The Effectiveness of Dialectical Behavioral Therapy on Emotional Regulation and Marital Conflicts of Women with Borderline Personality Disorder in Isfahan City

Authors

DOI:

https://doi.org/10.22100/ijhs.v8i4.915

Keywords:

Dialectical behavioral therapy, Emotional regulation, Marital conflicts, Borderline personality disorder

Abstract

Background: This study aimed to investigate the effectiveness of dialectical behavioral therapy on emotional regulation and marital conflicts of women with borderline personality disorder in Isfahan city in Isfahan.

Methods: This is a semi-experimental method with pre-test, post-test, and followed with the control group. To conduct the study, 30 women with borderline personality disorder referring to Isfahan Family Therapy Clinics in 2017, who were willing to participate in the study were selected based on criteria of entry and exit and were randomly divided into two experimental groups (15 persons) and control (15 persons) and complete the pretest, Gross & John (2003) and Marital Conflict Questionnaire (MCQ). The experimental group underwent dialectical behavioral therapy at 10 sessions (weekly and 2 hours) and one week after intervention, both experimental and control groups were subjected to post-test. After the completion of the training and post-test, a one-month follow-up period was completed. The repeated measures analysis of variance was performed using  SPSS Statistics ver22. The significant level was set at 0.05.

Results: The results of repeated measures of variance analysis showed that dialectical behavioral therapy had an effect on emotional regulation and marital conflicts. And leads to improved emotional reactions and reduced marital conflicts in women with borderline personality disorder in Isfahan (p-value<0.001).

Conclusions: The effect of this treatment on emotional regulation and marital conflicts of women with borderline personality disorder was stable. As a result, dialectical behavioral therapy as a therapeutic approach is recommended to improve the psychological status of women with borderline personality disorder symptoms.

Keywords: Dialectical behavioral therapy, Emotional regulation, Marital conflicts, Borderline personality disorder.

