read More

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https://bpded.biomedcentral.com/articles/10.1186/s40479-018-
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http://dx.doi.org/10.1186/s40479-018-0097-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286500PMC
December 2018
2 Reads

Association between childhood invalidation and borderline personality symptoms: self-construal and conformity as moderating factors.

Borderline Personal Disord Emot Dysregul 2018 7;5:19. Epub 2018 Dec 7.

2Department of Psychological Medicine, National University of Singapore, Singapore, Singapore.

Background: Linehan (1993)'s biosocial model posits that borderline personality disorder (BPD) symptoms develop as a result of a transactional relationship between pre-existing emotional vulnerability and an invalidating childhood environment. Little work, however, has investigated cultural factors that may influence the relationship between childhood invalidation and BPD symptoms. The present study investigated the association between parental invalidation and BPD symptoms, and the role of conformity and self-construal as potential moderators of this association. Read More

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http://dx.doi.org/10.1186/s40479-018-0096-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284292PMC
December 2018
1 Read

Emotional reactivity to appraisals in patients with a borderline personality disorder: a daily life study.

Borderline Personal Disord Emot Dysregul 2018 13;5:18. Epub 2018 Nov 13.

4KU Leuven, University Psychiatric Center KU Leuven, Leuvensesteenweg 517, 3070 Kortenberg, Belgium.

Background: Emotional instability, consisting of patterns of strong emotional changes over time, has consistently been demonstrated in daily life of patients with a borderline personality disorder (BPD). Yet, little empirical work has examined emotional changes that occur specifically in response to emotional triggers in daily life, so-called emotional reactivity. The goal of this study was to examine emotional reactivity in response to general emotional appraisals (i. Read More

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http://dx.doi.org/10.1186/s40479-018-0095-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234606PMC
November 2018
2 Reads

A whole of school intervention for personality disorder and self-harm in youth: a pilot study of changes in teachers' attitudes, knowledge and skills.

Borderline Personal Disord Emot Dysregul 2018 2;5:17. Epub 2018 Oct 2.

1School of Psychology and Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW Australia.

Background: The school environment offers an ideal opportunity for early identification and intervention for youth with self-harm and complex mental health issues, such as borderline personality disorder (BPD). Yet, class teachers often report minimal knowledge, feeling ill-equipped to respond, and experience high levels of stress when exposed to such challenges. Research is required to understand how training and development activities led by school counsellors may enhance teacher attitudes, confidence and knowledge of self-harm and complex mental health issues, such as BPD. Read More

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http://dx.doi.org/10.1186/s40479-018-0094-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167835PMC
October 2018
1 Read

Borderline personality disorder and substance use disorders: an updated review.

Borderline Personal Disord Emot Dysregul 2018 19;5:15. Epub 2018 Sep 19.

Department of Psychological Sciences, University of Missouri-Columbia, 210 McAlester Hall, Columbia, MO 65211 USA.

For decades, clinicians and researchers have recognized that borderline personality disorder (BPD) and substance use disorders (SUDs) are often diagnosed within the same person (e.g., (Gunderson JG. Read More

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https://bpded.biomedcentral.com/articles/10.1186/s40479-018-
Publisher Site
http://dx.doi.org/10.1186/s40479-018-0093-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145127PMC
September 2018
24 Reads

Rapid emotional response and disadvantageous Iowa gambling task performance in women with borderline personality disorder.

Authors:
Jeannette LeGris

Borderline Personal Disord Emot Dysregul 2018 16;5:16. Epub 2018 Sep 16.

1Faculty of Health Sciences, School of Nursing, McMaster University, Ontario, Hamilton Canada.

Background: Adults with Borderline Personality Disorder (BPD) manifest poor performance on tasks of decision making which may be congruent with their decisional and interpersonal conflicts in real life. Poor decision making is often assumed to be due to impulsive behaviour or weak inhibitory control despite inconsistent evidences of these relationships, leaving questions about the specific nature of these decisional deficits. Decision making in BPD may be compromised by different domains of impulsivity, affective dysregulatory processes or unknown co-morbid ADHD which is considered a developmental precursor to BPD. Read More

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http://dx.doi.org/10.1186/s40479-018-0092-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139153PMC
September 2018
3 Reads

An evaluation of the construct of emotional sensitivity from the perspective of emotionally sensitive people.

