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 3, 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 30, 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 22, 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 3, 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 16, 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 - June 1, 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 12, 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 11, 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 11, 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 15, 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 12, 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 28, 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 12, 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 30, 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 6, 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 6, 2020 Category: Psychiatry Source Type: research

Borderline personality disorder diagnosis in a new key
ConclusionsResults show that traditional DSM BPD diagnosis reflects a common core of PD severity, largely composed of LPFS and the pathological traits of anxiousness, depressively, emotional lability, and impulsivity. Results confirm the traditional DSM criterion-based BPD diagnosis can be reliably cross-walked with the full AMPD scheme, and both approaches share substantial construct overlap. This relative equivalence suggests the vast clinical and research literatures associated with BPD may be brought forward with DSM-5-III diagnosis of BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 2, 2019 Category: Psychiatry Source Type: research

A negative bias in decoding positive social cues characterizes emotion processing in patients with symptom-remitted Borderline Personality Disorder
ConclusionsEvaluating social cues that signal the willingness to affiliate is characterized by a negative bias that seems to be a trait-like feature of social cognition in BPD. In contrast, confidence in judging positive social signals seems to be a state-like feature of emotion recognition in BPD that improves with attenuation in the level of acute BPD symptoms. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 15, 2019 Category: Psychiatry Source Type: research

Changes in post-traumatic stress disorder symptoms during residential treatment for borderline personality disorder: a longitudinal cross-lagged study
ConclusionsA naturalistic integration of EBTs for BPD may benefit both BPD and PTSD symptoms even in the absence of PTSD-oriented intervention. Additionally, the attenuation of BPD symptoms may have positive impact on PTSD symptoms. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 6, 2019 Category: Psychiatry Source Type: research

It ’s the thought that counts: belief in suicide as an escape moderates the relationship between emotion dysregulation and suicidal ideation cross-sectionally and longitudinally
ConclusionsThese findings underscore the importance of not only addressing emotion dysregulation but also addressing the underlying belief that suicide is an escape in individuals who experience both emotion dysregulation and suicidal ideation. Intervention efforts to address belief in suicide as an escape along with emotion dysregulation are delineated. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 5, 2019 Category: Psychiatry Source Type: research

The relation between epistemic trust and borderline pathology in an adolescent inpatient sample
ConclusionsThis study provides support for the theoretical association between deficits in epistemic trust and BPD while also highlighting the need for a validated measure of epistemic trust. Although parent trust at admission did not moderate a reduction in BPD symptoms over the course of treatment, this result may suggest that progress in treatment, and perhaps the ability to cultivate trust in the treatment setting and providers, may not be overly determined by levels of parent trust. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - August 28, 2019 Category: Psychiatry Source Type: research

Family Connections in different settings and intensities for underserved and geographically isolated families: a non-randomised comparison study
ConclusionsLittle is known about families with loved ones receiving DBT-R other than the fact that their loved ones had not responded to previous services, which suggests greater complexity and chronicity. Because the family members receiving the weekend intensive FC-R version of FC demonstrated improvement, preliminary support exists for service providers to use the weekend intensive FC-R model as a time-and-cost efficient option whenever barriers exist to participating in weekly FC-S. Our findings also suggest that booster sessions may be indicated for families receiving loved ones home from DBT-R programs. (Source: Bord...
Source: Borderline Personality Disorder and Emotion Dysregulation - August 26, 2019 Category: Psychiatry Source Type: research

Exploring staff perceptions of the utility of clinician connections when working with emotionally dysregulated clients
ConclusionThe evidence presented here suggests that CC is both beneficial and feasible. Qualitative feedback suggests there is a need for further support in the strengthening and generalisation of skills. Suggestions were made by practitioners regarding potential improvements to the delivery of the workshop. Future research could evaluate the changes made to CC and focus on a quantitative approach to quantify the impact of CC. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - July 26, 2019 Category: Psychiatry Source Type: research

Emotion dysregulation in adults suffering from attention deficit hyperactivity disorder (ADHD), a comparison with borderline personality disorder (BPD)
ConclusionsOur results suggest that there may be similarly inefficient cognitive emotional regulation skills leading to ED in both disorders (ADHD and BPD). However, ADHD patients showed a higher use of adaptive cognitive emotional strategies and a lower level of ED than BPD patients. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - July 18, 2019 Category: Psychiatry Source Type: research

