Top

Mindfulness

Gepubliceerd in:

18-03-2022 | ORIGINAL PAPER

Mindfulness-Based Stress Reduction Intervention and Emotional Recovery in Borderline Personality Features: Evidence from Psychophysiological Assessment

Auteurs: Zai-Ting Yeh, Chr-Li Lin

Gepubliceerd in: Mindfulness | Uitgave 4/2022

Abstract

Objectives

Borderline personality disorder (BPD) is a severe mental disorder characterized by difficulty in emotion regulation and interpersonal relationships. Many researchers have focused on high baseline emotional intensity and emotional reactivity, but very little research has examined the difficulty of recovery to baseline in patients with BPD. This study focused on emotional recovery after Mindfulness-Based Stress Reduction (MBSR) intervention on psychophysiological indexes in individuals with BPD features.

Methods

In all, 179 participants were recruited and invited to complete the questionnaire. Based on the cutoff scores of the Borderline Features Scale of the Personality Assessment Inventory (PAI-BOR), 32 participants with BPD features and 32 healthy controls (HC) were invited to participate in the psychophysiological studies. In the second phase, 16 of the 32 participants with BPD features were included in the MBSR intervention, and the other 16 were included in the uninvolved group.

Results

There were significant differences between the BPD-features and HC groups on all the self-report scales. The individuals with BPD features experienced more difficulty in recovering from anger, sadness, and fear emotions, according to psychophysiological indicators of the parasympathetic nervous system (PNS). MBSR intervention was effective in improving emotion regulation, the traits of mindfulness, depression, and withdrawal of the PNS in the BPD-features group. During the recovery periods, the activities of the respiratory sinus arrhythmia (RSA) and high frequency of heart rate variability (HRV-HF) increased in the participants with BPD features after MBSR intervention.

Conclusions

The present results are in line with the polyvagal theory. MBSR intervention may provide paths for gaining control over top-down influences on the PNS via skills of observation and acceptance to avoid the loop of rumination and associated physiological arousal, which is thought to prevent efficient emotional recovery from stressful emotional experiences.

vorige artikel Compassion Protects Mental Health and Social Safeness During the COVID-19 Pandemic Across 21 Countries

volgende artikel Training Self-compassion: Exploring the Effects on Adolescents’ Physiological and Self-reported Stress Responses

Aleknaviciute, J., Tulen, J. H., Kamperman, A. M., de Rijke, Y. B., Kooiman, C. G., & Kushner, S. A. (2016). Borderline and cluster C personality disorders manifest distinct physiological responses to psychosocial stress. Psychoneuroendocrinology, 72, 131–138. https://doi.org/10.1016/j.psyneuen.2016.06.010CrossRefPubMed

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing, Inc.

Austin, M. A., Riniolo, T. C., & Porges, S. W. (2007). Borderline personality disorder and emotion regulation: Insights from the Polyvagal Theory. Brain Cognition, 65(1), 69–76. https://doi.org/10.1016/j.bandc.2006.05.007CrossRefPubMed

Bagge, C., Nickell, A., Stepp, S., Durrett, C., Jackson, K., & Trull, T. J. (2004). Borderline personality disorder features predict negative outcomes 2 years later. Journal of Abnormal Psychology, 113(2), 279–288. https://doi.org/10.1037/0021-843x.113.2.279CrossRefPubMed

Baschnagel, J. S., Coffey, S. F., Hawk, L. W., Jr., Schumacher, J. A., & Holloman, G. (2013). Psychophysiological assessment of emotional processing in patients with borderline personality disorder with and without comorbid substance use. Personality Disorders: Theory, Research, and Treatment, 4(3), 203–213. https://doi.org/10.1037/a0029777CrossRef

Beauchaine, T. P. (2001). Vagal tone, development, and Gray's motivational theory: Toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13(2), 183–214.

