Top

Tijdschrift voor Psychotherapie

Gepubliceerd in:

11-02-2016 | Artikel

Mindfulness Based Emotion Regulation Training bij patiënten met borderlinepersoonlijkheidsstoornis

Resultaten van een pilotstudie in een klinische behandeling

Auteurs: Monique Veerkamp, Rinske Gotink, Dr. Maartje Schoorl

Gepubliceerd in: Tijdschrift voor Psychotherapie | Uitgave 1/2016

Samenvatting

Mindfulness wordt gezien als een belangrijke vaardigheid voor patiënten met een borderlinepersoonlijkheidsstoornis (BPS). De Mindfulness Based Emotion Regulation Training (MB-ERT) richt zich specifiek op het ontwikkelen van mindfulness en zelfcompassie bij deze doelgroep, die wordt gekenmerkt door problemen in de emotieregulatie. In een verkennend onderzoek is gekeken naar de toepasbaarheid en klinische effecten van MB-ERT als modulair aanbod. Tien patiënten met BPS in klinisch-psychotherapeutische behandeling in het Centrum Persoonlijkheidsstoornissen Jelgersma te Oegstgeest volgden de MB-ERT van februari tot juni 2013. Gemeten werden mindfulnessvaardigheden, piekeren en borderlinesymptomen. Na afloop van de training vulden deelnemers bovendien een evaluatieformulier in. Ondanks de beperkingen van dit onderzoek zijn er aanwijzingen voor de veilige toepasbaarheid van MB-ERT bij patiënten met BPS binnen een klinische setting. Verbeteringen in mindfulnessvaardigheden, piekeren en borderlinesymptomen zijn significant.

vorige artikel Als het slachtoffer dader wordt

volgende artikel De beoordeling van de kwaliteit van objectrepresentaties

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: 4th edition Revised. Washington, DC: American Psychiatric Association.

American Psychiatric Association. (2014). Diagnostic and statistical manual of mental disorders: DSM-5. http://dsm.psychiatryonline.org/book.aspx?bookid=556.

Arntz, A., Hoorn, M. van den, Cornelis, J., Verheul, R., Bosch, W. M. van den, & Bie, A. J. de (2003). Reliability and validity of the borderline personality disorder severity index. Journal of Personality Disorders, 17, 45–59.CrossRefPubMed

Asselt, A. D. I. van, Dirksen, C. D., Arntz, A., & Severens, J. L. (submitted). The cost of borderline personality disorder: Societal cost of illness in BPD-patients.

Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: the Kentucky Inventory of Mindfulness Skills. Assessment, 11, 191–206.CrossRefPubMed

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, 27–45.CrossRefPubMed

Bender, D. S., Dolan, R. T., Skodol, A. E., Sanislow, C. A., Dyck, I. R., McGlashan, T. H., Shea, M. T., Zanarini, M. C., Oldham, J. M., & Gunderson, J. G. (2001). Treatment utilization by patients with personality disorders. American Journal of Psychiatry, 158, 295–302.CrossRefPubMed

Bijttebier, P., & Vertommen, H. (1999). Coping strategies in relation to personality disorders. Personality and Individual Differences, 26, 847–856.CrossRef

Borckardt, J. J., Nash, M. R., Murphy, M. D., Moore, M., Shaw, D., & O’Neil, P. (2008). Clinical practice as natural laboratory for psychotherapy research: a guide to case-based time-series analysis. American Psychologist, 63, 77–95. doi:10.1037/0003-066X.63.2.77.CrossRefPubMed

Brink, E. van den, & Koster, F. (2013). Compassievol leven. Amsterdam: Boom.

Comtois, K. A., Russo, J., Snowden, M., Srebnik, D., Ries, R., & Roy-Byrne, P. (2003). Factors associated with high use of public mental health services by persons with borderline personality disorder. Psychiatric Services, 54, 1149–1154.CrossRefPubMed

Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: elaborating and extending Linehan’s theory. Psychological Bulletin, 135, 495–510.PubMedCentralCrossRefPubMed

Didonna, F. (2009). Clinical handbook of mindfulness. New York: Springer.CrossRef

Feliu-Soler, A., Pascual, J. C., Borras, X., Portella, M. J., Martin-Blanco, A., Armario, A., Alvarez, E., Pérez, V., & Soler, J. (2014). Effects of dialectical behaviour therapy-mindfulness training on emotional reactivity in borderline personality disorder: preliminary results. Clinical psychology & psychotherapy, 21, 363–370.

Fjorback, L. O., Arendt, M., Ornbol, E., Fink, P., & Walach, H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy: a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124, 102–119.CrossRefPubMed

Fresco, D. M., Mennin, D. S., Heimberg, R. G., & Turk, C. L. (2003). Using the Penn State Worry Questionnaire to identify individuals with generalized anxiety disorder: a receiver operating characteristic analysis. Journal of Behavior Therapy and Experimental Psychiatry, 34, 283–291.

Germer, C. (2009). The mindful path to self-compassion: freeing yourself from destructive thoughts and emotions. New York: Guilford Press.

Giesen-Bloo, J. H., Arntz, A., & Schouten, E. (2006). The borderline personality disorder checklist: psychometric evaluation and factorial structure in clinical and nonclinical samples. Submitted.

