Top

Gepubliceerd in:

18-02-2016 | ORIGINAL PAPER

Impact of Mindfulness Training on Borderline Personality Disorder: A Randomized Trial

Auteurs: Matilde Elices, Juan C. Pascual, Maria J. Portella, Albert Feliu-Soler, Ana Martín-Blanco, Cristina Carmona, Joaquim Soler

Gepubliceerd in: Mindfulness | Uitgave 3/2016

Abstract

Recent research suggests that deficits in the ability to be mindful may be related to core aspects of borderline personality disorder (BPD). Mindfulness plays a central role in BPD treatment, and evidence also indicates that mindfulness is the most commonly practiced of the skills taught in dialectical behavior therapy (DBT). The present study investigated whether a 10-week mindfulness training program would improve BPD symptoms and mindfulness-related capacities in a sample of individuals diagnosed with BPD. A total of 64 participants (mean age = 31.64, SD = 6.9; 86 % female) were randomized to 10 weeks of mindfulness (n = 32) or interpersonal effectiveness skills training (control group; n = 32). BPD symptoms and mindfulness capacities were measured at pre- and post-intervention. Compared to the control group, participants assigned to mindfulness experienced a significantly greater reduction and increase, respectively, in BPD symptoms and decentering capacity. Treatment response rates (in reference to BPD symptoms) were higher for the mindfulness group (40 vs. 13 %). Interpersonal effectiveness alone did not result in improvements on any outcome measures. These findings suggest that mindfulness training may be a useful approach to decreasing BPD symptoms while simultaneously improving mindfulness capacities.

vorige artikel Maternal Mindfulness and Child Social Behavior: the Mediating Role of the Mother-Child Relationship

volgende artikel The Potential Indirect Effect of Childhood Abuse on Posttrauma Pathology Through Self-Compassion and Fear of Self-Compassion

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: American Psychiatric Publishing.

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. doi:10.1177/1073191105283504.CrossRefPubMed

Barrachina, J., Soler, J., Campins, M. J., Tejero, A., Pascual, J. C., Alvarez, E., & Pérez Sola, V. (2004). Validation of a Spanish version of the Diagnostic Interview for Bordelines-Revised (DIB-R). Actas Españolas de Psiquiatría, 32(5), 293–8.PubMed

Bender, D. S., Dolan, R., Skodol, A. E., Sanislow, C. A., Dyck, I. R., McGlashan, T. H., & Gunderson, J. G. (2001). Treatment utilization by patients with personality disorders. American Journal of Psychiatry, 158(2), 295–302. doi:10.1176/appi.ajp.158.2.295.CrossRefPubMed

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., & Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. doi:10.1093/clipsy/bph077.

Bohus, M., Kleindienst, N., Limberger, M. F., Stieglitz, R.-D., Domsalla, M., Chapman, A. L., & Wolf, M. (2008). The short version of the Borderline Symptom List (BSL-23): development and initial data on psychometric properties. Psychopathology, 42(1), 32–39. doi:10.1159/000173701.CrossRefPubMed

Cebolla, A., Garcia Palacios, A., Soler, J., Guillén, V., Baños, R., & Botella, C. (2012). Psychometric properties of the Spanish validation of the Five Facets of Mindfulness Questionnaire ( FFMQ ). The European Journal of Psychiatry, 26(2), 118–126. doi:10.4321/S0213-61632012000200005.CrossRef

Creswell, J. D., Way, B. M., Eisenberger, N. I., & Lieberman, M. D. (2007). Neural correlates of dispositional mindfulness during affect labeling. Psychosomatic Medicine, 69(6), 560–5. doi:10.1097/PSY.0b013e3180f6171f.CrossRefPubMed

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, 166–171. doi:10.1093/clipsy/bpg019.

Feliu-Soler, A., Pascual, J. C., Borràs, X., Portella, M. J., Martín-Blanco, A., Armario, A., & Soler, J. (2014). Effects of dialectical behaviour therapy-mindfulness training on emotional reactivity in borderline personality disorder: preliminary results. Clinical Psychology & Psychotherapy, 21(4), 363–370. doi:10.1002/cpp.1837.CrossRef

Fresco, D. M., Moore, M. T., van Dulmen, M. H. M., Segal, Z. V., Ma, S. H., Teasdale, J. D., & Williams, J. M. G. (2007). Initial psychometric properties of the experiences questionnaire: validation of a self-report measure of decentering. Behavior Therapy, 38(3), 234–46. doi:10.1016/j.beth.2006.08.003.CrossRefPubMed

Gibbon, M., & Spitzer, R. L. (1997). User’s guide for the structured clinical interview for DSM-IV axis II personality disorders: SCID-II. Washington, DC: American Psychiatric Publishing.

