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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 Personality Disor...
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