Borderline Personal Disord Emot Dysregul 2018 23;5:14. Epub 2018 Aug 23.

1Department of Psychology, University of Houston, 4800 Calhoun Rd, Houston, TX 77004 USA.

Background: Emotional sensitivity is a construct found in major developmental models of borderline personality disorder. However, the construct remains nebulous. The patient perspective is crucially important in helping to define and conceptualize any psychological construct - especially one that plays such a large role in the developmental theories of a given disorder. Read More

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http://dx.doi.org/10.1186/s40479-018-0091-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108093PMC
August 2018
1 Read

A psychoeducational group intervention for family and friends of youth with borderline personality disorder features: protocol for a randomised controlled trial.

Borderline Personal Disord Emot Dysregul 2018 25;5:13. Epub 2018 Jul 25.

Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Rd, (Locked Bag 10), Parkville VIC, Melbourne, 3052 Australia.

Background: Caring for a person with borderline personality disorder is associated with poor outcomes including elevated psychological distress and burden. This study will compare the effectiveness of two brief psychoeducational programs for carers of youth presenting for early intervention for borderline personality disorder features. The protocol for this study is presented here. Read More

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http://dx.doi.org/10.1186/s40479-018-0090-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060555PMC
July 2018
5 Reads

Effectiveness of step-down versus outpatient dialectical behaviour therapy for patients with severe levels of borderline personality disorder: a pragmatic randomized controlled trial.

Borderline Personal Disord Emot Dysregul 2018 10;5:12. Epub 2018 Jul 10.

3Z.org KU Leuven, University of Leuven, Leuvensesteenweg 517, 3070 Kortenberg, Belgium.

Background: Step-down dialectical behaviour therapy (DBT) is a treatment consisting of 3 months of residential DBT plus 6 months of outpatient DBT. The program was specifically developed for people suffering from severe borderline personality disorder (BPD). The present study examines the effectiveness and cost-effectiveness of step-down DBT compared to 12 months of regular, outpatient DBT. Read More

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http://dx.doi.org/10.1186/s40479-018-0089-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040072PMC
July 2018
2 Reads

Negative urgency partially accounts for the relationship between major depressive disorder and marijuana problems.

Borderline Personal Disord Emot Dysregul 2018 16;5:10. Epub 2018 May 16.

1Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI 02903 USA.

Background: To goal of this study was to better understand mechanisms underlying associations between Major Depressive Disorder (MDD) and marijuana use and problems. Specifically, it was hypothesized that negative urgency (NU), the tendency to act rashly while experiencing negative mood states, would uniquely (compared to other impulsivity traits: positive urgency, sensation seeking, premeditation, and perseverance) account for the relationship between MDD and marijuana use and problems.

Methods: Data were collected from a sample ( = 357) of veterans ( age = 33. Read More

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http://dx.doi.org/10.1186/s40479-018-0087-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956924PMC

Emotion dysregulation in attention-deficit/hyperactivity disorder and borderline personality disorder.

Borderline Personal Disord Emot Dysregul 2018 20;5. Epub 2018 May 20.

1King's College London, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, London, SE5 8AF UK.

There is ongoing debate on the overlap between Attention-Deficit/Hyperactivity Disorder (ADHD) and Borderline Personality Disorder (BPD), particularly regarding emotion dysregulation (ED). In this paper, we present a narrative review of the available evidence on the association of these two disorders from several standpoints. First, we discuss the unique and shared diagnostic criteria for ADHD and BPD, focusing particularly on ED. Read More

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http://dx.doi.org/10.1186/s40479-018-0086-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960499PMC
May 2018
1 Read

An exploration of values among consumers seeking treatment for borderline personality disorder.

Borderline Personal Disord Emot Dysregul 2018 15;5. Epub 2018 Apr 15.

Illawarra Shoalhaven Local Health District, Wollongong, NSW Australia.

Background: Consumer feedback identifies a new challenge in the treatment of borderline personality disorder (BPD) is to address the discrepancy between clinical treatment targets and the more personally meaningful goals people are seeking in treatment. This highlights the need to increase clarification of people's values and link these to therapy goals. The current study explores ways in which individuals with BPD identify with values across key life domains. Read More

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http://dx.doi.org/10.1186/s40479-018-0085-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899834PMC
April 2018
2 Reads

Building a strong European alliance for personality disorder research and intervention.