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy.bph077CrossRef

Black, D. W., Blum, N., Pfohl, B., & Hale, N. (2004). Suicidal behavior in borderline personality disorder: Prevalence, risk factors, prediction, and prevention. Journal of Personality Disorders, 18(3), 226–239. https://doi.org/10.1521/pedi.18.3.226.35445CrossRefPubMed

Bortolla, R., Cavicchioli, M., Fossati, A., & Maffei, C. (2020). Emotional reactivity in borderline personality disorder: Theoretical considerations based on a meta-analytic review of laboratory studies. Journal of Personality Disorders, 34(1), 64–87. https://doi.org/10.1521/pedi_2018_32_382

R Bortolla M Galli P Ramella F Sirtori R Visintini C Maffei 2020b Negative bias and reduced visual information processing of socio-emotional context in borderline personality disorder: A support for the hypersensitivity hypothesis Journal of Behavior Therapy and Experimental Psychiatry 69. https://doi.org/10.1016/j.jbtep.2020.101589

Britton, W. B., Shahar, B., Szepsenwol, O., & Jacobs, W. J. (2012). Mindfulness-based cognitive therapy improves emotional reactivity to social stress: Results from a randomized controlled trial. Behavior Therapy, 43(2), 365–380. https://doi.org/10.1016/j.beth.2011.08.006CrossRefPubMed

Brown, K. W., & Ryan, R. M. (2004). Perils and promise in defining and measuring mindfulness: Observations from experience. Clinical Psychology: Science and Practice, 11(3), 242–248. https://doi.org/10.1093/clipsy/bph078CrossRef

Butler, E. A., Wilhelm, F. H., & Gross, J. J. (2006). Respiratory sinus arrhythmia, emotion, and emotion regulation during social interaction. Psychophysiology, 43(6), 612–622. https://doi.org/10.1111/j.1469-8986.2006.00467.xCrossRefPubMed

Cappas, N. M., Andres-Hyman, R., & Davidson, L. (2005). What psychotherapists can begin to learn from neuroscience: Seven principles of a brain-based psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 42(3), 374–383. https://doi.org/10.1037/0033-3204.42.3.374

Carmona iFarrés, C., Elices, M., Soler, J., Domínguez-Clavé, E., Pomarol-Clotet, E., Salvador, R., & Pascual, J. C. 2019 Effects of mindfulness training on borderline personality disorder: Impulsivity versus emotional dysregulation Mindfulness 10(7), 1243–1254. https://doi.org/10.1007/s12671-018-1071-4

Carpenter, R. W., & Trull, T. J. (2013). Components of emotion dysregulation in borderline personality disorder: A review. Current Psychiatry Reports, 15(1), 335. https://doi.org/10.1007/s11920-012-0335-2CrossRefPubMedPubMedCentral

Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review, 29(6), 560–572. https://doi.org/10.1016/j.cpr.2009.06.005CrossRefPubMed

Chang, J.-H., Lin, Y.-C., & Huang, C.-L. (2011). Psychometric properties of the Chinese translation of mindful attention awareness scale (CMAAS). Psychological Testing, 58, 235–260.

Coffey, K. A., & Hartman, M. (2008). Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complementary Health Practice Review, 13(2), 79–91. https://doi.org/10.1177/1533210108316307CrossRef

Crosswell, A. D., Moreno, P. I., Raposa, E. B., Motivala, S. J., Stanton, A. L., Ganz, P. A., & Bower, J. E. (2017). Effects of mindfulness training on emotional and physiologic recovery from induced negative affect. Psychoneuroendocrinology, 86, 78–86. https://doi.org/10.1016/j.psyneuen.2017.08.003CrossRefPubMedPubMedCentral

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(3), 495–510. https://doi.org/10.1037/a0015616CrossRefPubMedPubMedCentral

Daley, S. E., Burge, D., & Hammen, C. (2000). Borderline personality disorder symptoms as predictors of 4-year romantic relationship dysfunction in young women: Addressing issues of specificity. Journal of Abnormal Psychology, 109(3), 451–460. https://doi.org/10.1037/0021-843X.109.3.451CrossRefPubMed

