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

Emotion dysregulation in attention-deficit/hyperactivity disorder and borderline personality disorder
AbstractThere 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. We consider the methodology of ecological momentary assessment and discuss why this approach could be an alternative and more accurate way to qualitatively distinguish between ADHD and BP...
Source: Borderline Personality Disorder and Emotion Dysregulation - May 20, 2018 Category: Psychiatry Source Type: research

Negative urgency partially accounts for the relationship between major depressive disorder and marijuana problems
ConclusionsResults suggest that high levels of NU may partially explain associations between MDD and marijuana problems, but not marijuana use. No other facets of impulsivity accounted for the relationship between MDD and marijuana use or problems, underscoring the specificity of NU as a putative mechanism and the importance of assessing NU in treatment settings. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 16, 2018 Category: Psychiatry Source Type: research

An exploration of values among consumers seeking treatment for borderline personality disorder
ConclusionsThe findings suggest that people with BPD identify with values and prioritise different life domains in terms of importance. Our results show discrepancies between higher importance and lower commitment,  desire to improve and success at living in line with what is valued. Identification of such discrepancies provides opportunities to more effectively support consumers with BPD to prioritise goals that are consistent with valued domains. These findings offer new insights for cultivating the persona l meaning consumers are currently seeking in BPD treatments. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - April 15, 2018 Category: Psychiatry Source Type: research

Recommendations for applying a multi-dimensional model of impulsive personality to diagnosis and treatment
AbstractThe 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 an...
Source: Borderline Personality Disorder and Emotion Dysregulation - April 2, 2018 Category: Psychiatry Source Type: research

Building a strong European alliance for personality disorder research and intervention
AbstractPeople 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. To bridge the gap between evidence based treatments and their implementation in health services, the European Society for the Study of Personality Disorders is currently building a new alliance of experts to promote personality ...
Source: Borderline Personality Disorder and Emotion Dysregulation - April 2, 2018 Category: Psychiatry Source Type: research

Recommendations for applying a multi-dimensional model of impulsive personality to diagnosis and treatment
AbstractThe 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 an...
Source: Borderline Personality Disorder and Emotion Dysregulation - April 2, 2018 Category: Psychiatry Source Type: research

Building a strong European alliance for personality disorder research and intervention
AbstractPeople 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. To bridge the gap between evidence based treatments and their implementation in health services, the European Society for the Study of Personality Disorders is currently building a new alliance of experts to promote personality ...
Source: Borderline Personality Disorder and Emotion Dysregulation - April 2, 2018 Category: Psychiatry Source Type: research

The role of maternal care in borderline personality disorder and dependent life stress
ConclusionsAlthough maternal care was not found to moderate the association between BPD and dependent life stress, results supported previously found relations between BPD, dependent life stress, and maternal care, and did so within a diverse inpatient adolescent sample. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 20, 2018 Category: Psychiatry Source Type: research

Impulsive dispositions and alcohol: what we know, how we know it, and where to go from here
ConclusionsMore work is necessary to further this area of research, including establishing consistent nomenclature and a cohesive conceptualization of impulsigenic traits as they relate to alcohol use and alcohol use disorders. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 9, 2018 Category: Psychiatry Source Type: research

Exploring dialectical behaviour therapy clinicians ’ experiences of team consultation meetings
ConclusionsTeam consultation meetings were found to be supportive; playing an important role in maintaining clinician motivation through the availability of team support, opportunities to reflect and learn, and assistance in regulating emotions. Challenges arose in relation to team membership changes and acclimatisation to the type of feedback utilised in team consultation. The study ’s implications for practise are considered. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 27, 2018 Category: Psychiatry Source Type: research

Impact of prenatal stress on mother-infant dyadic behavior during the still-face paradigm
ConclusionsThe results suggest a beneficial effect of higher psychosocial PS and higher prenatal maternal HPA axis activity in late gestation, which is in line with “stress inoculation” theories. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - January 22, 2018 Category: Psychiatry Source Type: research

The rewarding nature of provocation-focused rumination in women with borderline personality disorder: a preliminary fMRI investigation
ConclusionsThese findings, while preliminary due to the small sample size and limitations of the protocol, provide initial data consistent with the proposed neurobiological mechanism promoting provocation-focused rumination in BPD. Directions for further research are discussed. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - January 16, 2018 Category: Psychiatry Source Type: research