The lived experience of recovery in borderline personality disorder: a qualitative study
ConclusionRecovery in BPD is a non-linear, ongoing process, facilitated by the interaction between stages and processes. Whilst clinical aspects are targets of specialist interventions, greater emphasis on fostering individual motivation, hope, engagement in relationships, activities, and treatment, may be required within clinical practice for a holistic recovery approach. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 22, 2019 Category: Psychiatry Source Type: research

European guidelines for personality disorders: past, present and future
AbstractPersonality disorders (PD) are common and burdensome mental disorders. The treatment of individuals with PD represents one of the more challenging areas in the field of mental health and health care providers need evidence-based recommendations to best support patients with PDs. Clinical guidelines serve this purpose and are formulated by expert consensus and/or systematic reviews of the current evidence. In this review, European guidelines for the treatment of PDs are summarized and evaluated. To date, eight countries in Europe have developed and published guidelines that differ in quality with regard to recency a...
Source: Borderline Personality Disorder and Emotion Dysregulation - May 21, 2019 Category: Psychiatry Source Type: research

A comprehensive evaluation of emotional responsiveness in borderline personality disorder: a support for hypersensitivity hypothesis
ConclusionsOur data alternatively supported the hypersensitivity and the slow return to emotional baseline hypotheses, postulated by Linehan ’s Biosocial model, rather than the hyperreactivity assumption. Results have been discussed in light of other BPD core psychopathological processes. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 9, 2019 Category: Psychiatry Source Type: research

Hypermentalizing as a marker of borderline personality disorder in Italian adolescents: a cross-cultural replication of Sharp and colleagues ’ (2011) findings
ConclusionsOur findings supported the hypothesis that specific deficits in mentalization –namely, hypermentalizing–may play a crucial role in the developmental pathway leading to emerging BPD in adolescence. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - April 10, 2019 Category: Psychiatry Source Type: research

A research programme to evaluate DBT-PTSD, a modular treatment approach for Complex PTSD after childhood abuse
DiscussionThe expected results will be a major step forward in establishing empirically supported psychological treatments for survivors of CA suffering from Complex PTSD.Trial registrationGerman Clinical Trials Register: registration numberDRKS00005578, date of registration 19 December 2013. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 5, 2019 Category: Psychiatry Source Type: research

Self-reported impulsivity in women with borderline personality disorder: the role of childhood maltreatment severity and emotion regulation difficulties
ConclusionIn the context of current conceptualizations of BPD and previous research, findings suggest that problems with emotion regulation may be related to a history of childhood maltreatment, which may in turn enhance impulsivity. Targeting emotion dysregulation in psychotherapy and discussing it in relation to childhood maltreatment can help decreasing impulsive behaviors in individuals with BPD. Given the correlational design of our study which does not allow causal conclusions, future studies have to employ prospective, experimental designs and include larger sample sizes to corroborate associations between childhood...
Source: Borderline Personality Disorder and Emotion Dysregulation - March 5, 2019 Category: Psychiatry Source Type: research

Low positive affect display mediates the association between borderline personality disorder and negative evaluations at zero acquaintance
ConclusionsWe emphasize therapeutic possibilities to improve positive affect display –and thus overall first impressions– to increase the chances of forming social bonds for BPD individuals. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 3, 2019 Category: Psychiatry Source Type: research

Longitudinal associations between non-suicidal self-injury and borderline personality disorder in adolescents: a literature review
ConclusionsThis review highlights the paucity of data that are available examining the longitudinal association between NSSI and BPD  within adolescent samples. Thus, it is not possible to reliably comment on how NSSI and BPD are related over time. Future studies will benefit from the measurement of BPD symptoms in very early adolescence, and concurrent measurement of NSSI as well as other forms of suicidal behaviours across ado lescence. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 13, 2019 Category: Psychiatry Source Type: research

The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review
ConclusionTo our knowledge this is the first published review exploring DBT implementation. The literature synthesis suggests some tentative recommendations which warrant further exploration. For instance, if DBT implementation is not pre-planned, having someone in the organisation who champions DBT can be advantageous. However, as the literature is limited and has methodological limitations, further prospective studies of DBT implementation are needed. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 12, 2019 Category: Psychiatry Source Type: research

Impact of comorbid borderline personality disorder on inpatient treatment for bulimia nervosa: analysis of routine data
AbstractBackgroundA 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 inpa tient treatment for BN vs. BN + BPD.MethodWe analyzed routine data of inpatients admitted for the treatment of BN between 2013 and 2017 in a specialized hosp...
Source: Borderline Personality Disorder and Emotion Dysregulation - January 16, 2019 Category: Psychiatry Source Type: research

