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Treating emotion dysregulation in patients with borderline personality disorder using imagery rescripting: A two-session randomized controlled trial.
Sosic-Vasic, Zrinka; Schaitz, Caroline; Mayer, Benjamin; Maier, Anna; Connemann, Bernhard; Kroener, Julia.
Afiliación
  • Sosic-Vasic Z; Christophsbad Goeppingen, Department of Applied Psychotherapy and Psychiatry, Faurndauer Straße 6-28, 73035, Göppingen, Germany; Medical Department, University of Ulm, Albert-Einstein-Allee 11, 89081, Ulm, Germany.
  • Schaitz C; MSB Medical School Berlin, Psychotherapeutic Outpatient Facility, Rüdesheimer Straße 50, 14197, Berlin, Germany.
  • Mayer B; Institute of Epidemiology and Medical Biometry, Ulm University, Schwabstrasse 13, 89075, Ulm, Germany.
  • Maier A; Medical Department, University of Ulm, Albert-Einstein-Allee 11, 89081, Ulm, Germany.
  • Connemann B; Medical Department, University of Ulm, Albert-Einstein-Allee 11, 89081, Ulm, Germany.
  • Kroener J; Christophsbad Goeppingen, Department of Applied Psychotherapy and Psychiatry, Faurndauer Straße 6-28, 73035, Göppingen, Germany; Medical Department, University of Ulm, Albert-Einstein-Allee 11, 89081, Ulm, Germany. Electronic address: Julia.kroener@uni-ulm.de.
Behav Res Ther ; 173: 104454, 2024 02.
Article en En | MEDLINE | ID: mdl-38194759
ABSTRACT
Studies on Emotionally Dysregulated Behavior (EDB) demonstrated that the conduct thereof is associated with emotion dysregulation and preceded by mental imagery of EDB, which can direct future behavior. These findings are specifically important within the context of Borderline Personality Disorder (BPD), where emotion dysregulation and EDB are at the core of the disorder. The present study aims to evaluate the efficacy of imagery rescripting (IR) in treating emotion dysregulation associated with EDB in patients diagnosed with BPD. Forty-eight females diagnosed with BPD were randomly allocated to the IR intervention or treatment-as-usual group. Assessment took place one week before the first treatment session, as well as one week, and twelve weeks after the last treatment session evaluating emotion regulation strategies, borderline-symptomatology, EDB, depressiveness, impulsivity, mental imagery, and illness severity. Within-, and between subject, intention-to-treat-, and per-protocol analysis were conducted. Results showed decreased maladaptive emotion regulation strategies and increased adaptive emotion regulation strategies within the intervention group. Borderline-symptomatology improved immediately after treatment for the intervention group. Additionally, BPD patients within the intervention group improved regarding their impulsivity, depressiveness, and EDB symptomatology in comparison to patients in the TAU group. The presented intervention has proven to be effective in improving BPD-related symptomatology, such as emotion regulation, EDB, depressiveness, and impulsivity. Imagery rescripting could be routinely applied when EDB related images are present. TRIAL REGISTRATION German Clinical Trials Registry (DRKS) ID DRKS00010620.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno de Personalidad Limítrofe Tipo de estudio: Clinical_trials / Guideline Límite: Female / Humans Idioma: En Revista: Behav Res Ther Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno de Personalidad Limítrofe Tipo de estudio: Clinical_trials / Guideline Límite: Female / Humans Idioma: En Revista: Behav Res Ther Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido