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Predictors of complex PTSD: the role of trauma characteristics, dissociation, and comorbid psychopathology
ConclusionFindings largely confirm earlier research, suggesting that CPTSD is associated with traumatic events that start earlier in life and are perpetrated by acquaintances. Focusing on transdiagnostic symptoms, such as dissociation, may help to detain symptom deterioration. Due to the small sample size, findings need to be interpreted with caution and further research is needed to replicate findings in larger samples. Future research should also elucidate possible working mechanisms besides dissociation, such as emotion dysregulation or negative self-image. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - January 5, 2023 Category: Psychiatry Source Type: research

Fear of compassion from others explains the relation between borderline personality disorder symptoms and ineffective conflict resolution strategies among patients with substance use disorders
ConclusionsTogether, findings suggest that it is fear of compassion from others (vs. fear of compassion for others) that explains the relation between BPD symptoms and ineffective responses to romantic relationship conflict surrounding substance use among SUD patients. Findings highlight the potential utility of interventions aimed at reducing fears of compassion and increasing comfort with and tolerance of compassion from both others and oneself among SUD patients with BPD symptoms in order to strengthen relationships and reduce risk for relapse. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 26, 2022 Category: Psychiatry Source Type: research

On the interplay of borderline personality features, childhood trauma severity, attachment types, and social support
ConclusionOur findings suggest that emotional abuse is an important link in the association between ACE and BPD features, also when taking attachment and social support into account. Findings further suggest an outstanding role of identity disturbance, linking emotional abuse to affective instability and being strongly associated with attachment anxiety. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 19, 2022 Category: Psychiatry Source Type: research

Advancing the treatment of long-lasting borderline personality disorder: a feasibility and acceptability study of an expanded DBT-based skills intervention
ConclusionsThe intervention was feasible to implement in the clinical setting and participants rated the final set of skills highly. Most of the skills were considered useful. Participant feedback was invaluable to improve the intervention, as evidenced by the large increase in the retention rate from 40 to 80%. Randomized clinical trials are needed to test the efficacy of this intervention in promoting well-being in participants with long-lasting BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 12, 2022 Category: Psychiatry Source Type: research

The impact of outcome expectancy on therapy outcome in adolescents with borderline personality disorder
ConclusionOutcome expectancy as a common factor plays a key role in successful psychotherapy with adolescent BPD patients. Elevated pretreatment depression, childhood trauma and impairment in personality functioning dimensions self-direction and intimacy are risk factors associated with lower expectancy. Low outcome expectancy should be addressed in early psychotherapy to improve the therapeutical process. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 5, 2022 Category: Psychiatry Source Type: research

Psychometric evaluation of the Estonian version of the Semi-structured Interview for Personality Functioning DSM-5 (STiP-5.1)
ConclusionsThe properties of the Estonian STiP-5.1 replicate those of other languages, and empirically support a unified personality functioning dimension that can be meaningfully thought of as reflecting impairments in self and interpersonal functioning. Findings of this study will be discussed in the light of the ongoing debate on the dimensionality of personality pathology and the use of self-report versus interview measures for assessing personality pathology. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 1, 2022 Category: Psychiatry Source Type: research

Evaluation of a skills-based peer-led art therapy online-group for people with emotion dysregulation
ConclusionThis novel artmaking program for emotion dysregulation and BPD was acceptable and potentially effective. Peer facilitation using arts-based skills is a modality of therapy for further investigation. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 30, 2022 Category: Psychiatry Source Type: research

Maladaptive personality traits as predictors of prosocial and trusting behavior in two economic games
ConclusionsThe results on antagonism and prosocial behavior are consistent with those of previous studies that used categorial classification systems of personality disorders or examined non-pathological personality traits. Potential explanations for the non-significant effects of suspiciousness are discussed, including the small size and range of the sure choice payoff and that the anonymity of the game may have precluded suspicious traits from expressing. Future research with higher stakes and known interaction partners is needed to further probe the effects of suspiciousness. (Source: Borderline Personality Disorder and...
Source: Borderline Personality Disorder and Emotion Dysregulation - November 10, 2022 Category: Psychiatry Source Type: research

Trustworthiness judgments and Borderline Personality Disorder: an experimental study on the interplay of happiness and trustworthiness appraisals and the effects of wearing face masks during the Covid-19 pandemic in Germany
ConclusionsMasks do not exacerbate deficits in social judgments. However, lower trustworthiness appraisals in general were linked with more negative evaluations of wearing masks in the BPD group.Trial registrationThe aims and hypotheses were preregistered together with the design and planned analyses (https://aspredicted.org/f5du7.pdf). For findings of an additionally preregistered research question on the impact of adverse childhood experiences see supplementary material. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 3, 2022 Category: Psychiatry Source Type: research

Effect of comorbid ADHD on mortality in women with borderline personality disorder
ConclusionsWomen with comorbid ADHD and BPD have a similar mortality risk as those only diagnosed with BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 1, 2022 Category: Psychiatry Source Type: research

Personality pathology in adolescence: relationship quality with parents and peers as predictors of the level of personality functioning
ConclusionsDuring the sensitive period for the development of a personality disorder, relationship quality with the closest adults and peers both remain important for the explanation of impairments in personality functioning. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - October 19, 2022 Category: Psychiatry Source Type: research

Anger instability and aggression in Borderline Personality Disorder – an ecological momentary assessment study
ConclusionKnowledge about what characterizes days with aggressive behaviors may help to improve interventions to reduce aggressive behavior and thus relieve the burden aggression causes for patients with BPD, their surroundings and society. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - October 17, 2022 Category: Psychiatry Source Type: research

The self-efficacy in distress tolerance scale (SE-DT): a psychometric evaluation
DiscussionThis is preliminary evidence that the SE-DT has adequate to good psychometric properties, supporting the use of a total sum score. The results indicate that the SE-DT can adequately measure the construct of self-efficacy with regard to dealing with distress and emotional crises. The instrument enables continued investigation of standalone skills training and the specific contribution of distress tolerance skills to treatment outcomes in DBT. Further studies are needed to investigate whether these results are valid in other populations. In addition, the field would benefit from a common definition of distress tole...
Source: Borderline Personality Disorder and Emotion Dysregulation - October 10, 2022 Category: Psychiatry Source Type: research

Irony detection in patients with borderline personality disorder: an experimental study examining schizotypal traits, response biases and empathy
ConclusionsThis was the first study to show lower detection of verbal irony in patients with BPD. While patients were less biased when asked about the literality of a statement, they perceived praising remarks as less positive on explicit measurements. The results highlight the importance of congruent, transparent communication in promoting epistemic trust in individuals with BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - October 4, 2022 Category: Psychiatry Source Type: research

Identifying moderating factors during the preschool period in the development of borderline personality disorder: a prospective longitudinal analysis
ConclusionsWe identify a potential moderating factor in BPD development, offer novel targets for screening and intervention, and provide a framework for using early childhood observational assessments in BPD research. Our findings suggest the need for future research on early moderating factors in BPD development, which could inform early childhood interventions targeting those factors to mitigate the effects of potentially less malleable risk factors. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - September 15, 2022 Category: Psychiatry Source Type: research