Borderline Personal Disord Emot Dysregul 2018 2;5. Epub 2018 Apr 2.

12Institute of Psychiatric and Psychosomatic Psychotherapy; Central Institute of Mental Health, Mannheim, Heidelberg University, Mannheim, Germany.

People with personality disorders frequently face stigma, ignorance and pessimism regarding the treatability of their disorders. This is despite substantial progress that has been made in developing a number of effective evidence based psychotherapeutic treatments. However, expertise in how to systematically deliver these treatments in a sustainable way throughout Europe is largely lacking. Read More

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http://dx.doi.org/10.1186/s40479-018-0082-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879813PMC
April 2018
2 Reads

Recommendations for applying a multi-dimensional model of impulsive personality to diagnosis and treatment.

Borderline Personal Disord Emot Dysregul 2018 2;5. Epub 2018 Apr 2.

Department of Psychology, Indiana University - Purdue University Indianapolis, 402 N Blackford St, LD 124, Indianapolis, IN 46202 USA.

The UPPS-P Model of Impulsive Personality, a prominent model of impulsive personality derived from the Five Factor Model of Personality, is a multi-dimensional model of impulsive personality that consists of negative urgency, lack of premeditation, lack of perseveration, sensation seeking, and positive urgency. The UPPS-P model has highlighted the importance of separating multidimensional traits due to the specificity of these traits corresponding to different risk behaviors. The goal of the current review paper is to make recommendations on how to apply the UPPS-P Model of Impulsive Personality, to diagnosis of and treatment for psychopathology. Read More

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http://dx.doi.org/10.1186/s40479-018-0084-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879935PMC
April 2018
3 Reads

The role of maternal care in borderline personality disorder and dependent life stress.

Borderline Personal Disord Emot Dysregul 2018 20;5. Epub 2018 Mar 20.

2Department of Psychology, University of Houston, Houston, TX USA.

Background: Borderline Personality Disorder (BPD) affects 0.9%-3.2% of adolescents, and more than 20% of inpatient adolescents. Read More

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http://dx.doi.org/10.1186/s40479-018-0083-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5861727PMC

Impulsive dispositions and alcohol: what we know, how we know it, and where to go from here.

Borderline Personal Disord Emot Dysregul 2018 9;5. Epub 2018 Mar 9.

Department of Psychological Sciences Texas Tech University, MS 2051 Psychological Sciences Building, Rm. 404, Lubbock, Texas 79409-2051 USA.

Background: Relations between impulsigenic traits and alcohol-related outcomes have been the focus of much research, yet precise relations remain elusive. Historically, research used broadband conceptualizations of impulsivity, which yielded inconclusive findings. Attempts to ameliorate this problem led to more work on narrowband assessments of impulsivity. Read More

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http://dx.doi.org/10.1186/s40479-018-0081-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5845171PMC
March 2018
1 Read

Exploring dialectical behaviour therapy clinicians' experiences of team consultation meetings.

Borderline Personal Disord Emot Dysregul 2018 27;5. Epub 2018 Feb 27.

3Cork Mental Health Services, Health Service Executive, Block 2, St Finbarr's Hospital, Cork, Ireland.

Background: This article presents a detailed idiographic analysis of Dialectical Behaviour Therapy (DBT) clinicians' experiences of team consultation meetings. DBT is an evidence-based psychological intervention with a demonstrated efficacy in the treatment of borderline personality disorder (BPD). Team consultation meetings encompass one of the primary components involved in this treatment model; where DBT clinicians regularly meet to discuss client work and enhance further learning. Read More

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http://dx.doi.org/10.1186/s40479-018-0080-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838873PMC
February 2018

Impact of prenatal stress on mother-infant dyadic behavior during the still-face paradigm.

Borderline Personal Disord Emot Dysregul 2018 22;5. Epub 2018 Jan 22.

5Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.

