Examining emotion regulation in binge-eating disorder
ConclusionsOur results indicate an essential and still insufficiently understood role of emotional dysregulation in BED. An especially important construct in this context seems to be alexithymia, which was strongly related to the majority of emotion regulation difficulties. Therefore, it might be beneficial to pay special attention to this construct when planning therapeutic interventions, as well as to the maladaptive emotion regulation strategies self-blame and catastrophizing, which were significantly related to BED psychopathology. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - October 8, 2021 Category: Psychiatry Source Type: research

Understanding chronic feelings of emptiness in borderline personality disorder: a qualitative study
ConclusionsFeelings of chronic emptiness are an important and challenging symptom of BPD which require clinical intervention. Strengthening identity, sense of purpose and vocational and relationship functioning may reduce the intensity of emptiness. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - August 9, 2021 Category: Psychiatry Source Type: research

Attachment, Mentalization, and Criterion B of the Alternative DSM-5 Model for Personality Disorders (AMPD)
ConclusionsThese results support the mentalization theory ’s application to Criterion B of the AMPD, particularly in relation to the links between Negative Affectivity and borderline-related traits, and encourage future research of dimensional maladaptive personality. They further bolster support for understanding maladaptive personality as a dimensional construct. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - August 2, 2021 Category: Psychiatry Source Type: research

Borderline personality disorder (BPD) and attention deficit hyperactivity disorder (ADHD) revisited – a review-update on common grounds and subtle distinctions
ConclusionResearch on the different impulsivity features might point to a necessity of disorder-specific treatment strategies in the field of impulse control. Future research is needed to base treatment decisions for the comorbid condition on an evidence basis. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - July 6, 2021 Category: Psychiatry Source Type: research

Psychosocial functioning in adolescents with non-suicidal self-injury: the roles of childhood maltreatment, borderline personality disorder and depression
ConclusionsPsychosocial functioning in NSSI patients varies depending on whether they have experienced CM or not. Specifically, these differences seem to be attributable to higher BPD and depression severity in adolescent NSSI patients with CM. Clinicians should ensure to assess CM and focus on BPD and depression severity in this population. Treatment of BPD and depression may notably reduce psychosocial impairment in NSSI patients with CM. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - July 1, 2021 Category: Psychiatry Source Type: research

Third-wave interventions for eating disorders in adolescence – systematic review with meta-analysis
ConclusionAt this stage, it is not feasible to draw conclusions regarding the efficacy of third-wave interventions for the treatment of EDs in adolescence due to the low quality of the empirical evidence. Since almost all of the identified studies used DBT, it is unfortunately not possible to assess other third-wave treatments ’ efficacy. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - June 14, 2021 Category: Psychiatry Source Type: research

Schema modes and their associations with emotion regulation, mindfulness, and self-compassion among patients with personality disorders
AbstractBackgroundThe current study's goal was to examine the multivariate patterns of associations between schema modes and emotion regulation mechanisms in personality disorders. Schema modes are either integrated or dissociative states of mind, including intense emotional states, efforts to regulate emotions, or self-reflective evaluative thought processes. Exploring the multivariate patterns of a shared relationship between schema modes and emotion regulation strategies may lead to a better understanding of their associations and a deeper understanding of the latent personality profiles that organize their associations...
Source: Borderline Personality Disorder and Emotion Dysregulation - June 10, 2021 Category: Psychiatry Source Type: research

Narrative coherence of autobiographical memories in women with borderline personality disorder and associations with childhood adversity
ConclusionWomen with BPD had incoherent autobiographical narratives, and reduced narrative coherence was associated with more self-reported childhood adversity, which appeared to explain the group differences. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - June 7, 2021 Category: Psychiatry Source Type: research

Body connection mediates the relationship between traumatic childhood experiences and impaired emotion regulation in borderline personality disorder
ConclusionCertain dimensions of body connection seem to be disturbed in BPD patients, with body dissociation being an important feature linking a history of traumatic childhood experiences to current deficits in emotion regulation. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 17, 2021 Category: Psychiatry Source Type: research

