Articles

A psychoeducational group intervention for family and friends of youth with borderline personality disorder features: protocol for a randomised controlled trial

Caring for a person with borderline personality disorder is associated with poor outcomes including elevated psychological distress and burden. This study will compare the effectiveness of two brief psychoeduc...

Authors: Jennifer Betts, Jessie Pearce, Ben McKechnie, Louise McCutcheon, Sue M. Cotton, Martina Jovev, Victoria Rayner, Mirra Seigerman, Carol Hulbert, Catharine McNab and Andrew M. Chanen

Effectiveness of step-down versus outpatient dialectical behaviour therapy for patients with severe levels of borderline personality disorder: a pragmatic randomized controlled trial

Step-down dialectical behaviour therapy (DBT) is a treatment consisting of 3 months of residential DBT plus 6 months of outpatient DBT. The program was specifically developed for people suffering from severe b...

Authors: Roland Sinnaeve, Louisa M. C. van den Bosch, Leona Hakkaart-van Roijen and Kristof Vansteelandt

Emotion dysregulation as a transdiagnostic mechanism of opioid misuse and suicidality among chronic pain patients

Chronic pain is a prevalent condition that causes functional impairment and emotional suffering. To allay pain-induced suffering, opioids are often prescribed for chronic pain management. Yet, chronic pain pat...

Authors: Michael R. Riquino, Sarah E. Priddy, Matthew O. Howard and Eric L. Garland

Emotion dysregulation in attention-deficit/hyperactivity disorder and borderline personality disorder

There 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 pr...

Authors: Talar R. Moukhtarian, Ruth S. Mintah, Paul Moran and Philip Asherson

Negative urgency partially accounts for the relationship between major depressive disorder and marijuana problems

To goal of this study was to better understand mechanisms underlying associations between Major Depressive Disorder (MDD) and marijuana use and problems. Specifically, it was hypothesized that negative urgency...

Authors: Rachel L. Gunn, Kristina M. Jackson, Brian Borsari and Jane Metrik

An exploration of values among consumers seeking treatment for borderline personality disorder

Consumer feedback identifies a new challenge in the treatment of borderline personality disorder (BPD) is to address the discrepancy between clinical treatment targets and the more personally meaningful goals ...

Authors: Simone R. Mohi, Frank P. Deane, Anne Bailey, Dianne Mooney-Reh and Danielle Ciaglia

Building a strong European alliance for personality disorder research and intervention

People 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 o...

Authors: Lars Mehlum, Anthony Bateman, Henk Jan Dalewijk, Stephan Doering, Andres Kaera, Paul Anthony Moran, Babette Renneberg, Joaquim Soler Ribaudi, Sebastian Simonsen, Theresa Wilberg and Martin Bohus

Recommendations for applying a multi-dimensional model of impulsive personality to diagnosis and treatment

The 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 n...

Authors: Miji Um, Alexandra R. Hershberger, Zachary T. Whitt and Melissa A. Cyders

The role of maternal care in borderline personality disorder and dependent life stress

Borderline Personality Disorder (BPD) affects 0.9%–3.2% of adolescents, and more than 20% of inpatient adolescents. Life stress has been linked to BPD across the lifespan, and previous research in adults has l...

Authors: Ericka Ball Cooper, Amanda Venta and Carla Sharp

Impulsive dispositions and alcohol: what we know, how we know it, and where to go from here

Relations between impulsigenic traits and alcohol-related outcomes have been the focus of much research, yet precise relations remain elusive. Historically, research used broadband conceptualizations of impuls...

Authors: Angela K. Stevens, Brittany E. Blanchard and Andrew K. Littlefield

Exploring dialectical behaviour therapy clinicians’ experiences of team consultation meetings

This article presents a detailed idiographic analysis of Dialectical Behaviour Therapy (DBT) clinicians’ experiences of team consultation meetings. DBT is an evidence-based psychological intervention with a de...

