Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder

Abstract

The results support the efficacy of this ERGT and the durability of treatment gains.

Emotion Socialization Strategies of Mothers With Borderline Personality Disorder Symptoms: The Role of Maternal Emotion Regulation and Interactions With Infant Temperament

“…In addition to highlighting the relevance of maternal BPD symptoms to the relation between maternal perceptions of infant anger and the use of punitive/minimizing emotion socialization strategies (which may further exacerbate vs. regulate infant distress; see Kiel et al, 2011;Spinrad et al, 2007), these results provide initial evidence for the role of maternal emotion regulation difficulties in the relation between maternal BPD symptoms and nonsupportive emotion socialization. As such, the results highlight the potential utility of interventions targeting emotion regulation in mothers with BPD (e.g., dialectical behavior therapy [Linehan, 1993] or emotion regulation group therapy [Gratz, Tull, & Levy, 2014]), in order to mitigate risk for the intergenerational transmission of emotion regulation difficulties (and related problems) from mothers with BPD to their children. Likewise, given that both the interpersonal and emotion regulation difficulties seen in BPD are theorized to stem from mentalizing deficits (Fonagy & Bateman, 2008), interventions focused on improving mentalization capacity and decreasing hypermentalizing among mothers with BPD (e.g., mentalization-based treatment; Fonagy, Luyten, & Bateman, 2015) may have benefits for both maternal emotion regulation and emotion socialization, as well as the motherinfant relationship in general.…”

The pursuit of death versus escape from negative affect: An examination of the nature of the relationship between emotion dysregulation and both suicidal behavior and non-suicidal self-injury

“…Although our results do not diminish the importance of targeting emotion dysregulation in the treatment of both suicidal and nonsuicidal self-injury (given past research indicating a significant association between emotion dysregulation and suicidal desire; see, e.g., [14]), they do highlight potentially meaningful differences between NSSI and suicidal behavior. Specifically, with regard to interventions for suicide attempts in particular (and unlike interventions for NSSI; see [47]), findings that emotion dysregulation may be a proximal risk factor for NSSI but only a distal risk factor for suicidal behavior (through NSSI) highlight the importance of closely monitoring behaviors that might increase the capability for suicide in emotionally dysregulated patients with suicidal desire.…”

An intervention for nonsuicidal self-injury in young adults: A pilot randomized controlled trial.

“…Emotion regulation group therapy (ERGT) was specifically developed to address NSSI by targeting emotion regulation and emotional avoidance in a 14-week adjunctive intervention (Gratz & Gunderson, 2006). Researchers have reported decreased NSSI among women with BPD and subclinical BPD assigned to receive ERGT and TAU when compared with those receiving TAU alone at post-treatment (Gratz & Gunderson, 2006; Gratz & Tull, 2011) and at 9-month follow up (Gratz, Tull, & Levy, 2014). …”