David, E., E., B. M., G., V. E., M., L. P., Michelle, R., & Michael, M. (2018). Rest, reactivity, and recovery: A psychophysiological assessment of borderline personality disorder. Frontiers in Psychiatry, 9(505). https://doi.org/10.3389/fpsyt.2018.00505

Davidson, R. J., Jackson, D. C., & Kalin, N. H. (2000). Emotion, plasticity, context, and regulation: Perspectives from affective neuroscience. Psychological Bulletin, 126(6), 890–909. https://doi.org/10.1037/0033-2909.126.6.890

Domes, G., Schulze, L., & Herpertz, S. C. (2009). Emotion recognition in borderline personality disorder-A review of the literature. Journal of Personality Disorders, 23(1), 6–19. https://doi.org/10.1521/pedi.2009.23.1.6CrossRefPubMed

Elices, M., Pascual, J. C., Portella, M. J., Feliu-Soler, A., Martín-Blanco, A., Carmona, C., & Soler, J. (2016). Impact of mindfulness training on borderline personality disorder: A randomized trial. Mindfulness, 7(3), 584–595. https://doi.org/10.1007/s12671-016-0492-1CrossRef

Feliu-Soler, A., Pascual, J. C., Borràs, X., Portella, M. J., Martín-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(4), 363–370. https://doi.org/10.1002/cpp.1837CrossRef

Fitzpatrick, S., & Kuo, J. R. (2015). A comprehensive examination of delayed emotional recovery in borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 47, 51–59. https://doi.org/10.1016/j.jbtep.2014.11.004CrossRefPubMed

Fogarty, F. A., Lu, L. M., Sollers, J. J., Krivoschekov, S. G., Booth, R. J., & Consedine, N. S. (2015). Why it pays to be mindful: Trait mindfulness predicts physiological recovery from emotional stress and greater differentiation among negative emotions. Mindfulness, 6(2), 175–185. https://doi.org/10.1007/s12671-013-0242-6CrossRef

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94CrossRef

Gross, J. J., & Jazaieri, H. (2014). Emotion, emotion regulation, and psychopathology: An affective science perspective. Clinical Psychological Science, 2(4), 387–401. https://doi.org/10.1177/2167702614536164CrossRef

Hanley, J. A., Negassa, A., Edwardes, M. D., & Forrester, J. E. (2003). Statistical analysis of correlated data using generalized estimating equations: An orientation. American Journal of Epidemiology, 157(4), 364–375. https://doi.org/10.1093/aje/kwf215CrossRefPubMed

Hoffman, P. D., Buteau, E., Hooley, J. M., Fruzzetti, A. E., & Bruce, M. L. (2003). Family members’ knowledge about borderline personality disorder: Correspondence with their levels of depression, burden, distress, and expressed emotion. Family Process, 42(4), 469–478. https://doi.org/10.1111/j.1545-5300.2003.00469.xCrossRefPubMed

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016CrossRef

Kabat-Zinn, J. (2009). Wherever you go, there you are: Mindfulness meditation in everyday life. Hachette Books. https://books.google.com.tw/books?id=-g-OSXrZeYYC

Keng, S. L., & Tan, H. H. (2018). Effects of brief mindfulness and loving-kindness meditation inductions on emotional and behavioral responses to social rejection among individuals with high borderline personality traits. Behaviour Research and Therapy, 100, 44–53. https://doi.org/10.1016/j.brat.2017.11.005CrossRefPubMed

Koenig, J., Kemp, A. H., Feeling, N. R., Thayer, J. F., & Kaess, M. (2016). Resting state vagal tone in borderline personality disorder: A meta-analysis. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 64, 18–26. https://doi.org/10.1016/j.pnpbp.2015.07.002

Kral, T. R. A., Imhoff-Smith, T., Dean, D. C., III., Grupe, D., Adluru, N., Patsenko, E., Mumford, J. A., Goldman, R., Rosenkranz, M. A., & Davidson, R. J. (2019). Mindfulness-based stress reduction-related changes in posterior cingulate resting brain connectivity. Social Cognitive and Affective Neuroscience, 14(7), 777–787. https://doi.org/10.1093/scan/nsz050CrossRefPubMedPubMedCentral

