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Borderline Personality Disorder and Emotion Dysregulation

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https://www.readbyqxmd.com/read/29403645/impact-of-prenatal-stress-on-mother-infant-dyadic-behavior-during-the-still-face-paradigm
#1
Isabell Ann-Cathrin Wolf, Maria Gilles, Verena Peus, Barbara Scharnholz, Julia Seibert, Christine Jennen-Steinmetz, Bertram Krumm, Marcella Rietschel, Michael Deuschle, Manfred Laucht
Background: Mother-infant interaction provides important training for the infant's ability to cope with stress and the development of resilience. Prenatal stress (PS) and its impact on the offspring's development have long been a focus of stress research, with studies highlighting both harmful and beneficial effects. The aim of the current study was to examine the possible influence of both psychological stress and hypothalamic-pituitary-adrenal (HPA) axis activity during pregnancy with mother-child dyadic behavior following stress exposure...
2018: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29372058/the-rewarding-nature-of-provocation-focused-rumination-in-women-with-borderline-personality-disorder-a-preliminary-fmri-investigation
#2
Jessica R Peters, David S Chester, Erin C Walsh, C Nathan DeWall, Ruth A Baer
Background: Understanding why individuals with borderline personality disorder (BPD) ruminate on prior provocations, despite its negative outcomes, is crucial to improving interventions. Provocation-focused rumination may be rewarding in the short term by amplifying anger and producing feelings of justification, validation, and increased energy, while reducing self-directed negative affect. If provocation-focused rumination is utilized regularly as a rewarding emotion regulation strategy, it could result in increased activation in reward-related neural regions...
2018: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29276606/specificity-of-emotion-sequences-in-borderline-personality-disorder-compared-to-posttraumatic-stress-disorder-bulimia-nervosa-and-healthy-controls-an-e-diary-study
#3
Tobias D Kockler, Wolfgang Tschacher, Philip S Santangelo, Matthias F Limberger, Ulrich W Ebner-Priemer
Background: Patients with borderline personality disorder (BPD) exhibit dysregulated emotion sequences in daily life compared to healthy controls (HC). Empirical evidence regarding the specificity of these findings is currently lacking. Methods: To replicate dysregulated emotion sequences in patients with BPD and to investigate the specificity of the sequences, we used e-diaries of 43 female patients with BPD, 28 patients with posttraumatic stress disorder (PTSD), 20 patients with bulimia nervosa (BN), and 28 HC...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29225887/a-prospective-longitudinal-study-of-men-with-borderline-personality-disorder-with-and-without-comorbid-antisocial-personality-disorder
#4
Marie-Pier Robitaille, Dave Checknita, Frank Vitaro, Richard E Tremblay, Joel Paris, Sheilagh Hodgins
Background: Some evidence suggests that the prevalence of Borderline Personality Disorder (BPD) is elevated among male criminal offenders. It is not presently known whether offending, and violent offending, are limited to those presenting comorbid Antisocial Personality Disorder (ASPD) who have a childhood history of conduct problems and whether offending is linked to psychopathic traits. Methods: A community sample of 311 males followed from age 6 to 33 years, one third of whom had a criminal charge between ages 18 and 24, completed diagnostic interviews and the Psychopathy Checklist-Revised interview...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29209501/association-among-self-compassion-childhood-invalidation-and-borderline-personality-disorder-symptomatology-in-a-singaporean-sample
#5
Shian-Ling Keng, Yun Yi Wong
Background: Linehan's biosocial theory posits that parental invalidation during childhood plays a role in the development of borderline personality disorder symptoms later in life. However, little research has examined components of the biosocial model in an Asian context, and variables that may influence the relationship between childhood invalidation and borderline symptoms. Self-compassion is increasingly regarded as an adaptive way to regulate one's emotions and to relate to oneself, and may serve to moderate the association between invalidation and borderline symptoms...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29204276/the-mediating-role-of-mentalizing-capacity-between-parents-and-peer-attachment-and-adolescent-borderline-personality-disorder
