Effects of dialectical behaviour therapy-mindfulness training on emotional reactivity in borderline personality disorder: Preliminary results

Clinical Psychology and Psychotherapy

Volumn 21, Issue 4, 2014, Pages 363-370

  Feliu Soler, Albert ^a,b   Pascual, Juan C ^a   Borràs, Xavier ^b   Portella, Maria J ^a   Martín Blanco, Ana ^a   Armario, Antonio ^b   Alvarez, Enric ^a   Pérez, Víctor ^a   Soler, Joaquim ^a  

^a HOSPITAL DE LA SANTA CREU I SANT PAU   (Spain)

^b UNIVERSITAT AUTÒNOMA DE BARCELONA   (Spain)

Author keywords

Borderline Personality Disorder; Dialectical Behaviour Therapy; Emotion Regulation; Emotional Induction; Mindfulness

Indexed keywords

ADULT; ANALYSIS OF VARIANCE; BEHAVIOR THERAPY; BORDERLINE PERSONALITY DISORDER; EMOTION; FEMALE; GROUP THERAPY; HUMAN; MALE; MINDFULNESS; PHYSIOLOGY; PROCEDURES; PSYCHOLOGY; TREATMENT OUTCOME;

ADULT; ANALYSIS OF VARIANCE; BEHAVIOR THERAPY; BORDERLINE PERSONALITY DISORDER; EMOTIONS; FEMALE; HUMANS; MALE; MINDFULNESS; PSYCHOTHERAPY, GROUP; TREATMENT OUTCOME;

EID: 84904392431     PISSN: 10633995     EISSN: 10990879     Source Type: Journal    
DOI: 10.1002/cpp.1837     Document Type: Article

References (41)