Gilbert, P. (2009). The compassionate mind. London: Constable & Robinson.

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.

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.CrossRefPubMed

Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. Lancet, 364, 453–461.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, 147–156.

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

Livesley, J. (2008). Toward a genetically-informed model of borderline personality disorder. Journal of Personality Disorders, 22, 42–71.CrossRefPubMed

Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40.CrossRefPubMed

Meijer S., & Bosch W. van den (2011). Vademecum dialectische gedragstherapie. Blijven zoeken naar balans. Amsterdam: Pearson.

Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behavioral Research and Therapy, 28, 487–495.

Neff, K. (2011). Zelf-compassie. Stop jezelf te veroordelen. Amsterdam: de Bezige Bij.

Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review, 31, 1032–1040.CrossRefPubMed

Pintea, S. (2010). The relevance of results in clinical research: statistical, practical, and clinical significance. Journal of Evidence-Based Psychotherapies, 10, 101.

Raes, F., Dewulf, D., Heeringen, C. van, & Williams, J. M. (2009). Mindfulness and reduced cognitive reactivity to sad mood: evidence from a correlational study and a non-randomized waiting list controlled study. Behavioral Research and Therapy, 47, 623–627.

Reisch, T., Ebner-Priemer, U. W., Tschacher, W., Bohus, M., & Linehan, M. M. (2008). Sequences of emotions in patients with borderline personality disorder. Acta Psychiatrica Scandinavica, 118, 42–48.CrossRefPubMed

Rijsoort, S. van, Emmelkamp, P., & Vervaeke, G. (1999). The penn state worry questionnaire and the worry domains questionnaire: structure, reliability and validity. Clinical Psychology and Psychotherapy, 6, 297–307.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: Theory, Research and Practice, 84, 184–200.CrossRef

Schoorl, M., Van Mil-Klinkenberg, L., & Van Der Does, W. (2015). Mindfulness skills, anxiety sensitivity, and cognitive reactivity in patients with posttraumatic stress disorder. Mindfulness, 6(5), 1004–1011.

Segal, Z. V., Williams, M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.

Soler, J., Valdeperez, A., Feliu-Soler, A., Pascual, J. C., Portella, M. J., Martin-Blanco, A., Alvarez, E., & Perez, V. (2012). Effects of the dialectical behavioral therapy-mindfulness module on attention in patients with borderline personality disorder. Behavioral Research and Therapy, 50, 150–157.

Spek, A. (2010). Mindfulness bij volwassenen met autisme. Een wegwijzer voor hulpverleners en mensen met ASS. Amsterdam: Hogrefe.

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, 549–563.

Thompson, B. L., & Waltz, J. (2008). Self-compassion and PTSD symptom severity. Journal of Traumatic Stress, 21, 556–558.

Tragesser, S. L., Solhan, M., Brown, W. C., Tomko, R. L., Bagge, C., & Trull, T. J. (2010). Longitudinal associations in borderline personality disorder features: diagnostic Interview for Borderlines-Revised (DIB-R) scores over time. Journal of Personality Disorders, 2, 377–391.CrossRef

Trimbos Instituut. (2008). Multidisciplinaire richtlijn persoonlijkheidsstoornissen. Utrecht: Trimbos-instituut.

Veerkamp, M. (2013). Stilstaan in de storm. Mindfulness bij heftige emoties. Houten: LannooCampus.

Welch, S. S., Rizvi, S., & Dimidjian, S. (2006). Mindfulness in dialectical behavior therapy (DBT) for borderline personality disorder In: R. A. Baer (red.), Mindfulness-based treatment approaches (pag. 117–139). Amsterdam: Elsevier.CrossRef

Wolever, R. Q., & Best, J. L. (2009). Mindfulness-based approaches to eating disorders. In F. Didonna (red.), Clinical handbook of mindfulness (pag. 259–287). New York: Springer.

Yen, S., Zlotnick, C., & Costello, E. (2002). Affect regulation in women with borderline personality disorder traits. Journal of Nervous and Mental Disease, 190, 693–696.CrossRefPubMed

Zahra, D. H. C. (2010). The reliable change index: why isn’t it more popular in academic psychology? PsyPag Quarterly, 76, 14–19.

Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2004). Axis I comorbidity in patients with borderline personality disorder: 6-year follow-up and prediction of time to remission. American Journal of Psychiatry, 161, 2108–2114.CrossRefPubMed

Titel: Mindfulness Based Emotion Regulation Training bij patiënten met borderlinepersoonlijkheidsstoornis
Resultaten van een pilotstudie in een klinische behandeling
Auteurs: Monique Veerkamp
Rinske Gotink
Dr. Maartje Schoorl
Publicatiedatum: 11-02-2016
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Tijdschrift voor Psychotherapie / Uitgave 1/2016
Print ISSN: 0165-1188
Elektronisch ISSN: 1876-5637
DOI: https://doi.org/10.1007/s12485-015-0109-5

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Samenvatting

Log in om toegang te krijgen

Andere artikelen Uitgave 1/2016

Bijeenkomsten

Ontschotten

Als het slachtoffer dader wordt

Gelezen

Inleiding

De beoordeling van de kwaliteit van objectrepresentaties