Background: Mother-infant interaction provides important training for the infant's ability to cope with stress and the development of resilience. Prenatal stress (PS) and its impact on the offspring's development have long been a focus of stress research, with studies highlighting both harmful and beneficial effects. The aim of the current study was to examine the possible influence of both psychological stress and hypothalamic-pituitary-adrenal (HPA) axis activity during pregnancy with mother-child dyadic behavior following stress exposure. Read More

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http://dx.doi.org/10.1186/s40479-018-0078-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5778796PMC
January 2018
5 Reads

The rewarding nature of provocation-focused rumination in women with borderline personality disorder: a preliminary fMRI investigation.

Borderline Personal Disord Emot Dysregul 2018 16;5. Epub 2018 Jan 16.

4Department of Psychology, University of Kentucky, Lexington, KY USA.

Background: Understanding why individuals with borderline personality disorder (BPD) ruminate on prior provocations, despite its negative outcomes, is crucial to improving interventions. Provocation-focused rumination may be rewarding in the short term by amplifying anger and producing feelings of justification, validation, and increased energy, while reducing self-directed negative affect. If provocation-focused rumination is utilized regularly as a rewarding emotion regulation strategy, it could result in increased activation in reward-related neural regions. Read More

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http://dx.doi.org/10.1186/s40479-018-0079-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771000PMC
January 2018
10 Reads

Specificity of emotion sequences in borderline personality disorder compared to posttraumatic stress disorder, bulimia nervosa, and healthy controls: an e-diary study.

Borderline Personal Disord Emot Dysregul 2017 21;4:26. Epub 2017 Dec 21.

Karlsruhe Institute of Technology, Mental mHealth Lab, Karlsruhe, Germany.

Background: Patients with borderline personality disorder (BPD) exhibit dysregulated emotion sequences in daily life compared to healthy controls (HC). Empirical evidence regarding the specificity of these findings is currently lacking.

Methods: To replicate dysregulated emotion sequences in patients with BPD and to investigate the specificity of the sequences, we used e-diaries of 43 female patients with BPD, 28 patients with posttraumatic stress disorder (PTSD), 20 patients with bulimia nervosa (BN), and 28 HC. Read More

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http://dx.doi.org/10.1186/s40479-017-0077-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738798PMC
December 2017
11 Reads

A prospective, longitudinal, study of men with borderline personality disorder with and without comorbid antisocial personality disorder.

Borderline Personal Disord Emot Dysregul 2017 7;4:25. Epub 2017 Dec 7.

Research Unit on Children's Psychosocial Maladjustment, Université de Montréal, Montréal, Québec H1N 3M5 Canada.

Background: Some evidence suggests that the prevalence of Borderline Personality Disorder (BPD) is elevated among male criminal offenders. It is not presently known whether offending, and violent offending, are limited to those presenting comorbid Antisocial Personality Disorder (ASPD) who have a childhood history of conduct problems and whether offending is linked to psychopathic traits.

Methods: A community sample of 311 males followed from age 6 to 33 years, one third of whom had a criminal charge between ages 18 and 24, completed diagnostic interviews and the Psychopathy Checklist-Revised interview. Read More

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http://dx.doi.org/10.1186/s40479-017-0076-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719590PMC
December 2017
11 Reads

Association among self-compassion, childhood invalidation, and borderline personality disorder symptomatology in a Singaporean sample.

Borderline Personal Disord Emot Dysregul 2017 28;4:24. Epub 2017 Nov 28.

Psychological Studies Academic Group, National Institute of Education, Nanyang Technological University, Singapore, Singapore.

Background: Linehan's biosocial theory posits that parental invalidation during childhood plays a role in the development of borderline personality disorder symptoms later in life. However, little research has examined components of the biosocial model in an Asian context, and variables that may influence the relationship between childhood invalidation and borderline symptoms. Self-compassion is increasingly regarded as an adaptive way to regulate one's emotions and to relate to oneself, and may serve to moderate the association between invalidation and borderline symptoms. Read More

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http://dx.doi.org/10.1186/s40479-017-0075-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704523PMC
November 2017
2 Reads

The mediating role of mentalizing capacity between parents and peer attachment and adolescent borderline personality disorder.

Borderline Personal Disord Emot Dysregul 2017 24;4:23. Epub 2017 Nov 24.

Psychiatric Research Unit, Region Zealand, Fælledvej 6, 4200 Slagelse, Denmark.