1. Baer, R.A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125-143.
2. Barrachina, J., Soler, J., Campins, M.J., Tejero, A., Pascual, J. C., & Pérez-Solá, V. (2004). Validation of a Spanish version of the diagnostic interview for borderlines revised (DIB-R). Actas Españolas de Psiquiatría, 32, 293-298.
3. Bohlmeijer, E.T., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on the mental health of adults with a chronic medical disease: a meta-analysis. Journal of Psychosomatic Research, 68, 539-544.
4. Britton WB, Shahar B, Szepsenwol O, Jacobs WJ. (2012). Mindfulness-based cognitive therapy improves emotional reactivity to social stress: results from a randomized controlled trial. Behavior Therapy, 43(2), 365-80.
5. Carmody, J., Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine 31(1), 23-33.
6. Chiesa, A., Calati, R., & Serretti, A. (2011). Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clinical Psychology Review, 31(3), 449-64.
7. Codispoti, M., Gerra, G., Montebarocci, O., Zaimovic, A., Raggi, M.A., & Baldaro, B. (2003). Emotional perception and neuroendocrine changes. Psychophysiology 40(6), 863-8.
8. De Lissnyder, E., Koster, E.H., Goubert, L., Onraedt, T., Vanderhasselt, M.A., & De Raedt, R. (2012). Cognitive control moderates the association between stress and rumination. Journal of Behavior Therapy and Experimental Psychiatry, 43(1), 519-25.
9. Dimidjian, S. & Linehan, M. M. (2003). Defining an agenda for future research on the clinical application of mindfulness practice. Clinical Psychology: Science and Practice, 10(2), 166-171.
10. Feldman, G., Greeson, J., Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behavior Research and Therapy, 48(10), 1002-11.
11. Fresco, D.M., Moore, M.T., van Dulmen MH, Segal ZV, Ma SH, Teasdale JD, Williams JM. (2007). Initial psychometric properties of the experiences questionnaire: validation of a self-report measure of decentering. Behavior Therapy, 38(3), 234-46.
12. Gómez-Beneyto, M., Villar, M., Renovell, M., Pérez, F., Hernández, M., Leal, C., Cuquerella, M., Slok, C., & Asensio, A. (1994). The diagnosis of personality disorder with a modified version of the SCID-II in a Spanish clinical sample. Journal of Personality Disorders, 8, 104-110.
13. Granger D. A., Kivlighan K. T., el-Sheikh M., Gordis E. B., & Stroud L. R. (2007). Salivary alpha-amylase in biobehavioral research: recent developments and applications. Annals of the New York Academy of Sciences, 1098, 122-144.
14. Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery & Psychiatry, 23, 56-62.
15. Hofmann, S.G., Sawyer, A.T., Witt, A.A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169-183.
16. Hölzel, B.K., Lazar, S.W., Gard, T., Schuman-Olivier, Z., Vago, D.R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6, 537.
17. Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York: Delacorte.
18. Kingston T, Dooley B, Bates A, Lawlor E., & Malone K. (2007). Mindfulness-based cognitive therapy for residual depressive symptoms. Psychology and Psychotherapy, 80(2), 193-203.
19. Kudielka, B. M., Buske-Kirschbaum, A., Hellhammer, D. H., & Kirschbaum, C. (2004). HPA axis responses to laboratory psychosocial stress in healthy elderly adults, younger adults, and children: impact of age and gender. Psychoneuroendocrinology, 29(1), 83-98.
20. Lang, P. J. (1980). Behavioral treatment and bio-behavioral assessment: computer applications. In K.B. Sidowski, J.H. Johnson, & T.A. Williams (Eds.), Technology in Mental Health Care Delivery Systems (pp. 119-l37). Norwood, NY:Ablex.
21. Lang, P., & Vaitl, D. (1988). The International Affective Picture System [Photographic Slides]. Gainsville, FL: University of Florida, Center for Research in Psychophysiology.
22. Lindenboim, N., Comtois, K.A., Linehan, M.M. (2007). Skills practice in dialectical behavior therapy for suicidal borderline women. Cognitive and Behavioral Practice, 14(2), 147-156.
23. Linehan, M. M. (1993a). Cognitive-Behavioral Treatment of Borderline Personality Disorder; the Dialectics of Effective Treatment. New York: Guilford Press.
24. Linehan, M. M. (1993b). Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford Press.
25. Lynch, T. R., Chapman, A. L., Rosenthal, M. Z., Kuo, J. K., & Linehan, M. M. (2006). Mechanisms of change in dialectical behavior therapy: theoretical and empirical observations. Journal of Clinical Psychology, 62, 459-480.
26. Nater, U. M. & Rohleder, N. (2009). Salivary alpha-amylase as a non-invasive biomarker for the sympathetic nervous system: current state of research. Psychoneuroendocrinology 34(4), 486-96.
27. Nater, U. M., Bohus, M., Abbruzzese, E., Ditzen, B., Gaab, J., Kleindienst, N., Ebner-Priemer, U., Mauchnik, J., & Ehlert, U. (2010). Increased psychological and attenuated cortisol and alpha-amylase responses to acute psychosocial stress in female patients with borderline personality disorder. Psychoneuroendocrinology 35(10), 1565-72.
28. Navazesh, M. (1993). Methods for collecting saliva. Annals Of The New York Academy Of Sciences, 694, 72-77.
29. NICE (2009) Borderline personality disorder-the NICE guideline on treatment and management. NICE.
30. Overall, J. E., & Gorham, D. R. (1988). The brief psychiatric rating scale (BPRS): recent developments in ascertainment and scaling. Psychopharmacology Bulletin, 24, 97-99.
31. Perez, V., Barrachina, J., Soler, J., Pascual, J.C., Campins, M.J., Puigdemont, D., Alvarez, E. (2007). The clinical global impression scale for borderline personality disorder patients (CGI-BPD): a scale sensible to detect changes. Actas Españolas de Psiquiatría, 35(4), 229-35.
32. Sapolsky, R. M., Romero, L. M., & Munck, A. U. (2000). How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions. Endocrine Reviews, 21(1), 55-89
33. Schnell, K. & Herpertz, S. C. (2007). Effects of dialectic-behavioral-therapy on the neural correlates of affective hyperarousal in borderline personality disorder. Journal of Psychiatric Research, 41(10), 837-47.
34. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2001). Mindfulness Based Cognitive Therapy for Depression: A new Approach to Preventing Relapse. New York: Guilford Press.
35. Soler, J., Campins, M. J., Pérez, V., Puigdemont, D., Pérez-Blanco, F., & Álvarez, E. (2001). Olanzapine and cognitive-behavioural group therapy in borderline personality disorder. Actas Españolas de Psiquiatría, 29, 85-90.
36. Soler, J., Pascual, J. C., Campins, J., Barrachina, J., Puigdemont, D., Álvarez E., & Pérez, V. (2005). Double-blind, placebo-controlled study of dialectical behavior therapy plus olanzapine for borderline personality disorder. The American Journal of Psychiatry, 162, 1221-1224.
37. Soler, J., Pascual, J. C., Tiana, T., Cebrià, A., Barrachina, J., Campins, M. J., Gich, I., Alvarez, E., & Pérez, V. (2009). Dialectical behavior therapy skills training compared to standard group therapy in borderline personality disorder: a 3-month randomised controlled clinical trial. Behaviour Research and Therapy, 47, 353-358.
38. Stepp, S. D., Epler, A.J., Jahng, S., & Trull, T. J. (2008). The effect of dialectical behaviour therapy skills use on borderline personality disorder features. Journal of Personality Disorders, 22(6), 549-563.
39. Teasdale, J., Segal, Z., & Williams, J. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research and Therapy, 33, 25-39.
40. van Stegeren, A., Rohleder, N., Everaerd, W., & Wolf, O. T. (2006). Salivary alpha-amylase as marker for adrenergic activity during stress: effect of betablockade. Psychoneuroendocrinology, 31, 137-141.
41. Wingenfeld, K. Spitzer, C. Rullkötter N., & Löwe, B. (2010) Borderline personality disorder: hypothalamus pituitary adrenal axis and findings from neuroimaging studies. Psychoneuroendocrinology, 35(1), 154-170.