Kronenberg, G., & Klempin, F. (2020). Laying out the evidence for the persistence of neurogenesis in the adult human hippocampus. European Archives of Psychiatry and Clinical Neuroscience, 270(4), 497–498. https://doi.org/10.1007/s00406-019-01066-1

Kumar, G., Steer, R. A., & Beck, A. T. (1993). Factor structure of the Beck Anxiety Inventory with adolescent psychiatry inpatients. Anxiety, Stress & Coping: An International Journal, 6(2), 125–131. https://doi.org/10.1080/10615809308248374

Kuo, J. R., Fitzpatrick, S., Metcalfe, R. K., & McMain, S. (2016). A multi-method laboratory investigation of emotional reactivity and emotion regulation abilities in borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 50, 52–60. https://doi.org/10.1016/j.jbtep.2015.05.002

Kuo, J. R., & Linehan, M. M. (2009). Disentangling emotion processes in borderline personality disorder: Physiological and self-reported assessment of biological vulnerability, baseline intensity, and reactivity to emotionally evocative stimuli. Journal of Abnormal Psychology, 118(3), 531–544. https://doi.org/10.1037/a0016392CrossRefPubMedPubMedCentral

Kuo, J. R., Neacsiu, A. D., Fitzpatrick, S., & MacDonald, D. E. (2014). A methodological examination of emotion inductions in borderline personality disorder: A comparison of standardized versus idiographic stimuli. Journal of Psychopathology and Behavioral Assessment, 36(1), 155–164. https://doi.org/10.1007/s10862-013-9378-xCrossRef

Liang, Y. C., Hsieh, S. L., Weng, C. Y., & Sun, C. R. (2013). Taiwan corpora of Chinese emotions and relevant psychophysiological data-standard Chinese emotional film clips database and subjective evaluation normative data. Chinese Journal of Psychology, 55(4), 601–621.

Ma, Y., Mazumdar, M., & Memtsoudis, S. G. (2012). Beyond repeated-measures analysis of variance: Advanced statistical methods for the analysis of longitudinal data in anesthesia research. Regional Anesthesia & Pain Medicine, 37(1), 99–105. https://doi.org/10.1097/AAP.0b013e31823ebc74CrossRef

McGlashan, T. H., Grilo, C. M., Skodol, A. E., Gunderson, J. G., Shea, M. T., Morey, L. C., Zanarini, M. C., & Stout, R. L. (2000). The collaborative longitudinal personality disorders study: Baseline Axis I/II and II/II diagnostic co-occurrence. Acta Psychiatrica Scandinavica, 102(4), 256–264. https://doi.org/10.1034/j.1600-0447.2000.102004256.xCrossRefPubMed

Mitchell, R., Roberts, R., Bartsch, D., & Sullivan, T. (2019). Changes in mindfulness facets in a dialectical behaviour therapy skills training group program for borderline personality disorder. Journal of Clinical Psychology, 75(6), 958–969. https://doi.org/10.1002/jclp.22744CrossRefPubMed

Morey, L. C., & Boggs, C. (1991). Personality Assessment Inventory (PAI). Lawrence Erlbaum Associates Publishers.

Pagura, J., Stein, M. B., Bolton, J. M., Cox, B. J., Grant, B., & Sareen, J. (2010). Comorbidity of borderline personality disorder and posttraumatic stress disorder in the U.S. population. Journal of Psychiatric Research, 44(16), 1190–1198. https://doi.org/10.1016/j.jpsychires.2010.04.016

Peters, G.-J. Y.(2014). The alpha and the omega of scale reliability and validity: Why and how to abandon Cronbach’s alpha and the routetowards more comprehensive assessment of scale quality. European Health Psychologist, 16(2),56–69. 31234/osf.io/h47f