Background: Insecure attachment is a precursor and correlate of borderline personality disorder. According to the mentalization-based theory of borderline personality disorder, the presence of insecure attachment derails the development of the capacity to mentalize, potentially resulting in borderline pathology. While one prior study found support for this notion in adolescents, it neglected a focus on peer attachment. Read More

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https://bpded.biomedcentral.com/articles/10.1186/s40479-017-
Publisher Site
http://dx.doi.org/10.1186/s40479-017-0074-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5701352PMC
November 2017
8 Reads

The impact of borderline personality disorder and sub-threshold borderline personality disorder on the course of self-reported and clinician-rated depression in self-harming adolescents.

Borderline Personal Disord Emot Dysregul 2017 31;4:22. Epub 2017 Oct 31.

National Centre for Suicide Research and Prevention, Institute of Clinical Medicine, University of Oslo, Sognsvannsveien 21, Bygg 12, 0372 Oslo, Norway.

Background: Studies on adults suggest that the presence of comorbid depression and Borderline Personality Disorder (BPD) is associated with an elevated risk of self-harming behaviours and that self-harming behaviours, when present, will have higher severity. This comorbidity, furthermore, complicates clinical assessments, which may be an obstacle to early identification and proper intervention. Adolescents who self-harm frequently report high levels of depressive symptoms, but this is often not reflected in the clinicians' assessment. Read More

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http://dx.doi.org/10.1186/s40479-017-0073-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663078PMC
October 2017
4 Reads

A pilot open series of lamotrigine in DBT-treated eating disorders characterized by significant affective dysregulation and poor impulse control.

Borderline Personal Disord Emot Dysregul 2017 8;4:21. Epub 2017 Oct 8.

Department of Psychiatry, University of California, San Diego, La Jolla, California, USA.

Background: There is little effective psychopharmacological treatment for individuals with eating disorders who struggle with pervasive, severe affective and behavioral dysregulation.

Methods: This pilot open series evaluated lamotrigine, a mood stabilizer, in the treatment of patients with eating disorders who did not respond adequately to antidepressant medications. Nine women with anorexia nervosa- or bulimia nervosa-spectrum eating disorders in partial hospital or intensive outpatient dialectical behavior therapy (DBT)-based eating disorder treatment took lamotrigine for 147 ± 79 days (mean final dose = 161. Read More

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http://dx.doi.org/10.1186/s40479-017-0072-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632524PMC
October 2017
14 Reads

Standard 12 month dialectical behaviour therapy for adults with borderline personality disorder in a public community mental health setting.

Borderline Personal Disord Emot Dysregul 2017 23;4:19. Epub 2017 Sep 23.

National Suicide Research Foundation, Western Gateway Building, University College Cork, Cork, Ireland.

Background: Dialectical behaviour therapy (DBT) is noted to be an intervention with a growing body of evidence that demonstrates its efficacy in treating individuals diagnosed with borderline personality disorder (BPD). Evidence for the effectiveness of DBT in publicly funded community mental health settings is lacking however. No study to our knowledge has been published on the effectiveness of a 12 month standard DBT programme without adaptations for individuals with BPD in a publicly funded community mental health setting and no study has included data across multiple time-points. Read More

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http://dx.doi.org/10.1186/s40479-017-0070-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5610433PMC
September 2017
65 Reads

Frontal EEG asymmetry in borderline personality disorder is associated with alexithymia.

Borderline Personal Disord Emot Dysregul 2017 29;4:20. Epub 2017 Sep 29.

LWL University Hospital Bochum, Department of Psychiatry, Psychotherapy and Preventive Medicine, Division of Cognitive Neuropsychiatry and Psychiatric Preventive Medicine, Ruhr-University, Alexandrinenstr 1, 44791 Bochum, Germany.

Background: Frontal EEG asymmetry is a widely studied correlate of emotion processing and psychopathology. Recent research suggests that frontal EEG asymmetry during resting state is related to approach/withdrawal motivation and is also found in affective disorders such as major depressive disorder. Patients with borderline personality disorder (BPD) show aberrant behavior in relation to both approach and withdrawal motivation, which may arguably be associated with their difficulties in emotion processing. Read More

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http://dx.doi.org/10.1186/s40479-017-0071-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622581PMC
September 2017
10 Reads

Family Connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: non-randomised controlled study.

