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Borderline Personality Disorder and Emotion Dysregulation

Open Access

Commentary to Nicastro et al. (2016), Borderline Personality Disorder and Emotion Dysregulation

Borderline Personality Disorder and Emotion Dysregulation20163:15

Received: 26 August 2016

Accepted: 6 September 2016

Published: 22 November 2016

We realized that the paper by Nicastro et al. [3] did not discuss all the studies involving the French version of the BSL-23. Parallel to Nicastro and colleagues’ translation, Kramer et al. [2] have used a slightly different French translation of the BSL-23 which had previously received approval by the authors of the scale (M. Bohus, personal communication, July 2010). This independent translation differs only on 4 items - a matter of nuance - from the Nicastro and colleagues translation. In their treatment study, Kramer and colleagues randomized N = 85 patients with Borderline Personality Disorder (BPD) and administered the BSL-23 pre and post treatment for n = 61 patients. They found, for a psychiatric treatment over 10 sessions, a small, but significant, pre-post effect (d = .28, intent to treat). In a different randomized controlled trial for N = 31 patients with BPD, the same author group found a small, but significant, between-group effect favoring a short-term version of dialectical-behavior skills training (d = .23; completers; [1]). Given the interest of the BSL-23 in French speaking samples of individuals with BPD, the current validation study by Nicastro et al. [3] is highly welcome and will help encourage the use of the scale in further psychotherapy studies.



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Authors’ contributions

NP and UK have written the present commentary. All authors read and approved the final manuscript.

Competing interests

The authors declare that they have no competing interests.

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Ethical approval and consent to participate

Not applicable.

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

Authors’ Affiliations

University Hospitals of Geneva and University of Geneva
Department Psychiatry-CHUV, University of Lausanne
Department of Psychology, University of Windsor
McLean Hospital, Department of Psychiatry, Harvard University


  1. Kramer U. The role of coping change in borderline personality disorder: A process-outcome analysis of Dialectical-Behavaior Skills Training. Clin Psychol Psychother. 2016. doi:10.1002/cpp.2017
  2. Kramer U, Kolly S, Berthoud L, Keller S, Preisig M, Caspar F, Berger T, de Roten Y, Marquet P, Despland J-N. Effects of motive-oriented therapeutic relationship in a ten-session general psychiatric treatment of borderline personality disorder: a randomized controlled trial. Psychotherapy Psychosomatics. 2014;83:176–86. doi:10.1159/000358528.View ArticlePubMedGoogle Scholar
  3. Nicastro R., Prada P., Kung A.-L., Salamin V., Dayer A., Aubry J.-M., Guenot F., & Perroud N. Psychometric properties of the French borderline symptom list, short form (BSL-23). Borderline Personal Disorder Emot Dysregulation. 2016;3(4). doi:10.1186/s40479-016-0038-0


© The Author(s). 2016