Complex PTSD and borderline personality disorder
ConclusionThe evidence suggests that PTSD, cPTSD, and BPD are potentially comorbid but distinct syndromes. A hypothesis is advanced to stimulate scientific research and clinical innovation defining and differentiating the disorders, positing that they may represent a continuum paralleling the classic conceptualization of the stress response, with dissociation potentially involved in each disorder. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 6, 2021 Category: Psychiatry Source Type: research

Neural correlates of treatment effect and prediction of treatment outcome in patients with PTSD and comorbid personality disorder: study design
This study is one of the first to use neuroimaging measures to predict and better understand treatment response in patients with PTSD and comorbid personality disorders. A heterogeneous, naturalistic sample will be included, ensuring generalizability to a broad group of treatment seeking PTSD patients.Trial registrationClinical Trials,NCT03833453&NCT03833531. Retrospectively registered, February 2019. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 5, 2021 Category: Psychiatry Source Type: research

Impaired mentalizing in depression and the effects of borderline personality disorder on this relationship
ConclusionMentalizing impairments occur in depression even after adjusting for the effect of BPD symptoms. Our findings help further characterise mentalizing impairments in depression, as well as the moderating effect of BPD symptoms on this association.. Further longitudinal work is required to investigate the direction of association. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 4, 2021 Category: Psychiatry Source Type: research

Maladaptive behaviours in adolescence and their associations with personality traits, emotion dysregulation and other clinical features in a sample of Italian students: a cross-sectional study
ConclusionsIndividuals engaging in NSSI-BE behaviours represent a vulnerable adolescent population. ED, depression and anxiety were mediators of the relationship between a variety of personality traits related to BPD and NSSI and binge eating behaviours. Findings have important clinical implications in terms of prevention and interventions among adolescents engaging in self-damaging behaviours. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 4, 2021 Category: Psychiatry Source Type: research

A systematic review of the factors associated with the course of borderline personality disorder symptoms in adolescence
ConclusionsFactors associated with the course of BPD symptoms include childhood temperament, comorbid psychopathology, and current interpersonal experiences. The current review adds up to the knowledge base about factors that are associated with the persistence or worsening of BPD symptoms in adolescence, describing the factors congruent to different developmental periods. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - April 19, 2021 Category: Psychiatry Source Type: research

Linking experiences of child sexual abuse to adult sexual intimate partner violence: the role of borderline personality features, maladaptive cognitive emotion regulation, and dissociation
ConclusionsFindings add to the existing literature, suggesting that CSA severity, BPD features, dissociation, and maladaptive emotion regulation are important risk factors for sexual IPV. Given the cross-sectional correlational design of our study, prospective studies are needed to corroborate our findings regarding potential psychological mechanisms underlying sexual re-victimization. Ultimately, this can help developing interventions aimed at breaking the cycle of abuse. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - April 1, 2021 Category: Psychiatry Source Type: research

Stimulating research on childhood adversities, borderline personality disorder, and complex post-traumatic stress disorder
AbstractTraumatic events of a long-lasting invasive, primarily interpersonal nature (e.g., childhood abuse, intimate partner violence) can have wide-ranging consequences across various life domains. This involves an increased risk of developing mental disorders, such as (complex) post-traumatic stress (PTSD, CPTSD) and borderline personality disorder (BPD). Both within and outside of these diagnostic boundaries, complex trauma has been associated with emotional dysregulation, dissociation, distrust, interpersonal problems, and maladaptive coping behaviours, such as self-harm and suicidal behaviour. Knowledge on the devasta...
Source: Borderline Personality Disorder and Emotion Dysregulation - March 30, 2021 Category: Psychiatry Source Type: research

Impact of comorbid borderline personality disorder on the outcome of inpatient treatment for anorexia nervosa: a retrospective chart review
ConclusionsPatients with AN+BPD differ from patients with AN in that they show higher general and specific eating disorder psychopathology and only partially improve under specialized inpatient treatment. In particular, aspects of emotion regulation and core AN symptoms like body dissatisfaction and perfectionism need to be even more targeted in comorbid patients. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 11, 2021 Category: Psychiatry Source Type: research