Borderline Personal Disord Emot Dysregul 2017 30;4:18. Epub 2017 Aug 30.

School of Applied Psychology, Cork Enterprise Centre, University College Cork, Cork, Ireland.

Background: Borderline personality disorder (BPD) is challenging for family members who are often required to fulfil multiple roles such as those of advocate, caregiver, coach and guardian. To date, two uncontrolled studies by the treatment developers suggest that Family Connections (FC) is an effective programme to support, educate and teach skills to family members of individuals with BPD. However, such studies have been limited by lack of comparison to other treatment approaches. Read More

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http://dx.doi.org/10.1186/s40479-017-0069-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5575921PMC
August 2017
51 Reads

Variations of emotion dysregulation in borderline personality disorder: a latent profile analysis approach with adult psychiatric inpatients.

Borderline Personal Disord Emot Dysregul 2017 24;4:17. Epub 2017 Aug 24.

The Menninger Clinic and Baylor College of Medicine, Houston, TX USA.

Background: The purpose of the present study was to identify variations in emotional dysregulation patterns among adults diagnosed with borderline personality disorder (BPD), with an eye toward implications for treatment.

Methods: Latent profile analysis (LPA) was utilized to classify 156 inpatients with BPD, based on patterns of Difficulties in Emotion Regulation Scale (DERS; Gratz and Roemer, J Psychopathol Behav Assess 26: 41-54, 2004) subscale scores.

Results: Results revealed that a three class solution best fit the sample (Low Impairment, Global Dysregulation, and Emotionally Aware). Read More

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http://dx.doi.org/10.1186/s40479-017-0068-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5569486PMC

Trauma-related emotions and radical acceptance in dialectical behavior therapy for posttraumatic stress disorder after childhood sexual abuse.

Borderline Personal Disord Emot Dysregul 2017 13;4:15. Epub 2017 Jul 13.

Institute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health Mannheim, J5, 68159 Mannheim, Germany.

Background: Posttraumatic Stress Disorder (PTSD) related to childhood sexual abuse (CSA) is often associated with a wide range of trauma-related aversive emotions such as fear, disgust, sadness, shame, guilt, and anger. Intense experience of aversive emotions in particular has been linked to higher psychopathology in trauma survivors. Most established psychosocial treatments aim to reduce avoidance of trauma-related memories and associated emotions. Read More

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http://dx.doi.org/10.1186/s40479-017-0065-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5508787PMC
July 2017
9 Reads

Combining emotion regulation and mindfulness skills for preventing depression relapse: a randomized-controlled study.

Borderline Personal Disord Emot Dysregul 2017 5;4:13. Epub 2017 Jul 5.

Servei de Psiquiatria, Hospital de la Santa Creu i Sant Pau (Barcelona), Av. Sant Antoni Mª Claret 167, 08025 Barcelona, Spain.

Background: Dialectical behavioral therapy (DBT) skills have become increasingly used to treat several psychiatric conditions, including major depressive disorder (MDD). The aim of the study was to investigate the efficacy of an intervention that combines emotion regulation and mindfulness skills of DBT to prevent depression relapse/recurrence.

Methods: A total of 75 individuals (79% females; mean age, 52 years) with a diagnosis of MDD in complete or partial remission were recruited. Read More

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http://dx.doi.org/10.1186/s40479-017-0064-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497384PMC
July 2017
38 Reads

Subtypes of borderline personality disorder patients: a cluster-analytic approach.

Borderline Personal Disord Emot Dysregul 2017 3;4:16. Epub 2017 Jul 3.

Faculty of Psychology and Educational Sciences, University of Leuven, Leuven, Belgium.

Background: The borderline personality disorder (BPD) population is notably heterogeneous, and this has potentially important implications for intervention. Identifying distinct subtypes of patients may represent a first step in identifying which treatments work best for which individuals.

Methods: A cluster-analysis on dimensional personality disorder (PD) features, as assessed with the SCID-II, was performed on a sample of carefully screened BPD patients ( = 187) referred for mentalization-based treatment. Read More

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http://dx.doi.org/10.1186/s40479-017-0066-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494904PMC
July 2017
17 Reads

Impact of therapist change after initial contact and traumatic burden on dropout in a naturalistic sample of inpatients with borderline pathology receiving dialectical behavior therapy.