#6
Emma Beck, Carla Sharp, Stig Poulsen, Sune Bo, Jesper Pedersen, Erik Simonsen
Background: Insecure attachment is a precursor and correlate of borderline personality disorder. According to the mentalization-based theory of borderline personality disorder, the presence of insecure attachment derails the development of the capacity to mentalize, potentially resulting in borderline pathology. While one prior study found support for this notion in adolescents, it neglected a focus on peer attachment. Separation from primary caregivers and formation of stronger bonds to peers are key developmental achievements during adolescence and peer attachment warrants attention as a separate concept...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29093819/the-impact-of-borderline-personality-disorder-and-sub-threshold-borderline-personality-disorder-on-the-course-of-self-reported-and-clinician-rated-depression-in-self-harming-adolescents
#7
Ruth-Kari Ramleth, Berit Groholt, Lien M Diep, Fredrik A Walby, Lars Mehlum
Background: Studies on adults suggest that the presence of comorbid depression and Borderline Personality Disorder (BPD) is associated with an elevated risk of self-harming behaviours and that self-harming behaviours, when present, will have higher severity. This comorbidity, furthermore, complicates clinical assessments, which may be an obstacle to early identification and proper intervention. Adolescents who self-harm frequently report high levels of depressive symptoms, but this is often not reflected in the clinicians' assessment...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29043085/a-pilot-open-series-of-lamotrigine-in-dbt-treated-eating-disorders-characterized-by-significant-affective-dysregulation-and-poor-impulse-control
#8
Mary Ellen Trunko, Terry A Schwartz, Laura A Berner, Anne Cusack, Tiffany Nakamura, Ursula F Bailer, Joanna Y Chen, Walter H Kaye
BACKGROUND: There is little effective psychopharmacological treatment for individuals with eating disorders who struggle with pervasive, severe affective and behavioral dysregulation. METHODS: This pilot open series evaluated lamotrigine, a mood stabilizer, in the treatment of patients with eating disorders who did not respond adequately to antidepressant medications. Nine women with anorexia nervosa- or bulimia nervosa-spectrum eating disorders in partial hospital or intensive outpatient dialectical behavior therapy (DBT)-based eating disorder treatment took lamotrigine for 147 ± 79 days (mean final dose = 161...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28989706/standard-12-month-dialectical-behaviour-therapy-for-adults-with-borderline-personality-disorder-in-a-public-community-mental-health-setting
#9
Daniel Flynn, Mary Kells, Mary Joyce, Paul Corcoran, Conall Gillespie, Catalina Suarez, Mareike Weihrauch, Padraig Cotter
BACKGROUND: Dialectical behaviour therapy (DBT) is noted to be an intervention with a growing body of evidence that demonstrates its efficacy in treating individuals diagnosed with borderline personality disorder (BPD). Evidence for the effectiveness of DBT in publicly funded community mental health settings is lacking however. No study to our knowledge has been published on the effectiveness of a 12 month standard DBT programme without adaptations for individuals with BPD in a publicly funded community mental health setting and no study has included data across multiple time-points...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28975030/frontal-eeg-asymmetry-in-borderline-personality-disorder-is-associated-with-alexithymia
#10
Vera Flasbeck, Stoyan Popkirov, Martin Brüne
BACKGROUND: Frontal EEG asymmetry is a widely studied correlate of emotion processing and psychopathology. Recent research suggests that frontal EEG asymmetry during resting state is related to approach/withdrawal motivation and is also found in affective disorders such as major depressive disorder. Patients with borderline personality disorder (BPD) show aberrant behavior in relation to both approach and withdrawal motivation, which may arguably be associated with their difficulties in emotion processing...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28861273/family-connections-versus-optimised-treatment-as-usual-for-family-members-of-individuals-with-borderline-personality-disorder-non-randomised-controlled-study
