Emotion regulation as a mechanism of change in an acceptance-based emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology

Kim L. Gratz, Roy Levy, Matthew T. Tull

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Despite the clinical importance of deliberate self-harm (DSH) within borderline personality disorder (BPD), there are few empirically supported treatments for this behavior among individuals with BPD; and those that do exist are difficult to implement in many clinical settings. Thus, Gratz and colleagues developed an adjunctive emotion regulation group therapy (ERGT) for women with BPD that directly targets both DSH and its proposed underlying mechanism of emotion dysregulation. Although previous studies support the use of this ERGT in reducing DSH, no studies have examined emotion regulation as a mechanism of change in this treatment. Therefore, this study examined the mediating role of changes in emotion dysregulation in DSH improvement across two separate trials of this ERGT. As hypothesized, changes in emotion dysregulation mediated the observed reductions in DSH frequency. Results provide support for the theoretical model underlying this ERGT and highlight the importance of targeting emotion dysregulation in treatments for DSH.

Original languageEnglish (US)
Pages (from-to)365-380
Number of pages16
JournalJournal of Cognitive Psychotherapy
Volume26
Issue number4
DOIs
StatePublished - 2012

Fingerprint

Self-Injurious Behavior
Group Psychotherapy
Personality
Emotions
Pathology
Borderline Personality Disorder
Theoretical Models
Therapeutics

Keywords

  • Borderline personality
  • Deliberate self-harm
  • Emotion regulation
  • Mechanisms of change
  • Self-injury
  • Treatment

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Experimental and Cognitive Psychology
  • Clinical Psychology

Cite this

@article{4a72752b360849a59c752de18005d938,
title = "Emotion regulation as a mechanism of change in an acceptance-based emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology",
abstract = "Despite the clinical importance of deliberate self-harm (DSH) within borderline personality disorder (BPD), there are few empirically supported treatments for this behavior among individuals with BPD; and those that do exist are difficult to implement in many clinical settings. Thus, Gratz and colleagues developed an adjunctive emotion regulation group therapy (ERGT) for women with BPD that directly targets both DSH and its proposed underlying mechanism of emotion dysregulation. Although previous studies support the use of this ERGT in reducing DSH, no studies have examined emotion regulation as a mechanism of change in this treatment. Therefore, this study examined the mediating role of changes in emotion dysregulation in DSH improvement across two separate trials of this ERGT. As hypothesized, changes in emotion dysregulation mediated the observed reductions in DSH frequency. Results provide support for the theoretical model underlying this ERGT and highlight the importance of targeting emotion dysregulation in treatments for DSH.",
keywords = "Borderline personality, Deliberate self-harm, Emotion regulation, Mechanisms of change, Self-injury, Treatment",
author = "Gratz, {Kim L.} and Roy Levy and Tull, {Matthew T.}",
year = "2012",
doi = "10.1891/0889-8391.26.4.365",
language = "English (US)",
volume = "26",
pages = "365--380",
journal = "Journal of Cognitive Psychotherapy",
issn = "0889-8391",
publisher = "Springer Publishing Company",
number = "4",

}

TY - JOUR

T1 - Emotion regulation as a mechanism of change in an acceptance-based emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology

AU - Gratz, Kim L.

AU - Levy, Roy

AU - Tull, Matthew T.

PY - 2012

Y1 - 2012

N2 - Despite the clinical importance of deliberate self-harm (DSH) within borderline personality disorder (BPD), there are few empirically supported treatments for this behavior among individuals with BPD; and those that do exist are difficult to implement in many clinical settings. Thus, Gratz and colleagues developed an adjunctive emotion regulation group therapy (ERGT) for women with BPD that directly targets both DSH and its proposed underlying mechanism of emotion dysregulation. Although previous studies support the use of this ERGT in reducing DSH, no studies have examined emotion regulation as a mechanism of change in this treatment. Therefore, this study examined the mediating role of changes in emotion dysregulation in DSH improvement across two separate trials of this ERGT. As hypothesized, changes in emotion dysregulation mediated the observed reductions in DSH frequency. Results provide support for the theoretical model underlying this ERGT and highlight the importance of targeting emotion dysregulation in treatments for DSH.

AB - Despite the clinical importance of deliberate self-harm (DSH) within borderline personality disorder (BPD), there are few empirically supported treatments for this behavior among individuals with BPD; and those that do exist are difficult to implement in many clinical settings. Thus, Gratz and colleagues developed an adjunctive emotion regulation group therapy (ERGT) for women with BPD that directly targets both DSH and its proposed underlying mechanism of emotion dysregulation. Although previous studies support the use of this ERGT in reducing DSH, no studies have examined emotion regulation as a mechanism of change in this treatment. Therefore, this study examined the mediating role of changes in emotion dysregulation in DSH improvement across two separate trials of this ERGT. As hypothesized, changes in emotion dysregulation mediated the observed reductions in DSH frequency. Results provide support for the theoretical model underlying this ERGT and highlight the importance of targeting emotion dysregulation in treatments for DSH.

KW - Borderline personality

KW - Deliberate self-harm

KW - Emotion regulation

KW - Mechanisms of change

KW - Self-injury

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=84880009081&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880009081&partnerID=8YFLogxK

U2 - 10.1891/0889-8391.26.4.365

DO - 10.1891/0889-8391.26.4.365

M3 - Article

VL - 26

SP - 365

EP - 380

JO - Journal of Cognitive Psychotherapy

JF - Journal of Cognitive Psychotherapy

SN - 0889-8391

IS - 4

ER -