An exploratory study of the relationship between changes in emotion and cognitive processes and treatment outcome in borderline personality disorder

McMain, Shelley; Links, Paul S.; Guimond, Tim; Wnuk, Susan; Eynan, Rahel; Bergmans, Yvonne; Warwar, Serine H.

doi:10.1080/10503307.2013.838653

Cited by 59 publications

(50 citation statements)

References 75 publications

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“…Higher levels of inhibitory affects (e.g., shame, guilt, or pain) were associated with a less adaptive self-image. Moreover, preliminary evidence supports the theory that specific improvements in emotion processes are associated with positive long-term treatment outcomes, such as reduced symptom distress and improved interpersonal functioning, in patients with BPD, as well as in patients with depression in a mixed clinical sample (Herrmann, Greenberg, & Auszra, 2014;McMain et al, 2013;Pos & Greenberg, 2012). Taken together, cross-sectional and prospective research using different conceptual tools suggests that emotional awareness, tolerance, and expressivity may be related to levels of personality functioning in both self and relational areas.…”

mentioning

confidence: 57%

Relationship Between Affect Consciousness and Personality Functioning in Patients With Personality Disorders: A Prospective Study

Johansen¹,

Normann-Eide²,

Normann-Eide³

et al. 2016

Journal of Personality Disorders

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Emotional dysfunction is by definition central to personality disorders (PDs). In the alternative model in DSM-5, self and relational dysfunctioning constitutes the core of PD, but little is known about the relation between emotional functioning and such core aspects of personality functioning. This study investigated concurrent and prospective associations between emotional and personality functioning as assessed by affect consciousness (AC) and the Severity Indices of Personality Problems (SIPP-118), respectively. The SIPP-118 comprises five domains of personality functioning, including Identity Integration and Relation Capacities, and was applied repeatedly during 3-year follow-up of 63 PD patients who participated in a treatment study. Statistical analyses were based on linear mixed models. Lower AC levels were significantly associated with (a) lower levels of Identity Integration and Relational Capacities at baseline, and (b) poorer long-term improvement of Identity Integration. The study supports the notion that affect consciousness is related to core aspects of personality functioning.

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mentioning

confidence: 57%

Relationship Between Affect Consciousness and Personality Functioning in Patients With Personality Disorders: A Prospective Study

Johansen¹,

Normann-Eide²,

Normann-Eide³

et al. 2016

Journal of Personality Disorders

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“…Patients with BPD can be grouped very differently according to the categorical diagnostic criteria taken into account. These groups constitute very different clinical sub-categories, which also had varied response to treatment (Critchfield et al, 2008;McMain et al, 2013). It is plausible that such clinical sub-categories present also different profiles of mindreading impairments, which have not been considered in this study.…”

Section: Discussionmentioning

confidence: 90%

Personality Disorders and Mindreading

Semerari¹,

Colle²,

Pellecchia³

et al. 2015

Journal of Nervous &Amp; Mental Disease

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The capacity of understanding mental states is a complex function which involves several components. Single components can be selectively impaired in specific clinical populations. It has been suggested that impairments in mindreading are central for borderline personality disorder (BPD). However, empirical findings are inconsistent, and it is debatable whether BPD presents a specific profile of mindreading impairments. The aim of this study is to compare BPD and other PDs in mindreading. Seventy-two patients with BPD and 125 patients with other PD diagnoses were assessed using the Metacognition Assessment Interview. BPD showed difficulties in two mindreading functions, differentiation and integration, even when the severity of psychopathology was controlled. These results suggest a specific mindreading impairment in BPD and a strong relationship between these impairments and the severity of psychopathology.

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“…A Canadian study found evidence for improvements in affect balance, problem‐solving associated with greater reductions in general symptom distress and greater improvements in interpersonal functioning when people with a diagnosis of BPD were given more information about BPD (McMain et al . ). This highlights the importance of health literacy and self‐management strategies.…”

Section: Discussionmentioning

confidence: 97%

Experiences of care by Australians with a diagnosis of borderline personality disorder

Lawn

McMahon²

2015

Psychiatric Ment Health Nurs

113

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Accessible summary Borderline personality disorder (BPD) is a complex and challenging mental health condition for the person and service providers who support them.This paper reports on the results of a survey of 153 people with a diagnosis of BPD about their experiences of attempting to receive support in managing this mental health condition. It provides their perceptions of a range of experiences not reported in the existing literature, including general practitioner roles, urban and rural differences, public and private hospital differences, and comparison of usefulness of support across multiple support types.People with a diagnosis of BPD continue to experience significant discrimination when attempting to get their needs met within both public and private health services. Further education for nurses and other health professionals is indicated to address pervasive negative attitudes towards people with a diagnosis of BPD. AbstractThere is limited understanding of the experience of seeking and receiving treatment and care by people with a diagnosis of borderline personality disorder (BPD), their perceptions of barriers to care and the quality of services they receive. This study aimed to explore these experiences from the perspective of Australians with this diagnosis. An invitation to participate in an online survey was distributed across multiple consumer and carer organizations and mental health services, by the Private Mental Health Consumer Carer Network (Australia) in 2011. Responses from 153 people with a diagnosis of BPD showed that they experience significant challenges and discrimination when attempting to get their needs met within both public and private health services, including general practice. Seeking help from hospital emergency departments during crises was particularly challenging. Metropolitan and rural differences, and gender differences, were also apparent. Community supports were perceived as inadequate to meet their needs. This study provides data on a range of experiences not reported in existing literature, including general practitioner roles, urban and rural differences, public and private hospital differences, and comparison of usefulness of support across multiple support types. Its findings can help inform better training for health professionals and better care for this population.

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An exploratory study of the relationship between changes in emotion and cognitive processes and treatment outcome in borderline personality disorder

Cited by 59 publications

References 75 publications

Relationship Between Affect Consciousness and Personality Functioning in Patients With Personality Disorders: A Prospective Study

Relationship Between Affect Consciousness and Personality Functioning in Patients With Personality Disorders: A Prospective Study

Personality Disorders and Mindreading

Experiences of care by Australians with a diagnosis of borderline personality disorder

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