Authors: Cian Walsh, Patrick Ryan and Daniel Flynn

Impact of prenatal stress on mother-infant dyadic behavior during the still-face paradigm

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 lon...

Authors: Isabell Ann-Cathrin Wolf, Maria Gilles, Verena Peus, Barbara Scharnholz, Julia Seibert, Christine Jennen-Steinmetz, Bertram Krumm, Marcella Rietschel, Michael Deuschle and Manfred Laucht

The rewarding nature of provocation-focused rumination in women with borderline personality disorder: a preliminary fMRI investigation

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...

Authors: Jessica R. Peters, David S. Chester, Erin C. Walsh, C. Nathan DeWall and Ruth A. Baer

Specificity of emotion sequences in borderline personality disorder compared to posttraumatic stress disorder, bulimia nervosa, and healthy controls: an e-diary study

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 cur...

Authors: Tobias D. Kockler, Wolfgang Tschacher, Philip S. Santangelo, Matthias F. Limberger and Ulrich W. Ebner-Priemer

A prospective, longitudinal, study of men with borderline personality disorder with and without comorbid antisocial personality disorder

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...

Authors: Marie-Pier Robitaille, Dave Checknita, Frank Vitaro, Richard E. Tremblay, Joel Paris and Sheilagh Hodgins

Association among self-compassion, childhood invalidation, and borderline personality disorder symptomatology in a Singaporean sample

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 co...

Authors: Shian-Ling Keng and Yun Yi Wong

The mediating role of mentalizing capacity between parents and peer attachment and adolescent borderline personality disorder

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 ...

Authors: Emma Beck, Carla Sharp, Stig Poulsen, Sune Bo, Jesper Pedersen and Erik Simonsen

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

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, whe...

Authors: Ruth-Kari Ramleth, Berit Groholt, Lien M. Diep, Fredrik A. Walby and Lars Mehlum

A pilot open series of lamotrigine in DBT-treated eating disorders characterized by significant affective dysregulation and poor impulse control

There is little effective psychopharmacological treatment for individuals with eating disorders who struggle with pervasive, severe affective and behavioral dysregulation.

Authors: Mary Ellen Trunko, Terry A. Schwartz, Laura A. Berner, Anne Cusack, Tiffany Nakamura, Ursula F. Bailer, Joanna Y. Chen and Walter H. Kaye

Frontal EEG asymmetry in borderline personality disorder is associated with alexithymia

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 motivat...

Authors: Vera Flasbeck, Stoyan Popkirov and Martin Brüne

Standard 12 month dialectical behaviour therapy for adults with borderline personality disorder in a public community mental health setting

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). E...

Authors: Daniel Flynn, Mary Kells, Mary Joyce, Paul Corcoran, Conall Gillespie, Catalina Suarez, Mareike Weihrauch and Padraig Cotter

Family Connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: non-randomised controlled study

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 studi...

Authors: Daniel Flynn, Mary Kells, Mary Joyce, Paul Corcoran, Sarah Herley, Catalina Suarez, Padraig Cotter, Justina Hurley, Mareike Weihrauch and John Groeger

Variations of emotion dysregulation in borderline personality disorder: a latent profile analysis approach with adult psychiatric inpatients

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.

Authors: Katrina A. Rufino, Thomas E. Ellis, Joshua Clapp, Catherine Pearte and J. Christopher Fowler

Trauma-related emotions and radical acceptance in dialectical behavior therapy for posttraumatic stress disorder after childhood sexual abuse

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. I...

Authors: Nora Görg, Kathlen Priebe, Jan R. Böhnke, Regina Steil, Anne S. Dyer and Nikolaus Kleindienst

Combining emotion regulation and mindfulness skills for preventing depression relapse: a randomized-controlled study

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 efficac...

Authors: Matilde Elices, Joaquim Soler, Albert Feliu-Soler, Cristina Carmona, Thais Tiana, Juan C. Pascual, Azucena García-Palacios and Enric Álvarez

Subtypes of borderline personality disorder patients: a cluster-analytic approach

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 ...