#11
Daniel Flynn, Mary Kells, Mary Joyce, Paul Corcoran, Sarah Herley, Catalina Suarez, Padraig Cotter, Justina Hurley, Mareike Weihrauch, John Groeger
BACKGROUND: Borderline personality disorder (BPD) is challenging for family members who are often required to fulfil multiple roles such as those of advocate, caregiver, coach and guardian. To date, two uncontrolled studies by the treatment developers suggest that Family Connections (FC) is an effective programme to support, educate and teach skills to family members of individuals with BPD. However, such studies have been limited by lack of comparison to other treatment approaches. This study aimed to compare the effectiveness of FC with an optimised treatment-as-usual (OTAU) programme for family members of individuals with BPD...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28852520/variations-of-emotion-dysregulation-in-borderline-personality-disorder-a-latent-profile-analysis-approach-with-adult-psychiatric-inpatients
#12
Katrina A Rufino, Thomas E Ellis, Joshua Clapp, Catherine Pearte, J Christopher Fowler
BACKGROUND: The purpose of the present study was to identify variations in emotional dysregulation patterns among adults diagnosed with borderline personality disorder (BPD), with an eye toward implications for treatment. METHODS: Latent profile analysis (LPA) was utilized to classify 156 inpatients with BPD, based on patterns of Difficulties in Emotion Regulation Scale (DERS; Gratz and Roemer, J Psychopathol Behav Assess 26: 41-54, 2004) subscale scores. RESULTS: Results revealed that a three class solution best fit the sample (Low Impairment, Global Dysregulation, and Emotionally Aware)...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28717512/trauma-related-emotions-and-radical-acceptance-in-dialectical-behavior-therapy-for-posttraumatic-stress-disorder-after-childhood-sexual-abuse
#13
Nora Görg, Kathlen Priebe, Jan R Böhnke, Regina Steil, Anne S Dyer, Nikolaus Kleindienst
BACKGROUND: Posttraumatic Stress Disorder (PTSD) related to childhood sexual abuse (CSA) is often associated with a wide range of trauma-related aversive emotions such as fear, disgust, sadness, shame, guilt, and anger. Intense experience of aversive emotions in particular has been linked to higher psychopathology in trauma survivors. Most established psychosocial treatments aim to reduce avoidance of trauma-related memories and associated emotions. Interventions based on Dialectical Behavior Therapy (DBT) also foster radical acceptance of the traumatic event...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28690851/combining-emotion-regulation-and-mindfulness-skills-for-preventing-depression-relapse-a-randomized-controlled-study
#14
Matilde Elices, Joaquim Soler, Albert Feliu-Soler, Cristina Carmona, Thais Tiana, Juan C Pascual, Azucena García-Palacios, Enric Álvarez
BACKGROUND: Dialectical behavioral therapy (DBT) skills have become increasingly used to treat several psychiatric conditions, including major depressive disorder (MDD). The aim of the study was to investigate the efficacy of an intervention that combines emotion regulation and mindfulness skills of DBT to prevent depression relapse/recurrence. METHODS: A total of 75 individuals (79% females; mean age, 52 years) with a diagnosis of MDD in complete or partial remission were recruited...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28680639/subtypes-of-borderline-personality-disorder-patients-a-cluster-analytic-approach
#15
Maaike L Smits, Dine J Feenstra, Dawn L Bales, Jasmijn de Vos, Zwaan Lucas, Roel Verheul, Patrick Luyten
BACKGROUND: The borderline personality disorder (BPD) population is notably heterogeneous, and this has potentially important implications for intervention. Identifying distinct subtypes of patients may represent a first step in identifying which treatments work best for which individuals. METHODS: A cluster-analysis on dimensional personality disorder (PD) features, as assessed with the SCID-II, was performed on a sample of carefully screened BPD patients (N = 187) referred for mentalization-based treatment...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28649383/impact-of-therapist-change-after-initial-contact-and-traumatic-burden-on-dropout-in-a-naturalistic-sample-of-inpatients-with-borderline-pathology-receiving-dialectical-behavior-therapy