References

1. American Psychiatric Association, American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. United States. 2013. https://www.psychiatry.org/psychiatrists/practice/dsm
2. RIOS EY. Dialectical behavior therapy in the treatment of borderline personality disorder. Journal of Cognitive-Behavioral Psychotherapy and Research. 2020;9(2):148-57. doi: 10.9740/mhc.2016.03.62
3. Temes CM, Zanarini MC. Recent developments in psychosocial interventions for borderline personality disorder. F1000Research. 2019;8. doi: 10.12688/f1000research.18561.1
4. Blennerhassett RC, O'Raghallaigh JW. Dialectical behaviour therapy in the treatment of borderline personality disorder. The British journal of psychiatry. 2005 Apr;186(4):278-80. doi: 10.1192/bjp.186.4.278.
5. Daros AR, Williams GE. A meta-analysis and systematic review of emotion-regulation strategies in borderline personality disorder. Harvard review of psychiatry. 2019 Jul 1;27(4):217-32. doi: 10.1097/HRP.0000000000000212.
6. Beeney JE, Hallquist MN, Scott LN, Ringwald WR, Stepp SD, Lazarus SA, Mattia AA, Pilkonis PA. The emotional bank account and the four horsemen of the apocalypse in romantic relationships of people with borderline personality disorder: A dyadic observational study. Clinical Psychological Science. 2019 Sep;7(5):1063-77. doi: 10.1177/2167702619830647.
7. Miano A, Dziobek I, Roepke S. Characterizing couple dysfunction in borderline personality disorder. Journal of personality disorders. 2020 Apr;34(2):181-98. doi:10.1521/pedi_2018_32_388
8. Scheibner HJ, Daniels A, Guendelman S, Utz F, Bermpohl F. Self-compassion mediates the relationship between mindfulness and borderline personality disorder symptoms. Journal of personality disorders. 2018;32(6):838-56. doi:10.1521/pedi_2017_31_331
9. Rezaie Z, Afshari B, Balagabri Z. Effects of Dialectical Behavior Therapy on Emotion Regulation, Distress Tolerance, Craving, and Depression in Patients with Opioid Dependence Disorder. Journal of Contemporary Psychotherapy. 2021 Feb 4:1-0. doi: 10.1007/s10879-020-09487-z
10. Cyr G, Godbout N, Cloitre M, Bélanger C. Distinguishing Among Symptoms of Posttraumatic Stress Disorder, Complex Posttraumatic Stress Disorder, and Borderline Personality Disorder in a Community Sample of Women. Journal of Traumatic Stress. 2021. doi: 10.1002/jts.22719.
11. Blankers M, Koppers D, Laurenssen EM, Peen J, Smits ML, Luyten P, Busschbach J, Kamphuis JH, Kikkert M, Dekker JJ. Mentalization-based treatment versus specialist treatment as usual for borderline personality disorder: Economic evaluation alongside a randomized controlled trial with 36-month follow-up. Journal of personality disorders. 2021 Jun;35(3):373-92. doi: 10.1521/pedi_2019_33_454.
12. Zimmerman M, Balling C, Chelminski I, Dalrymple K. Patients with borderline personality disorder and bipolar disorder: a descriptive and comparative study. Psychological medicine. 2021 Jul;51(9):1479-90. doi: 10.1017/S0033291720000215.
13. Stepp SD, Scott LN, Jones NP, Whalen DJ, Hipwell AE. Negative emotional reactivity as a marker of vulnerability in the development of borderline personality disorder symptoms. Development and Psychopathology. 2016 Feb;28(1):213-24. doi: 10.1017/S0954579415000395
14. Navarro-Gómez S, Frías Á, Palma C. Romantic relationships of people with borderline personality: A narrative review. Psychopathology. 2017;50(3):175-87. doi: 10.1159/000474950.
15. Jeung H, Herpertz SC. Impairments of interpersonal functioning: empathy and intimacy in borderline personality disorder. Psychopathology. 2014;47(4):220-34. doi: 10.1159/000357191.
16. Lavner JA, Lamkin J, Miller JD. Borderline personality disorder symptoms and newlyweds’ observed communication, partner characteristics, and longitudinal marital outcomes. Journal of abnormal psychology. 2015 Nov;124(4):975. doi: 10.1037/abn0000095.
17. Howard KP, Lazarus SA, Cheavens JS. A longitudinal examination of the reciprocal relationship between borderline personality features and interpersonal relationship quality. Personality Disorders: Theory, Research, and Treatment. 2021. doi: 10.1037/per0000484.
18. Lazarus SA, Beeney JE, Howard KP, Strunk DR, Pilkonis P, Cheavens JS. Characterization of relationship instability in women with borderline personality disorder: A social network analysis. Personality Disorders: Theory, Research, and Treatment. 2020 Sep;11(5):312. doi:10.1037/per0000380
19. Lazarus SA, Scott LN, Beeney JE, Wright AG, Stepp SD, Pilkonis PA. Borderline personality disorder symptoms and affective responding to perceptions of rejection and acceptance from romantic versus nonromantic partners. Personality Disorders: Theory, Research, and Treatment. 2018 May;9(3):197. doi: 10.1037/per0000289.
20. Salgó E, Szeghalmi L, Bajzát B, Berán E, Unoka Z (2021) Emotion regulation, mindfulness, and self-compassion among patients with borderline personality disorder, compared to healthy control subjects. PLoS ONE 16(3): e0248409. doi:10.1371/journal.pone.0248409
21. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of personality and social psychology. 2003 Aug;85(2):348. doi: 10.1037/0022-3514.85.2.348.
22. Hasani, J. Persian Version of the Emotion Regulation Questionnaire: Factor Structure, Reliability and Validity. International Journal of Behavioral Sciences, 2016; 10(3): 108-113. http://www.behavsci.ir/article_67952_2900935af4a6abf26fbc8f7aa1296942.pdf
23. Sanaie B. The measuring scales of marriage and family. Tehran: Be’asat publication. 2008. https://jpcp.uswr.ac.ir/article-1-532-en.html
24. Sanaie B, Barati T. Family and marriage measures. Tehran: Besat. 2000. http://iase-idje.ir/article-1-116-en.pdf
25. Linehan MM, Korslund KE, Harned MS, Gallop RJ, Lungu A, Neacsiu AD, McDavid J, Comtois KA, Murray-Gregory AM. Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: a randomized clinical trial and component analysis. JAMA psychiatry. 2015 May 1;72(5):475-82. doi: 10.1001/jamapsychiatry.2014.3039.
26. Nararro-Haro MV, Hoffman HG, Garcia-Palacios A, Sampaio M, Alhalabi W, Hall K, Linehan M. The use of virtual reality to facilitate mindfulness skills training in dialectical behavioral therapy for borderline personality disorder: a case study. Frontiers in psychology. 2016 Nov 2;7:1573. doi:10.3389/fpsyg.2016.01573
27. O’Toole SK, Diddy E, Kent M. Mindfulness and emotional well-being in women with borderline personality disorder. Mindfulness. 2012 Jun;3(2):117-23. doi:10.1007/S12671-011-0085-Y
28. Mehlum L. Mechanisms of change in dialectical behaviour therapy for people with borderline personality disorder. Current opinion in psychology. 2021 Feb 1;37:89-93. doi:10.1016/j.copsyc.2020.08.017
29. Sieswerda S, Arntz A, Mertens I, Vertommen S. Hypervigilance in patients with borderline personality disorder: specificity, automaticity, and predictors. Behaviour research and therapy. 2007 May 1;45(5):1011-24. doi: 10.1016/j.brat.2006.07.012.

Downloads

Published

2022-02-22

Issue

Section

Articles

How to Cite

The Effectiveness of Dialectical Behavioral Therapy on Emotional Regulation and Marital Conflicts of Women with Borderline Personality Disorder in Isfahan City. (2022). International Journal of Health Studies, 8(4), 27-32. https://doi.org/10.22100/ijhs.v8i4.915