Authors: Maaike L. Smits, Dine J. Feenstra, Dawn L. Bales, Jasmijn de Vos, Zwaan Lucas, Roel Verheul and Patrick Luyten

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

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 ...

Authors: Carolin Steuwe, Michaela Berg, Martin Driessen and Thomas Beblo

The role of DSM-5 borderline personality symptomatology and traits in the link between childhood trauma and suicidal risk in psychiatric patients

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 di...

Authors: Bo Bach and Rita Fjeldsted

Aetiological pathways to Borderline Personality Disorder symptoms in early adolescence: childhood dysregulated behaviour, maladaptive parenting and bully victimisation

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., ma...

Authors: Catherine Winsper, James Hall, Vicky Y. Strauss and Dieter Wolke

Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorder

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....

Authors: Sadia R. Chaudhury, Hanga Galfalvy, Emily Biggs, Tse-Hwei Choo, J. John Mann and Barbara Stanley

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?

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...

Authors: Michael Kaess, Gloria Fischer-Waldschmidt, Franz Resch and Julian Koenig

What we have changed our minds about: Part 1. Borderline personality disorder as a limitation of resilience

This paper sets out a recent transition in our thinking in relation to psychopathology associated with personality disorder, in an approach that integrates our thinking about attachment, mentalizing (understan...

Authors: Peter Fonagy, Patrick Luyten, Elizabeth Allison and Chloe Campbell

What we have changed our minds about: Part 2. Borderline personality disorder, epistemic trust and the developmental significance of social communication

In Part 1 of this paper, we discussed emerging evidence suggesting that a general psychopathology or ‘p’ factor underlying the various forms of psychopathology should be conceptualized in terms of the absence ...

Authors: Peter Fonagy, Patrick Luyten, Elizabeth Allison and Chloe Campbell

Evaluation of a psychoeducational group intervention for family and friends of youth with borderline personality disorder

Despite high levels of burden and distress among families with a member who has borderline personality disorder (BPD), only two BPD specific family psychoeducation groups have been empirically evaluated. Neith...

Authors: Jessie Pearce, Martina Jovev, Carol Hulbert, Ben McKechnie, Louise McCutcheon, Jennifer Betts and Andrew M. Chanen

Anger and aggression in borderline personality disorder and attention deficit hyperactivity disorder – does stress matter?

The impact of stress on anger and aggression in Borderline Personality Disorder (BPD) and Attention Deficit Hyperactivity Disorder (ADHD) has not been thoroughly investigated. The goal of this study was to inv...

Authors: Sylvia Cackowski, Annegret Krause-Utz, Julia Van Eijk, Katrin Klohr, Stephanie Daffner, Esther Sobanski and Gabriele Ende

Self-reported patterns of impairments in mentalization, attachment, and psychopathology among clinically referred adolescents with and without borderline personality pathology

Previous research, which primarily focused on adult samples, suggests that individuals with borderline personality disorder (BPD) display high levels of psychopathology, dysfunctional mentalization and problem...

Authors: Sune Bo and Mickey Kongerslev

Intersect between self-esteem and emotion regulation in narcissistic personality disorder - implications for alliance building and treatment

Building an alliance with patients with pathological narcissism or narcissistic personality disorder, NPD, can be challenging and include avoidance, negative reactivity and disruptions. A main contributing fac...

Authors: Elsa Ronningstam

Mental illness and violent behavior: the role of dissociation

The role of mental illness in violent crime is elusive, and there are harmful stereotypes that mentally ill people are frequently violent criminals. Studies find greater psychopathology among violent offenders...

Authors: Aliya R. Webermann and Bethany L. Brand

The specificity of emotion dysregulation in adolescents with borderline personality disorder: comparison with psychiatric and healthy controls

Research has supported the notion that emotion dysregulation is a core feature of BPD. However, given that this feature is typical of healthy adolescents as well as adolescents with other psychiatric disorders...

