Evidence map›Paper›PMID 39218933›Full record

ArticleBorderline personality disorder and emotion dysregulation2024

How does mindfulness skills training work to improve emotion dysregulation in borderline personality disorder?

Carlos Schmidt, Joaquim Soler, Daniel Vega, Stella Nicolaou, Laia Arias, Juan C Pascual

Abstract read
In one paragraph

Article in Borderline personality disorder and emotion dysregulation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carlos SchmidtBrain, Cognition and Behavior PhD Program, University of Barcelona, Barcelona, Spain.
Joaquim SolerDepartment of Psychiatry, Hospital de La Santa Creu i Sant Pau, Institut d'Investigació Biomèdica- Sant Pau (IIB-SANT PAU), Av. Sant Antoni Mª Claret 167, 08025, Barcelona, Spain. jsolerri@santpau.cat.
Daniel VegaDepartment of Psychiatry, Hospital Universitari d'Igualada (Consorci Sanitari de L'Anoia), Fundació Sanitària d'Igualada, Barcelona, Spain.
Stella NicolaouDepartment of Psychiatry, Hospital Universitari d'Igualada (Consorci Sanitari de L'Anoia), Fundació Sanitària d'Igualada, Barcelona, Spain.
Laia AriasDepartment of Psychiatry, Hospital de La Santa Creu i Sant Pau, Institut d'Investigació Biomèdica- Sant Pau (IIB-SANT PAU), Av. Sant Antoni Mª Claret 167, 08025, Barcelona, Spain.
Juan C PascualDepartment of Psychiatry, Hospital de La Santa Creu i Sant Pau, Institut d'Investigació Biomèdica- Sant Pau (IIB-SANT PAU), Av. Sant Antoni Mª Claret 167, 08025, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMindfulness skills training is a core component of Dialectical Behavior Therapy and aims to improve emotion dysregulation (ED) in people with Borderline Personality Disorder (BPD). However, the underlying mechanisms of change are not fully understood.

methodsA total of 75 BPD outpatients participated in a 10-week mindfulness skills training. Multilevel models with a time-lagged approach were conducted to examine the temporal dynamics between the proposed mechanisms and ED. Decentering, nonjudgment, body awareness and attention awareness as putative mechanisms and ED as outcome were assessed on a session-by-session basis.

resultsGreater nonjudgment and body awareness showed within-person effects; participants who reported higher nonjudgement of inner experience and body awareness than their own personal average at a given week showed improvement in ED at the following week. Notably, decentering moderated these associations, such that increased nonjudgment and body awareness predicted improvements in ED more strongly in those participants with high decentering ability. Lastly, a bidirectional relationship between the mechanisms and ED was found; when participants were more emotionally dysregulated than their usual state, they showed less gain in the mechanisms at the following week.

conclusionsKnowing how mindfulness training works is relevant to optimize treatments. Clinicians may use strategies to increase these mechanisms when the goal is to improve emotion regulation difficulties in BPD.

Indexed as

Borderline personality disordersDialectical behavior therapyEmotion regulationMechanismsMindfulness trainingModerators

Identifiers

PMID39218933
PMCPMC11367780

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.