Differentiating BPD in adolescents with NSSI disorder: the role of adverse childhood experiences and current social relationships
ConclusionsThese results highlight adverse childhood experiences as risk factors of BPD, while the role of current social relationships seems more complex. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 7, 2018 Category: Psychiatry Source Type: research

Association between childhood invalidation and borderline personality symptoms: self-construal and conformity as moderating factors
ConclusionsOverall, the study found empirical support for aspects of Linehan ’s biosocial model in an Asian context, and has implications for developing a culturally-informed understanding of BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 7, 2018 Category: Psychiatry Source Type: research

Emotional reactivity to appraisals in patients with a borderline personality disorder: a daily life study
ConclusionsThese findings show that appraisals can trigger strong emotional reactions in BPD patients, and suggest that altered emotional reactivity might be a potential underlying process of emotional instability in the daily life. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 13, 2018 Category: Psychiatry Source Type: research

A whole of school intervention for personality disorder and self-harm in youth: a pilot study of changes in teachers ’ attitudes, knowledge and skills
ConclusionsProviding school counsellor led structured approaches, to help class teachers identify and respond to youth in distress, closed identified gaps. Results indicated improvements in class teachers ’ knowledge and attitudes towards self-harm and BPD. The intervention also improved the capacity of schools to plan and implement strategies to reduce the impact of mental health problems on the young person and their peers. A stay-at-school psychological care approach was fostered by enhancing pa rtnerships between class teachers and school counsellors. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - October 2, 2018 Category: Psychiatry Source Type: research

Borderline personality disorder and substance use disorders: an updated review
AbstractFor 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. Borderline personality disorder: A clinical guide. Washington, D.C.: American Psychiatric Press, 2001; Leichsenring et al., Lancet 377:74-84, 2011; Paris J. Borderline personality disorder: A multidimensional approach. American Psychiatric Pub, 1994; Trull et al., Clin Psychol Rev 20:235-53, 2000)). Previously, we documented the extent of this co-occurrence and offered a number of methodological and theoretical explanat...
Source: Borderline Personality Disorder and Emotion Dysregulation - September 19, 2018 Category: Psychiatry Source Type: research

Rapid emotional response and disadvantageous Iowa gambling task performance in women with borderline personality disorder
ConclusionsThis is the 1st evidence of an emotive type of impulsivity, representing a type of affective instability that is linked to poor IGT DM in BPD. Findings support the Somatic Marker Hypothesis of IGT DM and may reflect the affective dysregulation that characterizes the disorder. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - September 16, 2018 Category: Psychiatry Source Type: research

An evaluation of the construct of emotional sensitivity from the perspective of emotionally sensitive people
ConclusionsThe implications of these results for the conceptualization and utility of emotional sensitivity in borderline personality disorder are discussed. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - August 23, 2018 Category: Psychiatry Source Type: research

A psychoeducational group intervention for family and friends of youth with borderline personality disorder features: protocol for a randomised controlled trial
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.MethodsThe study is a single-centre parallel group, randomised controlled trial. As a family unit, relatives, partners and friends ( ‘carers’) are randomly allocated to one of two treatment arms to receive either an online borderline personality disorder psychoeducation program, or both the online psychoeducation group and a face-to-face group program,Making Sense of Borderline Personali...
Source: Borderline Personality Disorder and Emotion Dysregulation - July 25, 2018 Category: Psychiatry Source Type: research

Effectiveness of step-down versus outpatient dialectical behaviour therapy for patients with severe levels of borderline personality disorder: a pragmatic randomized controlled trial
ConclusionsA pragmatic randomized controlled trial in the Netherlands showed that 9 months of step-down DBT is an effective treatment for people suffering from severe levels of BPD. However, step-down DBT is not more effective than 12 months of outpatient DBT, nor is it more cost-effective. These findings should be considered tentative because of high noncompliance with the treatment assignment in outpatient DBT. Furthermore, the long-term effectiveness of step-down DBT, and moderators of treatment response, remain to be evaluated.Trial registrationwww.clinicaltrials.govNCT01904227. Registered 22 July 2013 (retrospectively...
Source: Borderline Personality Disorder and Emotion Dysregulation - July 10, 2018 Category: Psychiatry Source Type: research

Emotion dysregulation as a transdiagnostic mechanism of opioid misuse and suicidality among chronic pain patients
ConclusionEmotion dysregulation is an important and malleable treatment target with the potential to reduce or prevent opioid misuse and suicidality among opioid-treated chronic pain patients. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - June 6, 2018 Category: Psychiatry Source Type: research