Development of the new CPTSD diagnosis for ICD-11
ConclusionThe scholarly use of the new diagnosis has resulted in an increasing number of published studies on this topic in the diagnostic and therapeutic fields. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 1, 2021 Category: Psychiatry Source Type: research

Heterogeneity of borderline personality disorder symptoms in help-seeking adolescents
ConclusionsThe study provides evidence for two distinct subgroups of adolescents with BPD features that resemble the subtypes of the ICD-10 emotionally unstable personality disorder. More research is needed to further investigate the diagnostic stability of the two groups over time and potential differential treatment indications. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 26, 2021 Category: Psychiatry Source Type: research

Comparable emotional dynamics in women with ADHD and borderline personality disorder
ConclusionsThis study supports the view that ED is a valuable trans-diagnostic aspect of psychopathology in both ADHD and BPD, with similar levels of intensity and instability. These findings suggest that the presence or severity of ED should not be used in clinical practice to distinguish between the two disorders. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 12, 2021 Category: Psychiatry Source Type: research

Latent profiles of patients with borderline pathology based on the alternative DSM-5 model for personality disorders
ConclusionsProfiles reflected both the “severity” and “style” components imbedded within Criterion A and B of the AMPD, as they were mainly distinguished by a continuum of severity but also by some meaningful qualitative differences that may have important clinical implications for treatment planning and contracting. Results also suggest that the four Criterion A elements have independent value to identify important differences in patients with borderline pathology. They also highlight that some Criterion B facets that define BPD in the AMPD may be especially important to identify subgroups of patie...
Source: Borderline Personality Disorder and Emotion Dysregulation - February 11, 2021 Category: Psychiatry Source Type: research

Childhood maltreatment is associated with distrust and negatively biased emotion processing
ConclusionsIncreased distrust and perceived interpersonal threat following trauma, as proposed in cognitive models of PTSD, likely also apply to individuals with CM, following a dose-response relationship. We discuss clinical implications of considering any level of CM as a potentially relevant treatment-factor, even when a trauma-related disorder is not the main diagnosis, and propose future research avenues. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 3, 2021 Category: Psychiatry Source Type: research

Psychosocial stress increases testosterone in patients with borderline personality disorder, post-traumatic stress disorder and healthy participants
ConclusionsFrom the results of this study, we conclude that stress-related changes in testosterone release are not affected by BPD or PTSD status in a female patient population. This study expands the knowledge about changes in gonadal hormones and stress reactivity in these disorders. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 1, 2021 Category: Psychiatry Source Type: research

“How many times did I not want to live a life because of him”: the complex connections between child sexual abuse, disclosure, and self-injurious thoughts and behaviors
ConclusionsThis study showed complex connections between CSA experiences, disclosure and nonsuicidal and suicidal SITB. Understanding the reciprocal influences between SITB, CSA disclosure and help-seeking could better equip mental health professionals and caregivers to provide support and foster healing and recovery in CSA victims. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - January 4, 2021 Category: Psychiatry Source Type: research

An eye-tracking study of interpersonal threat sensitivity and adverse childhood experiences in borderline personality disorder
ConclusionsBuilding on and extending earlier findings, our results are likely to suggest a visual hypervigilance towards the eyes of emotional and neutral facial expressions and a childhood trauma-related anger bias in patients with BPD. Given the lack of a clinical control group, the question whether these findings are specific for BPD has to remain open. Thus, further research is needed to elucidate the specificity of altered visual attention allocation and the role of ACE in anger recognition in patients with BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - January 4, 2021 Category: Psychiatry Source Type: research

Self-esteem instability and affective instability in everyday life after remission from borderline personality disorder
ConclusionsThis study builds on growing evidence for the importance of self-esteem instability in BPD. Whereas affective instability has been reported in various psychiatric disorders and might indeed constitute a transdiagnostic marker of affective dysregulation, our results indicate that self-esteem instability might be a specific symptom that construes the unique pathology in BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 24, 2020 Category: Psychiatry Source Type: research

