Relationship between effortful control and facets of mindfulness in meditators, non‐meditators and individuals with borderline personality disorder

Tortella-Feliu, Miquel; Soler, Joaquim; Burns, Leonard G.; Cebolla, Ausiàs; Elices, Matilde; Pascual, Juan Carlos; López‐Del‐Hoyo, Yolanda; Baños, Rosa; Garcı́a-Campayo, Javier

doi:10.1002/pmh.1420

Cited by 9 publications

(6 citation statements)

References 46 publications

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“…For several PD, BIS and EC interacted: BIS was only related to severe PD pathology if EC was low. Another study found low EC in relation to borderline PD [99]. In an earlier study, De Panfilis et al [100] showed a specific role for EC as a mediator between rejection sensitivity and its subsequent interpersonal distress on borderline personality features in an adult community sample, suggesting that low SR capacities may enhance interpersonal distress in response to rejection.…”

Section: Discussionmentioning

confidence: 91%

Effortful Control – A Transdiagnostic Dimension Underlying Internalizing and Externalizing Psychopathology

Santens¹,

Claes

Dierckx³

et al. 2020

Neuropsychobiology

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Effortful control (EC) or self-regulation refers to the ability to regulate behavior, emotion, and cognition. It has been identified as a contributor to both adaptive and adverse outcomes in children, adolescents, and adults and this across many domains. As such, it could be considered as a transdiagnostic dimension underlying internalizing (e.g., mood and anxiety disorders) and externalizing (e.g., substance use disorders, ADHD) psychopathology. We aimed to examine the role of EC throughout the adult psychopathological spectrum by means of a literature search of studies published between 2008 and 2018. Overall, the results point to the role of EC in the development of a broad spectrum of psychiatric diagnosis, reflecting the transdiagnostic characteristic of this construct. This role may be both directly causal or as a mediator factor influencing outcomes of a specific disorder. Early assessment of EC and early interventions to improve EC might help to avoid or decrease the risk of developing psychopathology.

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Section: Discussionmentioning

confidence: 91%

Effortful Control – A Transdiagnostic Dimension Underlying Internalizing and Externalizing Psychopathology

Santens¹,

Claes

Dierckx³

et al. 2020

Neuropsychobiology

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“…Research has shown an association between BPD and deficits in mindfulness. For instance, individuals with BPD show lower levels of mindfulness than community (Nicastro, Jermann, Bondolfi, & McQuillan, 2010; Tortella-Feliu et al, 2018) and college samples (Baer, Smith, & Allen, 2004). Furthermore, lower levels of mindfulness are associated with higher BPD features, even after controlling for neuroticism, emotion regulation, and interpersonal effectiveness (Wupperman, Neumann, & Axelrod, 2008; Wupperman, Neumann, Whitman, & Axelrod, 2009).…”

Section: Mechanism Of Change In Dbtmentioning

confidence: 99%

The independent roles of mindfulness and distress tolerance in treatment outcomes in dialectical behavior therapy skills training.

Zeifman

Boritz

Barnhart

et al. 2020

Personality Disorders: Theory, Research, and Treatment

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Despite research supporting the effectiveness of dialectical behavior therapy (DBT) for borderline personality disorder (BPD), few studies have examined how DBT leads to clinical change. DBT is theorized to lead to improved clinical outcomes by enhancing the capacity for emotion regulation, including improvement in skills (e.g., mindfulness and distress tolerance) for managing emotional distress and impulsive behaviors. Therefore, the aim of this study was to test whether improvements in mindfulness and distress tolerance indirectly affect the relationship between DBT skills training and clinical outcomes. The sample consists of 84 patients diagnosed with BPD who were enrolled in a randomized controlled trial comparing 20 weeks of DBT-skills group (DBT-S) to an active waitlist control. Mindfulness and distress tolerance were assessed at baseline and at the end of the 20 weeks. BPD symptoms, general psychiatric symptoms, and social adjustment were assessed at the end of 20 weeks and combined into a latent variable representing a broad assessment of general psychopathology. Relative to the waitlist control group, improvements in mindfulness and distress tolerance each independently indirectly affected the relationship between DBT-S and posttreatment general psychopathology. Findings suggest that DBT-S exerts its effects on outcomes through improvements in mindfulness and distress tolerance. These findings support the significance of mindfulness and distress tolerance in DBT-S for BPD. Limitations, future directions, and clinical implications are discussed.

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“…A higher level of meditation practice indicated a lower level of borderline symptoms. This finding was endorsed by a related study in that the effortful control of mindfulness meditation was lower among individuals with borderline personality disorder symptoms [ 45 ]. The fact that meditation has two buffering effects on borderline personality disorder symptoms and depression may be related to emotional control and regulatory practices.…”

Section: Discussionmentioning

confidence: 59%

Buffering Effect of Perseverance and Meditation on Depression among Medical Students Experiencing Negative Family Climate

Pongpitpitak

Wongpakaran

et al. 2022

Healthcare

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Background and objective: Thirty percent of Thai medical students experienced depression. Two of the crucial factors related to depression involved borderline personality disorder symptoms and adverse family experiences, while positive strengths were documented to prevent depression. This study aimed to investigate the role of perseverance and meditation on depression; Methods: Two hundred and forty−three medical student participants completed the following measurements: the core symptom index (CSI−D) to measure depression, the family climate questionnaire to measure family experience, the personality disorder questionnaire to measure borderline personality disorder symptoms, and the inner strength−based inventory to measure perseverance and meditation. In the analysis, depression served as an outcome, adverse family climate as a predictor and borderline personality disorder symptoms as a mediator. In contrast, perseverance and meditation were moderators in the mediation model. Mediation and moderation analysis using PROCESS was applied for testing the direct and indirect effects; Results: Among all, 49.38% were male, and the mean age was 22.76 years. Borderline personality disorder symptoms significantly mediated the relationship between adverse family climate and depression, B = 0.0608 (95%CI, 0.0301 to 0.1052). The variance explained by the mediation model was 43%. Meditation moderated the relationship between adverse family climate and borderline personality symptoms, whereas perseverance and meditation were found to be significant moderators for borderline personality disorder symptoms and depression. With two moderators in the mediation model, the indirect effect index was B = 0.0072 (95%CI, 0.0002 to 0.0160). The 49% of variances of depression were explained by the moderated mediation model; Conclusion: Borderline personality disorder symptoms are a crucial variable involving depression. Meditation practice has been demonstrated to be a buffer between negative family climate to borderline personality disorder symptoms and depressive symptoms, whereas perseverance buffers the effect of borderline personality disorder symptoms of depression. Further research on cultivating meditation and perseverance should be encouraged among those with negative family experiences.

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Relationship between effortful control and facets of mindfulness in meditators, non‐meditators and individuals with borderline personality disorder

Cited by 9 publications

References 46 publications

Effortful Control – A Transdiagnostic Dimension Underlying Internalizing and Externalizing Psychopathology

Effortful Control – A Transdiagnostic Dimension Underlying Internalizing and Externalizing Psychopathology

The independent roles of mindfulness and distress tolerance in treatment outcomes in dialectical behavior therapy skills training.

Buffering Effect of Perseverance and Meditation on Depression among Medical Students Experiencing Negative Family Climate

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