Conceptual development and case data for a modular, personality-based treatment for borderline personality disorder.

Sauer‐Zavala, Shannon; Southward, Matthew W.; Hood, Caitlyn O.; Elhusseini, Sohayla; Fruhbauerova, Martina; Stumpp, Nicole; Semcho, Stephen

doi:10.1037/per0000520

Cited by 18 publications

(14 citation statements)

References 107 publications

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“…Based on the convergence of the AMPD and the categories reported in this special issue, we fully expect outcome and treatment data to support treatment efficacy of specialized treatment for AMPD-defined individuals, as they did for the categories. Indeed, explicit reorientation toward AMPD in treatment manuals has already begun (Caligor et al, 2018; Choi-Kain & Sharp, 2022; Sauer-Zavala et al, 2022; Sharp & Bevington, 2022). Empirical verification of treatment efficacy and positive prospective patient outcomes and adjustment of treatment manuals based on AMPD language will be significantly accelerated with the legitimization of the AMPD in Section II.…”

Section: Discussionmentioning

confidence: 99%

Ten-year retrospective on the DSM–5 alternative model of personality disorder: Seeing the forest for the trees.

Sharp¹,

Miller²

2022

Personality Disorders: Theory, Research, and Treatment

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Section: Discussionmentioning

confidence: 99%

Ten-year retrospective on the DSM–5 alternative model of personality disorder: Seeing the forest for the trees.

Sharp¹,

Miller²

2022

Personality Disorders: Theory, Research, and Treatment

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“…A final session is dedicated to relapse prevention. A detailed description of BPD Compass skills can be found in Sauer-Zavala, Southward, Hood, et al (2022).…”

Section: Methodsmentioning

confidence: 99%

“…Existing interventions for BPD tend to be focused on a single Criterion B dimension (for a review, see Sauer-Zavala, Southward, Hood, et al, 2022). For example, dialectical behavior therapy (DBT; Linehan, 1993) is designed to target emotional difficulties, which are analogous to the AMPD dimension of negative affectivity.…”

Section: Bpd Compassmentioning

confidence: 99%

BPD compass: A randomized controlled trial of a short-term, personality-based treatment for borderline personality disorder.

Sauer‐Zavala¹,

Southward²,

Fruhbauerova³

et al. 2023

Personality Disorders: Theory, Research, and Treatment

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Borderline personality disorder (BPD) is a heterogeneous condition that is particularly associated with three broad personality dimensions: neuroticism (i.e., high negative affectivity), agreeableness (i.e., low antagonism), and conscientiousness (i.e., low disinhibition). The purpose of the present study was to explore whether treatment with BPD Compass, a novel personality-based intervention for BPD, results in greater reductions in BPD symptoms, neuroticism, agreeableness, and conscientiousness compared to a waitlist control (WLC) condition. We also aimed to characterize within-treatment effects for participants assigned to the BPD Compass condition and evaluate patients' satisfaction with treatment. Participants (N = 51; M age = 28.38; 83.3% female; 93.8% White; 54.2% sexual minority) meeting DSM-5 criteria for BPD were enrolled in a randomized controlled trial to evaluate the efficacy of BPD Compass. Patients were randomly assigned to receive 18 sessions of BPD Compass or complete an 18-week waiting period. BPD Compass led to larger reductions in BPD symptoms (assessor-rated [β = −0.47] and self-reported [β = −0.62]) and neuroticism (β = −0.37), but not agreeableness (β = 0.08) or conscientiousness (β = 0.10), compared to the WLC condition. Within the BPD Compass condition, pre-to posttreatment improvements in BPD symptoms, neuroticism, and conscientiousness were significant and large in magnitude (Hedges' gs: −1.38 to −1.08). Patients were highly satisfied with BPD Compass and generally perceived it to be an appropriate length. Thus, BPD Compass may be an accessible and useful complement to more specialty or intensive treatments for BPD.

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“…It is, therefore, especially noteworthy then that the two largest effects in the meta‐analysis comparing intervention to control groups were found by the two studies that included participants with BPD‐related symptomatology but not a diagnosis of BPD (S. L. Johnson et al, 2020; Peros, 2022). While traditionally treatment for BPD/EUPD often is very intensive, complex, and long‐term (Sauer‐Zavala et al, 2022) newer options including the use of digital technology may hence lend themselves more naturally to individuals with fewer or subthreshold BPD/EUPD symptomatology. Therefore, it will be crucial for future research to investigate the use of digital interventions across different BPD/EUPD features, including a focus on subthreshold symptomatology.…”

Section: Discussionmentioning

confidence: 99%

A systematic review and meta‐analysis of digital interventions targeted at individuals with borderline personality disorder (BPD), emotionally unstable personality disorder (EUPD), and related symptoms

2023

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Objectives The present review investigates the impact of digital interventions for individuals with features of borderline personality disorder (BPD)/emotional unstable personality disorder (EUPD) as digital interventions show promise as therapeutic tools in underserved groups. BPD/EUPD features are identified as clinically relevant, yet previous reviews on the use of digital interventions fail to include subthreshold symptomatology. Methods Five online databases were searched for terminology in three categories: BPD/EUPD and related symptoms, mental‐health interventions, and digital technology. Additionally, four relevant journals and two trial registers were searched for additional papers meeting the inclusion criteria. Results Twelve articles met all inclusion criteria. Meta‐analyses revealed statistically significant differences in symptom measures between intervention and control groups at postintervention and decreases in BPD/EUPD symptomatology and well‐being from pre‐ to postintervention. Service users' engagement, satisfaction, and acceptability of interventions were high. Results support the previous literature on the value of using digital interventions in populations with BPD/EUPD. Conclusion Overall, it was identified that digital interventions show promise for successful implementation with this population.

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Conceptual development and case data for a modular, personality-based treatment for borderline personality disorder.

Cited by 18 publications

References 107 publications

Ten-year retrospective on the DSM–5 alternative model of personality disorder: Seeing the forest for the trees.

Ten-year retrospective on the DSM–5 alternative model of personality disorder: Seeing the forest for the trees.

BPD compass: A randomized controlled trial of a short-term, personality-based treatment for borderline personality disorder.

A systematic review and meta‐analysis of digital interventions targeted at individuals with borderline personality disorder (BPD), emotionally unstable personality disorder (EUPD), and related symptoms

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