#16
Carolin Steuwe, Michaela Berg, Martin Driessen, Thomas Beblo
BACKGROUND: This study focused on the predictors of therapy dropout in a naturalistic sample of patients with borderline pathology receiving dialectical behavior therapy (DBT) in an inpatient setting. We assumed that the change of the therapist between DBT-briefing and start of DBT-treatment as well as comorbid posttraumatic stress disorder (PTSD) and childhood trauma history were associated with elevated dropout. METHODS: Eighty-nine participants with borderline pathology (≥ 3 borderline personality disorder criteria) receiving an inpatient DBT program completed a quality assurance questionnaire set assessing demographic information and pretreatment psychopathology during the days of their inpatient stay...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28638621/the-role-of-dsm-5-borderline-personality-symptomatology-and-traits-in-the-link-between-childhood-trauma-and-suicidal-risk-in-psychiatric-patients
#17
Bo Bach, Rita Fjeldsted
BACKGROUND: Childhood traumas appear to be linked to suicidal behavior. However, the factors that mediate between these two phenomena are not sufficiently understood. Recent findings suggest that borderline personality disorder (BPD) may explain some of the association. METHOD: The present study investigated the potential mediating role of BPD symptomatology and traits between reported childhood trauma and suicidal risk in adult psychiatric outpatients (N = 124)...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28588894/aetiological-pathways-to-borderline-personality-disorder-symptoms-in-early-adolescence-childhood-dysregulated-behaviour-maladaptive-parenting-and-bully-victimisation
#18
Catherine Winsper, James Hall, Vicky Y Strauss, Dieter Wolke
BACKGROUND: Developmental theories for the aetiology of Borderline Personality Disorder (BPD) suggest that both individual features (e.g., childhood dysregulated behaviour) and negative environmental experiences (e.g., maladaptive parenting, peer victimisation) may lead to the development of BPD symptoms during adolescence. Few prospective studies have examined potential aetiological pathways involving these two factors. METHOD: We addressed this gap in the literature using data from the Avon Longitudinal Study of Parents and Children (ALSPAC)...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28533905/affect-in-response-to-stressors-and-coping-strategies-an-ecological-momentary-assessment-study-of-borderline-personality-disorder
#19
Sadia R Chaudhury, Hanga Galfalvy, Emily Biggs, Tse-Hwei Choo, J John Mann, Barbara Stanley
BACKGROUND: Affect instability is a core symptom of borderline personality disorder (BPD). Ecological momentary assessment allows for an understanding of real-time changes in affect in response to various daily stressors. The purpose of this study was to explore changes in affect in response to specific stressors and coping strategies in subjects with BPD utilizing ecological momentary assessment (EMA) methodology. METHODS: Subjects (n = 50) with BPD were asked to complete real-time assessments about stressors experienced, affect felt, and coping strategies employed six times per day for a 1-week period...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28484600/health-related-quality-of-life-and-psychopathological-distress-in-risk-taking-and-self-harming-adolescents-with-full-syndrome-subthreshold-and-without-borderline-personality-disorder-rethinking-the-clinical-cut-off
#20
Michael Kaess, Gloria Fischer-Waldschmidt, Franz Resch, Julian Koenig
BACKGROUND: Diagnostic standards do not acknowledge developmental specifics and differences in the clinical presentation of adolescents with borderline personality disorder (BPD). BPD is associated with severe impairments in health related quality of life (HRQoL) and increased psychopathological distress. Previously no study addressed differences in HRQoL and psychopathology in adolescents with subthreshold and full-syndrome BPD as well as adolescents at-risk for the development but no current BPD...
2017: Borderline Personality Disorder and Emotion Dysregulation
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