Altered interoception in patients with borderline personality disorder: a study using heartbeat-evoked potentials
ConclusionsThese findings support the idea that difficulties in emotional awareness in BPD are reflected in altered frontal electrophysiological markers of interception. Therefore, emotional awareness can be understood as failures of modulation between interoceptive and exteroceptive attention. Future research may aim to investigate whether altered interoception and its electrophysiological correlates are malleable by therapeutic intervention. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - October 22, 2020 Category: Psychiatry Source Type: research

Therapeutic interventions in Australian primary care, youth mental health settings for young people with borderline personality disorder or borderline traits
ConclusionsThe study highlights the need for evidence-based treatment guidelines for early intervention in young people with borderline personality disorder traits. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - September 30, 2020 Category: Psychiatry Source Type: research

Impaired memory for cooperative interaction partners in borderline personality disorder
ConclusionsThe observed tendency to forget cooperative interaction partners in BPD is possibly caused by dysfunctional cognitive schemas. At the same time, it might also corroborate patients ’ assumptions that others are untrustworthy, thereby fuelling interpersonal disturbances in BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - September 30, 2020 Category: Psychiatry Source Type: research

Living with personality disorder and seeking mental health treatment: patients and family members reflect on their experiences
ConclusionsThis research contributes to the concern that consumers with personality disorder and their carers experience stigma and low quality care within mental health services. In line with these findings, we recommend guidelines for health professionals who work with consumers with personality disorder. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - September 6, 2020 Category: Psychiatry Source Type: research

Using peer workers with lived experience to support the treatment of borderline personality disorder: a qualitative study of consumer, carer and clinician perspectives
ConclusionsTwo models of peer support for BPD emerged: an integrated model where consumer peer workers work within the mental health team, and a complementary model where consumer peer workers are separate from the mental health team. Based on these findings we provide recommendations for services to help support such peer work for consumers with BPD and their carers. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - September 1, 2020 Category: Psychiatry Source Type: research

Engagement complications of adolescents with borderline personality disorder: navigating through a zone of turbulence
ConclusionEngagement of adolescents with BPD is neither static nor certain, but on the contrary, subject to their fluctuating perceptions. Therefore, it can never be taken for granted. Clinicians must constantly pay attention to emergent signs of engagement complications. Maintaining the engagement of adolescents with BPD should be a therapeutic objective akin to reducing symptomatology or improving psychosocial functioning, and should therefore be given the same attention. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - August 31, 2020 Category: Psychiatry Source Type: research

Living with pathological narcissism: a qualitative study
ConclusionsThese findings lend support to the importance of assessing the whole dimension of the narcissistic personality, as well as associated personality patterns. On the findings reported here, the vulnerable aspect of pathological narcissism impacts others in an insidious way given the core deficits of feelings of emptiness and affective instability. These findings have clinical implications for diagnosis and treatment in that the initial spectrum of complaints may be misdiagnosed unless the complete picture is understood. Living with a person with pathological narcissism can be marked by experiencing a person who sho...
Source: Borderline Personality Disorder and Emotion Dysregulation - August 13, 2020 Category: Psychiatry Source Type: research

Improving access to and effectiveness of mental health care for personality disorders: the guideline-informed treatment for personality disorders (GIT-PD) initiative in the Netherlands
AbstractEvidence-based treatment for patients suffering from personality disorders (PDs) is only available to a limited extend in the Netherlands. Consequently, most patients receive non-manualized, unspecialized care.This manuscript describes the background, rationale and design of the Guideline-Informed Treatment for Personality Disorders (GIT-PD) initiative. GIT-PD aims to provide a simple, principle-driven, ‘common-factors’ framework for the treatment of PDs. The GIT-PD framework integrates scientific knowledge, professional expertise and patient experience to design a good-enough practice, based on common ...
Source: Borderline Personality Disorder and Emotion Dysregulation - August 9, 2020 Category: Psychiatry Source Type: research

Autobiographical memories of interpersonal trust in borderline personality disorder
ConclusionIn conclusion, our findings should encourage clinical practitioners to address trust deficits towards close others, as well as omniscient negative memory retrieval and interpretation biases which might influence current trust behavior. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - August 2, 2020 Category: Psychiatry Source Type: research