Gómez-Beneyto, M., Villar, M., Renovell, M., Pérez, M., Herández, M., & Leal, C. (1994). The diagnosis of personality disorder with a modified version of the SCID-II in a Spanish clinical sample. Journal of Personality Disorders, 8, 104–10. doi:10.1521/pedi.1994.8.2.104.CrossRef

Hayes-skelton, S. A., Calloway, A., Roemer, L., & Orsillo, S. M. (2015). Decentering as a potential common mechanism across two therapies for generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 83(2), 395–404. doi:10.1037/a0038305.CrossRefPubMedPubMedCentral

Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19. doi:10.1037//0022-006X.59.1.12.CrossRefPubMed

Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York, NY: Delacorte.

Kröger, C., Harbeck, S., Armbrust, M., & Kliem, S. (2013). Effectiveness, response, and dropout of dialectical behavior therapy for borderline personality disorder in an inpatient setting. Behaviour Research and Therapy, 51(8), 411–6. doi:10.1016/j.brat.2013.04.008.CrossRefPubMed

Leichsenring, F., Leibing, E., Kruse, J., New, A. S., & Leweke, F. (2011). Borderline personality disorder. The Lancet, 377(9759), 74–84. doi:10.1016/S0140-6736(10)61422-5.CrossRef

Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. Lancet, 364(9432), 453–61. doi:10.1016/S0140-6736(04)16770-6.CrossRefPubMed

Lindenboim, N., Comtois, K. A., & Linehan, M. M. (2007). Skills practice in dialectical behavior therapy for suicidal women meeting criteria for borderline personality disorder. Cognitive and Behavioral Practice, 14(2), 147–156. doi:10.1016/j.cbpra.2006.10.004.CrossRef

Linehan, M. M. (1993a). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.

Linehan, M. M. (1993b). Skills training manual for treating borderline personality disorder. Guilford Press.

Linehan, M. M. (2003). From chaos to freedom set. Seattle, WA: Behavioral Technology Transfer Group.

Linehan, M. M. (2004). Wise mind: being able to drop in. Seattle, WA: Behavioral Technology Transfer Group.

Linehan, M. M. (2014). DBT skills training manual (2nd ed.). New York, NY: Guilford Press.

Linehan, M. M., Korslund, K. E., Harned, M. S., Gallop, R. J., Lungu, A., Neacsiu, A. D., & Murray-Gregory, A. M. (2015). Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder a randomized clinical trial and component analysis. JAMA, 98195, 1–8. doi:10.1001/jamapsychiatry.2014.3039.

Little, R., & Rubin, D. (1987). Statistical analysis with missing data. New York, NY: Wiley.

Martín-Blanco, A., Soler, J., Villalta, L., Feliu-Soler, A., Elices, M., Pérez, V., & Pascual, J. C. (2014). Exploring the interaction between childhood maltreatment and temperamental traits on the severity of borderline personality disorder. Comprehensive Psychiatry, 55(2), 311–8. doi:10.1016/j.comppsych.2013.08.026.CrossRefPubMed

Mott, J., Koucky, E., & Teng, E. (2015). The impact of patient preference on mental health treatment: a methodological critique and suggestions for future research. European Journal for Person Centered Healthcare, 3(1), 26–36.

Pérez Gálvez, B., García Fernández, L., de Vicente Manzaro, M., & Olivera Valenzuela, M. (2010). Validation of the Psychiatric Diagnostic Screening Questionnaire (PDSQ) in a Spanish sample of alcoholic patients. Adicciones, 22, 199–206.CrossRefPubMed

Peters, J. R., Eisenlohr-Moul, T. A., Upton, B. T., & Baer, R. A. (2013). Nonjudgment as a moderator of the relationship between present-centered awareness and borderline features: synergistic interactions in mindfulness assessment. Personality and Individual Differences, 55(1), 24–28. doi:10.1016/j.paid.2013.01.021.CrossRef

Sachse, S., Keville, S., & Feigenbaum, J. (2011). A feasibility study of mindfulness-based cognitive therapy for individuals with borderline personality disorder. Psychology and Psychotherapy, 84(2), 184–200. doi:10.1348/147608310X516387.CrossRefPubMed

Soler, J., Pascual, J. C., Tiana, T., Cebrià, A., Barrachina, J., Campins, M. J., & Pérez, V. (2009). Dialectical behaviour therapy skills training compared to standard group therapy in borderline personality disorder: a 3-month randomised controlled clinical trial. Behaviour Research and Therapy, 47(5), 353–8. doi:10.1016/j.brat.2009.01.013.CrossRefPubMed