Authors: Marina Ibraheim, Allison Kalpakci and Carla Sharp

Affective instability and impulsivity predict nonsuicidal self-injury in the general population: a longitudinal analysis

Impulsivity and affective instability are related traits known to be associated with nonsuicidal self-injury, although few longitudinal studies have examined this relationship. The purpose of this study was to...

Authors: Evyn M. Peters, Marilyn Baetz, Steven Marwaha, Lloyd Balbuena and Rudy Bowen

“There is not much help for mothers like me”: Parenting Skills for Mothers with Borderline Personality Disorder – a newly developed group training program

Dysfunctional relationships and emotion dysregulation are hallmark features of borderline personality disorder (BPD). Women with BPD are, therefore, particularly challenged when raising a child. A group traini...

Authors: Babette Renneberg and Charlotte Rosenbach

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

Authors: Nader Perroud and Ueli Kramer

A systematic review on the relationship between antisocial, borderline and narcissistic personality disorder diagnostic traits and risk of violence to others in a clinical and forensic sample

Risk assessments identify the presence of a Personality Disorder diagnosis as relevant to future violence. At present, risk assessments focus on the presence of the disorder rather than identifying key traits ...

Authors: Joe Lowenstein, Charlotte Purvis and Katie Rose

Women with exposure to childhood interpersonal violence without psychiatric diagnoses show no signs of impairment in general functioning, quality of life and sexuality

Childhood interpersonal violence is a major risk factor for developing Posttraumatic Stress Disorder (PTSD), other axis-I disorders or Borderline Personality Disorder (BPD). Individuals with a history of child...

Authors: Sophie Rausch, Julia Herzog, Janine Thome, Petra Ludäscher, Meike Müller-Engelmann, Regina Steil, Kathlen Priebe, Thomas Fydrich and Nikolaus Kleindienst

Experiences of women in secure care who have been prescribed clozapine for borderline personality disorder

Clozapine is an atypical antipsychotic medicine which can cause significant side-effects. It is often prescribed off-license in severe cases of borderline personality disorder contrary to national treatment gu...

Authors: Geoffrey L. Dickens, Catherine Frogley, Fiona Mason, Katina Anagnostakis and Marco M. Picchioni

Attention to emotional stimuli in borderline personality disorder – a review of the influence of dissociation, self-reference, and psychotherapeutic interventions

Interactions between attention and processing of emotional stimuli shed light on both sensitivity to emotional stimuli as well as emotion dysregulation. Both of the latter processes have been proposed as centr...

Authors: Dorina Winter

A new intervention for people with borderline personality disorder who are also parents: a pilot study of clinician acceptability

Engaging parents who have a personality disorder in interventions designed to protect children from the extremes of the disorder supports both parenting skills and healthy child development. In line with evide...

Authors: Kye L. McCarthy, Kate L. Lewis, Marianne E. Bourke and Brin F. S. Grenyer

Predicting dropout in outpatient dialectical behavior therapy with patients with borderline personality disorder receiving psychiatric disability

Rates of treatment dropout in outpatient Dialectical Behavior Therapy (DBT) in the community can be as high as 24 % to 58 %, making dropout a great concern. The primary purpose of this article was to examine p...

Authors: Sara J. Landes, Samantha A. Chalker and Katherine Anne Comtois

Exploration of emotion regulation experiences associated with borderline personality features in a non-clinical sample

Emotion dysregulation is a core feature associated with borderline personality features (BPF). Little research has explored how individuals with high levels of BPF regulate their emotions. This study aimed to ...

Authors: Carly M. Porter, Carol A. Ireland, Kathryn J. Gardner and Mike Eslea

The impact of posttraumatic stress disorder on the symptomatology of borderline personality disorder

Previous findings on the impact of co-occurring posttraumatic stress disorder (PTSD) in patients with borderline personality disorder (BPD) have revealed inconsistencies, which may have been related to small s...

Authors: Sylvia Cackowski, Tamar Neubauer and Nikolaus Kleindienst