Porges, S. W. (2001). The polyvagal theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42(2), 123–146. https://doi.org/10.1016/S0167-8760(01)00162-3CrossRefPubMed

Porges, S. W. (2003). The polyvagal theory: Phylogenetic contributions to social behavior. Physiology & Behavior, 79(3), 503–513. https://doi.org/10.1016/s0031-9384(03)00156-2CrossRef

Porges, S. W. (2007). The polyvagal perspective. Biological Psychology, 74(2), 116-143. https://doi.org/10.1016/j.biopsycho.2006.06.009

Porges, S. W., & Furman, S. A. (2011). The early development of the autonomic nervous system provides a neural platform for social behaviour: A polyvagal perspective. Infant and Child Development, 20(1), 106–118. https://doi.org/10.1016/s0167-8760(01)00162-3

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(2), 184–200. https://doi.org/10.1348/147608310x516387CrossRef

Sauer, S., Walach, H., Offenbächer, M., Lynch, S., & Kohls, N. (2011). Measuring mindfulness: A rasch analysis of the freiburg mindfulness inventory. Religions, 2(4), 693–706. https://doi.org/10.3390/rel2040693CrossRef

Scott, L. N., Levy, K. N., & Granger, D. A. (2013). Biobehavioral reactivity to social evaluative stress in women with borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, 4(2), 91–100. https://doi.org/10.1037/a0030117CrossRef

Steer, R. A., Kumar, G., Ranieri, W. F., & Beck, A. T. (1998). Use of the Beck Depression Inventory-II with adolescent psychiatric outpatients. Journal of Psychopathology and Behavioral Assessment, 20(2), 127–137. https://doi.org/10.1023/A:1023091529735

Taren, A. A., Gianaros, P. J., Greco, C. M., Lindsay, E. K., Fairgrieve, A., Brown, K. W., Rosen, R. K., Ferris, J. L., Julson, E., Marsland, A. L., Bursley, J. K., Ramsburg, J., & Creswell, J. D. (2015). Mindfulness meditation training alters stress-related amygdala resting state functional connectivity: A randomized controlled trial. Social Cognitive and Affective Neuroscience, 10(12), 1758–1768. https://doi.org/10.1093/scan/nsv066CrossRefPubMedPubMedCentral

Telles, S., Singh, N., & Balkrishna, A. (2011). Heart rate variability changes during high frequency yoga breathingand breath awareness. BioPsychoSocial Medicine, 5(1), 4. https://doi.org/10.1186/1751-0759-5-4CrossRefPubMedPubMedCentral

Trull, T. J. (2001). Structural relations between borderline personality disorder features and putative etiological correlates. Journal of Abnormal Psychology, 110(3), 471–481. https://doi.org/10.1037//0021-843x.110.3.471CrossRefPubMed

Weinberg, A., Klonsky, E. D., & Hajcak, G. (2009). Autonomic impairment in borderline personality disorder: A laboratory investigation. Brain Cognition, 71(3), 279–286. https://doi.org/10.1016/j.bandc.2009.07.014CrossRefPubMed

Titel: Mindfulness-Based Stress Reduction Intervention and Emotional Recovery in Borderline Personality Features: Evidence from Psychophysiological Assessment
Auteurs: Zai-Ting Yeh
Chr-Li Lin
Publicatiedatum: 18-03-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 4/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01829-3

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Objectives

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 4/2022

Interpersonal Mindfulness Questionnaire: Scale Development and Validation

Effects of a Mindfulness Program on Stress and Psychological Outcomes Among Cancer Survivors: a Quasi-Experimental Study

Mindful Awareness Promotes Resilience: Buffered Links Among Childhood Sexual Abuse Severity, Goal-Directed Emotion Dysregulation, and Psychopathology

How Mindful Awareness and Psychological Distress Influence Mother-Infant Bonding and Maternal Perceptions of Infant Temperament

Adult Attachment and Sleep Disturbance: the Role of the Facets of Mindfulness

The Effects of Mindfulness-Based Stress Reduction on Trauma in Victims of Gun Violence: a Pilot Study