Soler, J., Valdepérez, A., Feliu-Soler, A., Pascual, J. C., Portella, M. J., Martín-Blanco, A., & Pérez, V. (2012). Effects of the dialectical behavioral therapy-mindfulness module on attention in patients with borderline personality disorder. Behaviour Research and Therapy, 50(2), 150–7. doi:10.1016/j.brat.2011.12.002.CrossRefPubMed

Soler, J., Vega, D., Feliu-Soler, A., Trujols, J., Soto, A., Elices, M., & Pascual, J. C. (2013). Validation of the Spanish version of the Borderline Symptom List, short form (BSL-23). BMC Psychiatry, 13, 139. doi:10.1186/1471-244X-13-139.CrossRefPubMedPubMedCentral

Soler, J., Franquesa, A., Feliu-Soler, A., Cebolla, A., Garcia-Campayo, J., Tejedor, R., & Portella, M. J. (2014). Assessing decentering: validation, psychometric properties and clinical usefulness of the Experiences Questionnaire in a Spanish sample. Behavior Therapy, 45(6), 863–871. doi:10.1016/j.beth.2014.05.004.CrossRefPubMed

Stepp, S. D., Epler, A. J., Jahng, S., & Trull, T. J. (2008). The effect of dialectical behavior therapy skills use on borderline personality disorder features. Journal of Personality Disorders, 22(6), 549–63. doi:10.1521/pedi.2008.22.6.549.CrossRefPubMedPubMedCentral

Stoffers, J., Völlm, B. A., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2012). Psychological therapies for people with borderline personality disorder (Review). In Cochrane Database of Systematic Reviews (Cochrane D.). Wiley. doi:10.1002/14651858.CD005652

Valentine, S. E., Bankoff, S. M., Poulin, R. M., Reidler, E. B., & Pantalone, D. W. (2015). The use of dialectical behavior therapy skills training as stand-alone treatment: a systematic review of the treatment outcome literature. Journal of Clinical Psychology, 71(1), 1–20. doi:10.1002/jclp.22114.CrossRefPubMed

Wupperman, P., Neumann, C. S., & Axelrod, S. R. (2008). Do deficits in mindfulness underlie borderline personality features and core difficulties? Journal of Personality Disorders, 22(5), 466–82. doi:10.1521/pedi.2008.22.5.466.CrossRefPubMed

Wupperman, P., Neumann, C. S., Whitman, J. B., & Axelrod, S. R. (2009). The role of mindfulness in borderline personality disorder features. The Journal of Nervous and Mental Disease, 197(10), 766–71. doi:10.1097/NMD.0b013e3181b97343.CrossRefPubMed

Wupperman, P., Fickling, M., Klemanski, D. H., Berking, M., & Whitman, J. B. (2013). Borderline personality features and harmful dysregulated behavior: the mediational effect of mindfulness. Journal of Clinical Psychology, 69(9), 903–11. doi:10.1002/jclp.21969.CrossRefPubMed

Zanarini, M., Gunderson, J. G., Frankenburg, F. R., & Chauncey, D. L. (1989). The revised diagnostic interview for borderlines: discriminating BPD from other axis II disorders. Journal of Personality Disorders, 3(1), 10–18. doi:10.1521/pedi.1989.3.1.10.CrossRef

Zimmerman, M., & Mattia, J. I. (2001). The psychiatric diagnostic screening questionnaire: development, reliability and validity. Comprehensive Psychiatry, 42(3), 175–89. doi:10.1053/comp.2001.23126.CrossRefPubMed

Titel: Impact of Mindfulness Training on Borderline Personality Disorder: A Randomized Trial
Auteurs: Matilde Elices
Juan C. Pascual
Maria J. Portella
Albert Feliu-Soler
Ana Martín-Blanco
Cristina Carmona
Joaquim Soler
Publicatiedatum: 18-02-2016
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 3/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-016-0492-1

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2016

Attachment Security and Self-compassion Priming Increase the Likelihood that First-time Engagers in Mindfulness Meditation Will Continue with Mindfulness Training

Does Self-Compassion Entail Reduced Self-Judgment, Isolation, and Over-Identification? A Response to Muris, Otgaar, and Petrocchi (2016)

Drinking Motives Mediate the Relationship Between Facets of Mindfulness and Problematic Alcohol Use

Mindfulness and Relaxation: a Comparison of Brief, Laboratory-Based Interventions

Mindful Parenting Training in Child Psychiatric Settings: Heightened Parental Mindfulness Reduces Parents’ and Children’s Psychopathology

Trauma Therapists’ Clinical Applications, Training, and Personal Practice of Mindfulness and Meditation