Mechanisms of change in dialectical behaviour therapy for people with borderline personality disorder
Open accessAbstract
This paper reviews current knowledge on mechanisms of change targeted in dialectical behaviour therapy for people with borderline personality disorder. Improvements in emotion regulation capacity and the use of coping skills or mindfulness skills helping patients to downregulate emotional reactions and to cope with stressful situations seem to play important roles. In addition, strong therapeutic relationships, where therapists use high levels of validation, seem equally beneficial for treatment outcomes. When therapists actively install hope in their patients and foster the capacity of hopeful thinking in other ways, long-term outcomes seem to improve. A growing body of evidence shows us how neurobiological and epigenetic change in brain regions important to emotion regulation and behaviour control correspond with more favourable treatment outcomes.
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This is consistent with several findings suggesting that emotion regulation skills use is a key change mechanism of DBT.
“This is consistent with several findings suggesting that emotion regulation skills use is a key change mechanism of DBT (Lynch et al., 2006; Neacsiu et al., 2010; Mehlum, 2021).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Mehlum, 2021
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- Authors
- Mehlum, L.
- Affiliations
- University of Oslo (NO)
- Corresponding author
- Mehlum, Lars
- ORCID
- Mehlum, Lars
- Venue
- Current Opinion in Psychology
- Publisher
- Elsevier BV
- Published
- 2021-02
- Volume
- 37
- Pages
- 89-93
- ISSN
- 2352-250X (ISSN-L)
- OpenAlex
- W3081326224
- Cited by
- 58
- References
- 36
- Citations by year
- 2026: 5 · 2025: 15 · 2024: 12 · 2023: 18 · 2022: 3 · 2021: 5
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Current Opinion in Psychology (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- dialectical behavior therapy, borderline personality disorder, mechanisms of change, emotion regulation, coping strategies, mindfulness, therapeutic relationship, validation, hope, epigenetic modifications, neurobiological changes
- MeSH terms
- Dialectical Behavior Therapy, Emotional Regulation, Adaptation, Psychological, Borderline Personality Disorder, Humans, Mindfulness
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