Examining the Efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in the Treatment of Individuals With Borderline Personality Disorder

Lopez, M. Elena; Stoddard, Jill A.; Noorollah, Andrew; Zerbi, Giovanna; Payne, Laura A; Hitchcock, Carla A.; Meier, Emily A.; Esfahani, Arezoo M.; Ray, Derek B.

doi:10.1016/j.cbpra.2014.06.006

Cited by 32 publications

(22 citation statements)

References 26 publications

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“…Since the UP specifically deals with the skills and techniques associated with emotional regulation process, reduced emotional dysregulation may affect the reduced severity of specific symptoms and co-morbid disorder of patients. These findings are consistent with other studies reporting efficacy of this treatment in increasing emotion regulation skills (16,17,19,20).…”

Section: Discussionsupporting

confidence: 93%

“…This condition lasted in the follow-up period for more than half of the patients. These findings are consistent with other studies reporting efficacy of this treatment in clinical remission for secondary diagnosis in patients with co-occurrence disorders (11,12,19,20,35). The investigation of variability of emotion dysregulation process, which is considered one of the most important factors affecting development and maintenance of this disorder, was another objective of this study.…”

Section: Discussionsupporting

confidence: 90%

“…Although this amount was reduced in the follow-up period, the results showed 34% improvement. The results of the researches by Lopez et al and Sauer-Zavala et al also showed that more than half of patients with BPD had clinically meaningful reduction in their signs and symptoms at the end of UP (19,20). Because axis-I comorbid disorders are usually affected by patients' pathology in axis II, reduced interpersonal problems and improved problemsolving skills in further crises during treatment were very effective in improving symptoms of depressive disorder.…”

Section: Discussionmentioning

confidence: 94%

“…In the case of drug therapy, patients could participate in the study 1 month after dose fixation. This research did not include patients with Benzodiazepines consumption (19) or involvement in any concurrent psychological treatment simultaneous to the present research. Finally, 6 patients were recruited and completed the treatment program and follow-up assessment.…”

Section: Sample and Sampling Methodsmentioning

confidence: 99%

“…As a result, the overall borderline symptoms list (BSL) scores of the 3 patients decreased, 2 of whom achieved steady change, and 3 patients showed little recovery (5% to 16%), and one patient presented increased signs and symptoms. At the end of the treatment, most of the participants reported more stable feelings and confidence in their ability to effectively manage symptoms (19). Sauer-Zavala et al also reported that among 5 participating patients, 4 patients showed decreased symptoms associated with BPD and comorbidities associated with anxiety and behavior disorders in the posttreatment period and had improved emotion regulation skills.…”

Section: Introductionmentioning

confidence: 97%

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The Applicability and Efficacy of Transdiagnostic Cognitive Behavior Therapy on Reducing Signs and Symptoms of Borderline Personality Disorder With Co-Occurring Emotional Disorders: A Pilot Study

Mohammadi

Bakhtiari

Arani

et al. 2018

Iran J Psychiatry Behav Sci

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Background: Borderline personality disorder (BPD), which is highlighted by emotional dysregulation and high rates of comorbid emotional disorders, is one of the most challenging clinical conditions for mental health services in different communities. The Unified protocol for the transdiagnostic treatment of emotional disorders (UP) was designed to target common vulnerabilities across emotional co-occurring disorders. Objectives: The aim of the present study was to examine the preliminary efficacy of the UP in treatment of Iranian patients with BPD and comorbid emotional disorders. Methods: By the purposeful sampling method, 6 participants (5 females and 1 male) with borderline personality disorder (BPD) and major depressive disorder (MDD), which met the inclusion criteria, participated in a multiple baseline experimental single case study. Each participant completed the borderline personality inventory (BPI) and difficulties in emotion regulation scale (DERS) during 3 baseline, 8 treatment modules, and 1 follow up assessment session. The unified protocol was carried out for 16 to 20 weekly sessions. Optical analysis and reliable change index (RCI) were used for determination of statistical significance. Remission rate was also applied to measure clinical significance. Results: Results showed that the unified protocol (UP) was effective on reduction of BPD and depressive symptoms as well as increase of emotion regulation skills. Conclusions: The efficacy of UP was statistically and clinically significant in most of the participants. Results from this study provide preliminary evidence for the efficacy of the UP in the treatment of BPD with co-occurring unipolar depressive disorders in Iran, and provide additional support for the transdiagnostic approach in the treatment of emotional disorders.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 94%

Section: Sample and Sampling Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

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The Applicability and Efficacy of Transdiagnostic Cognitive Behavior Therapy on Reducing Signs and Symptoms of Borderline Personality Disorder With Co-Occurring Emotional Disorders: A Pilot Study

Mohammadi

Bakhtiari

Arani

et al. 2018

Iran J Psychiatry Behav Sci

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Toward a synthesis of cognitive behaviour therapy via component analysis of self‐regulation

Arco

2023

Clin Psychology and Psychoth

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The cognitive behavioural therapies (CBTs) are the choice psychotherapies for many clinicians treating a wide range of adult psychological disorders including various anxieties, mood, substance use, eating, schizophrenia and personality‐related. Empirical research in the CBTs is ever increasing, and the accumulating evidence supporting efficacious treatments is substantial and well documented. However, with prolific research comes a seemingly accelerating and worrying trend of purportedly different therapies, and numerous hybrids and combinations of therapies and techniques. For many clinicians this is increasingly confusing and not helpful in clinical practice. This article is a critique of current trends and directions in clinical research, which show signs of limited effectiveness, fragmentation, and obfuscation. An alternative strategy is proposed—examining transdiagnostic therapeutic effects, which appear related to treating pervasive dysregulated emotions, with component analyses of four principal self‐regulation components (viz., self‐monitoring; functional analysis; identifying values, goals and treatment‐plans; and feedback). Such a strategy is likely to lead to a more coherently synthesized and effective CBT.

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Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

Halliday

Ehrenreich–May

2020

Cognitive Behavioral Therapy in Youth: Tradition and Innovation

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Examining the Efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in the Treatment of Individuals With Borderline Personality Disorder

Cited by 32 publications

References 26 publications

The Applicability and Efficacy of Transdiagnostic Cognitive Behavior Therapy on Reducing Signs and Symptoms of Borderline Personality Disorder With Co-Occurring Emotional Disorders: A Pilot Study

The Applicability and Efficacy of Transdiagnostic Cognitive Behavior Therapy on Reducing Signs and Symptoms of Borderline Personality Disorder With Co-Occurring Emotional Disorders: A Pilot Study

Toward a synthesis of cognitive behaviour therapy via component analysis of self‐regulation

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

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