Borderline Personal Disord Emot Dysregul 2017 22;4:14. Epub 2017 Jun 22.

Research Department, Clinic of Psychiatry and Psychotherapy, Ev. Kliníkum Bethel, Bielefeld, Germany.

Background: This study focused on the predictors of therapy dropout in a naturalistic sample of patients with borderline pathology receiving dialectical behavior therapy (DBT) in an inpatient setting. We assumed that the change of the therapist between DBT-briefing and start of DBT-treatment as well as comorbid posttraumatic stress disorder (PTSD) and childhood trauma history were associated with elevated dropout.

Methods: Eighty-nine participants with borderline pathology (≥ 3 borderline personality disorder criteria) receiving an inpatient DBT program completed a quality assurance questionnaire set assessing demographic information and pretreatment psychopathology during the days of their inpatient stay. Read More

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http://bpded.biomedcentral.com/articles/10.1186/s40479-017-0
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http://dx.doi.org/10.1186/s40479-017-0067-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5480417PMC
June 2017
8 Reads

Aetiological pathways to Borderline Personality Disorder symptoms in early adolescence: childhood dysregulated behaviour, maladaptive parenting and bully victimisation.

Borderline Personal Disord Emot Dysregul 2017 3;4:10. Epub 2017 Jun 3.

Department of Psychology, University of Warwick, Coventry, UK.

Background: Developmental theories for the aetiology of Borderline Personality Disorder (BPD) suggest that both individual features (e.g., childhood dysregulated behaviour) and negative environmental experiences (e. Read More

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http://dx.doi.org/10.1186/s40479-017-0060-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457614PMC
June 2017
47 Reads

Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorder.

Borderline Personal Disord Emot Dysregul 2017 21;4. Epub 2017 May 21.

New York State Psychiatric Institute/Columbia University, 1051 Riverside Drive, Unit 42, New York, NY 10032 USA.

Background: Affect instability is a core symptom of borderline personality disorder (BPD). Ecological momentary assessment allows for an understanding of real-time changes in affect in response to various daily stressors. The purpose of this study was to explore changes in affect in response to specific stressors and coping strategies in subjects with BPD utilizing ecological momentary assessment (EMA) methodology. Read More

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http://dx.doi.org/10.1186/s40479-017-0059-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438851PMC

Health related quality of life and psychopathological distress in risk taking and self-harming adolescents with full-syndrome, subthreshold and without borderline personality disorder: rethinking the clinical cut-off?

Borderline Personal Disord Emot Dysregul 2017 7;4. Epub 2017 May 7.

Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, Heidelberg, 69115 Germany.

Background: Diagnostic standards do not acknowledge developmental specifics and differences in the clinical presentation of adolescents with borderline personality disorder (BPD). BPD is associated with severe impairments in health related quality of life (HRQoL) and increased psychopathological distress. Previously no study addressed differences in HRQoL and psychopathology in adolescents with subthreshold and full-syndrome BPD as well as adolescents at-risk for the development but no current BPD. Read More

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http://dx.doi.org/10.1186/s40479-017-0058-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5420401PMC
May 2017
18 Reads

What we have changed our minds about: Part 1. Borderline personality disorder as a limitation of resilience.

Borderline Personal Disord Emot Dysregul 2017 11;4:11. Epub 2017 Apr 11.

Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.

This paper sets out a recent transition in our thinking in relation to psychopathology associated with personality disorder, in an approach that integrates our thinking about attachment, mentalizing (understanding ourselves and others in terms of intentional mental states) and epistemic trust (openness to the reception of social communication that is personally relevant and of generalizable significance) with recent findings on the structure of both adult and child psychopathology and resilience. In this paper - the first of two parts - we review evidence suggesting that a general psychopathology or p factor underlies vulnerability for psychopathology. We link this p factor to a lack of resilience using Kalisch and colleagues' positive appraisal style theory of resilience (PASTOR). Read More

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http://dx.doi.org/10.1186/s40479-017-0061-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5389119PMC
April 2017
13 Reads

What we have changed our minds about: Part 2. Borderline personality disorder, epistemic trust and the developmental significance of social communication.