Euthanasia and assisted suicide in patients with personality disorders: a review of current practice and challenges
ConclusionsIn light of our findings, we believe that the current legislation and practice of EAS for people with personality disorders is based on an inadequate understanding of underlying psychopathology and a lack of awareness about the contemporary treatment literature. Moreover, we assert that this practice neglects the individual ’s potential for having a life worth living. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - July 29, 2020 Category: Psychiatry Source Type: research

A study comparing the experiences of family and friends of young people with borderline personality disorder features with family and friends of young people with other serious illnesses and general population adults
ConclusionsCarers of young people with BPD features experience elevated levels of adversity compared with their peers in the general adult population. This adversity is similar to, or greater than, that reported by carers of young people with other severe illnesses. Research is needed to clarify factors underlying adverse caregiving experiences and to develop and evaluate interventions to support carers of young people with BPD features.Trial registrationProspectively registered with the Australian New Zealand Clinical Trial Registry ACTRN12616000304437 on 08 March 2016,https://anzctr.org.au/Trial/Registration/TrialReview....
Source: Borderline Personality Disorder and Emotion Dysregulation - July 21, 2020 Category: Psychiatry Source Type: research

Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring
ConclusionsContextual strategies, especially self-compassion, seem more efficacious than waiting and cognitive restructuring in improving short-term ER in patients with BN in an experimental setting. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - July 2, 2020 Category: Psychiatry Source Type: research

Smartphone applications targeting borderline personality disorder symptoms: a systematic review and meta-analysis
ConclusionsThe effects of smartphone interventions on symptoms of BPD are unclear and there is currently a lack of evidence for their effectiveness. More research is needed to build on these preliminary findings in BPD to investigate both positive and adverse effects of smartphone applications and identify the role these technologies may provide in expanding mental healthcare resources. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - June 15, 2020 Category: Psychiatry Source Type: research

A proposed severity classification of borderline symptoms using the borderline symptom list (BSL-23)
ConclusionsThe grades of BPD-specific symptom severity derived from the distribution of the BSL-23 scores received consistent empirical validation from established assessments for psychopathology. Future studies should expand this validation by including additional instruments e.g., to assess self-esteem, loneliness, connectedness, and quality of life. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 31, 2020 Category: Psychiatry Source Type: research

Narcissistic traits in young people: understanding the role of parenting and maltreatment
ConclusionsRemembered childhood experiences of being overprotected, overvalued and experiencing leniency in parental discipline, were associated with higher traits of pathological narcissism in young people. Care and maltreatment were non-specific risk factors. Remembered childhood environments of being excessively pampered are associated with grandiose and vulnerable narcissistic traits, characterised by the young person expressing unrealistic self-views, entitlement beliefs and impaired autonomy. In treatment these traits may emerge in the patient-therapist relationship and working through their developmental origins may...
Source: Borderline Personality Disorder and Emotion Dysregulation - May 11, 2020 Category: Psychiatry Source Type: research

Does treatment method matter? A meta-analysis of the past 20 years of research on therapeutic interventions for self-harm and suicidal ideation in adolescents
ConclusionsThe findings of our meta-analysis indicate that, overall, currently available treatments are effective in treating self-harm, suicidal ideation, and depressive symptoms in adolescence. Although the treatment intervention conditions showed only small to moderate effects in comparison to active controls, these differences were statistically significant and are clinically important. Further research is needed to understand the reduction in self-harm within active controls, which may arise due to the natural course of self-harm, or the potential efficacy of treatment as usual and enhanced usual care. Given the signi...
Source: Borderline Personality Disorder and Emotion Dysregulation - May 10, 2020 Category: Psychiatry Source Type: research

Parenting stress and competence in borderline personality disorder is associated with mental health, trauma history, attachment and reflective capacity
ConclusionsParents who were able to imaginatively enter the subjective world of the child and hold the child ’s mind in mind with less certainty, reported reduced parenting stress and greater parenting satisfaction and efficacy. Helping to improve personality and mental health functioning, increasing parental reflective capacity and strengthening parent-child attachment relationships, may reduce parentin g stress and increase parenting competence in individuals with BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 10, 2020 Category: Psychiatry Source Type: research

Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting
ConclusionSeverity and co-morbidity may be helpful factors in distinguishing between ADHD and BPD in clinical practice and the co-morbidity of these two disorders may indicate a worse clinical outcome. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - April 14, 2020 Category: Psychiatry Source Type: research

Designing a range of mentalizing interventions for young people using a clinical staging approach to borderline pathology
AbstractBorderline personality disorder (BPD) can have a long-lasting impact on social and professional functioning, even when core symptoms of BPD are in remission. Adolescence may be a critical developmental period to change the potential long-term functional outcome of BPD. This paper presents a range of mentalizing interventions to alter the course and outcome of BPD, based upon a model of clinical staging. Mentalizing interventions have in common a focus on strengthening self-regulatory and interpersonal capacities, aiming to improve adaptive social learning. This paper argues that these interventions should be dosed ...
Source: Borderline Personality Disorder and Emotion Dysregulation - March 11, 2020 Category: Psychiatry Source Type: research

Community-based behavioral health administrator perspectives on sustainability of Dialectical Behavior Therapy: a qualitative evaluation
ConclusionsThese themes likely would be helpful in informing the design of future implementation and sustainability initiatives sensitive to the challenges of integrating EBPs in community settings. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 27, 2020 Category: Psychiatry Source Type: research

Mental images, entrapment and affect in young adults meeting criteria of nonsuicidal self-injury disorder (NSSID) – a daily diary study
ConclusionsThe study provides information on feasibility and methodological challenges such as intervention effects of the diary. NSSI-images may be common among individuals who engage in NSSI; they may capture ambivalent (positive and negative) appraisals of NSSI and thus play a role in NSSI and possibly a disorder such as NSSID. The preoccupation with NSSI (Criterion C of NSSID in DSM-5) may as well be imagery-based.RegistrationThe study was retrospectively registered with the DRKS under the number DRKS00011854. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 11, 2020 Category: Psychiatry Source Type: research

Dialectical behaviour therapy skills reconsidered: applying skills training to emotionally dysregulated individuals who do not engage in suicidal and self-harming behaviours
This study evaluates DBT-ST for a subgroup of individuals attending community mental health services who may have a diagnosis of BPD (or emerging BPD traits) but who are not actively self-harming.MethodsParticipants in this study were 100 adults attending community mental health services with a diagnosis of BPD, emerging BPD traits or emotion dysregulation who were not actively self-harming. The majority of participants were female (71%), aged 25 –34 years (32%), single (48%) and unemployed (34%). Participants partook in a 24-week DBT-ST intervention delivered by DBT therapists. Outcome measures included the D...
Source: Borderline Personality Disorder and Emotion Dysregulation - January 29, 2020 Category: Psychiatry Source Type: research

Physical exercise in attention deficit hyperactivity disorder – evidence and implications for the treatment of borderline personality disorder
AbstractA growing body of literature indicates a potential role for physical exercise in the treatment of attention deficit hyperactivity disorder (ADHD). Suggested effects include the reduction of ADHD core symptoms as well as improvements in executive functions. In the current review, we provide a short overview on the neurophysiological mechanisms assumed to underlie the beneficial effects of exercise. Further, we review the current evidence from experimental studies regarding both acute exercise and long-term interventions in ADHD. While the positive effects observed after acute aerobic exercise are promising, very few...
Source: Borderline Personality Disorder and Emotion Dysregulation - January 5, 2020 Category: Psychiatry Source Type: research

The role of environmental influences in the complex relationship between borderline personality disorder and attention-deficit/hyperactivity disorder: review of recent findings
ConclusionsThe experience of traumatic childhood events, especially those of an emotional type, may have a mediating effect of an increased risk of developing adult BPD in childhood ADHD patients. However, to consider them as risk factors, more studies, and especially longitudinal studies, are necessary to clarify the probable transactional process between the two disorders. Evidence from these studies may be helpful to develop early intervention programs to reduce the functional impairment associated with the two disorders. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - January 5, 2020 Category: Psychiatry Source Type: research