Borderline Personal Disord Emot Dysregul 2017 11;4. Epub 2017 Apr 11.

Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.

In Part 1 of this paper, we discussed emerging evidence suggesting that a general psychopathology or 'p' factor underlying the various forms of psychopathology should be conceptualized in terms of the absence of resilience, that is, the absence of positive reappraisal mechanisms when faced with adversity. These impairments in the capacity for positive reappraisal seem to provide a comprehensive explanation for the association between the p factor and comorbidity, future caseness, and the 'hard-to-reach' character of many patients with severe personality pathology, most notably borderline personality disorder (BPD). In this, the second part of the paper, we trace the development of the absence of resilience to disruptions in the emergence of human social communication, based on recent evolutionary and developmental psychopathology accounts. Read More

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http://dx.doi.org/10.1186/s40479-017-0062-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5387344PMC
April 2017
17 Reads

Evaluation of a psychoeducational group intervention for family and friends of youth with borderline personality disorder.

Borderline Personal Disord Emot Dysregul 2017 24;4. Epub 2017 Mar 24.

Orygen, the National Centre of Excellence in Youth Mental Health, Melbourne, Australia.

Background: Despite high levels of burden and distress among families with a member who has borderline personality disorder (BPD), only two BPD specific family psychoeducation groups have been empirically evaluated. Neither of these is designed specifically for the family and friends of young people who are presenting early in the course of BPD. This study aimed to evaluate (MS-BPD), a three-session, developmentally tailored, manualised psychoeducational group for the family and friends of youth with BPD features. Read More

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http://dx.doi.org/10.1186/s40479-017-0056-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364611PMC
March 2017
7 Reads

Anger and aggression in borderline personality disorder and attention deficit hyperactivity disorder - does stress matter?

Borderline Personal Disord Emot Dysregul 2017 17;4. Epub 2017 Mar 17.

Department of Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany.

Background: The impact of stress on anger and aggression in Borderline Personality Disorder (BPD) and Attention Deficit Hyperactivity Disorder (ADHD) has not been thoroughly investigated. The goal of this study was to investigate different aspects of anger and aggression in patients with these disorders.

Methods: Twenty-nine unmedicated female BPD patients, 28 ADHD patients and 30 healthy controls (HC) completed self-reports measuring trait anger, aggression and emotion regulation capacities. Read More

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http://bpded.biomedcentral.com/articles/10.1186/s40479-017-0
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http://dx.doi.org/10.1186/s40479-017-0057-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356413PMC
March 2017
20 Reads

Self-reported patterns of impairments in mentalization, attachment, and psychopathology among clinically referred adolescents with and without borderline personality pathology.

Borderline Personal Disord Emot Dysregul 2017 14;4. Epub 2017 Feb 14.

Centre of Excellence on Personality Disorder, Region Zealand Psychiatry, Slagelse, Denmark.

Background: Previous research, which primarily focused on adult samples, suggests that individuals with borderline personality disorder (BPD) display high levels of psychopathology, dysfunctional mentalization and problematic attachment to others. The current study investigated whether impairments in mentalization, attachment, and psychopathology are more severe in outpatient adolescents with BPD than in a clinical comparison group.

Methods: Consecutive referrals to a child and adolescent psychiatric clinic were clinically assessed with a battery of self-report instruments to assess mentalization, attachment, and psychopathology. Read More

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http://dx.doi.org/10.1186/s40479-017-0055-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310093PMC
February 2017
3 Reads

Intersect between self-esteem and emotion regulation in narcissistic personality disorder - implications for alliance building and treatment.

Authors:
Elsa Ronningstam

Borderline Personal Disord Emot Dysregul 2017 7;4. Epub 2017 Feb 7.

Harvard Medical School, Belmont, USA.

Building an alliance with patients with pathological narcissism or narcissistic personality disorder, NPD, can be challenging and include avoidance, negative reactivity and disruptions. A main contributing factor can be the complex interaction between emotion and self-esteem regulation, which affects patients' ability to engage in a therapeutic alliance and treatment. Recent studies, especially in neuroscience have identified functional characteristic and compromises in self-esteem and emotion regulation related to NPD. Read More

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http://dx.doi.org/10.1186/s40479-017-0054-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5296946PMC
February 2017
3 Reads