Emotion Regulation Training for Adolescents With Borderline Personality Disorder Traits: A Randomized Controlled Trial
Open accessAbstract
Objective To evaluate the effectiveness of Emotion Regulation Training (ERT), a 17-session weekly group training for adolescents with borderline personality disorder (BPD) symptoms.Method One hundred nine adolescents with borderline traits (73% meeting the full criteria for BPD) were randomized to treatment as usual only (TAU) or ERT + TAU. Outcome measurements included severity of BPD symptoms, general psychopathology, and quality of life. Multilevel analyses were conducted on an intent-to-treat basis. Clinical significant change was determined by normative comparisons on a primary outcome measurement.Results Independent of treatment condition, the two groups improved equally on the severity of BPD symptoms, general psychopathology, and quality of life. Nineteen percent of the ERT group was remitted according to the cutoff score after treatment (at 6 months) versus 12% of the control group. Follow-up assessments in the ERT group at 12 months showed some further improvement (33% remittance). With regard to predictors of outcomes, adolescents with higher levels of depression or attention-deficit/hyperactivity disorder or oppositional-defiant disorder at baseline and who reported a history of abuse had worse outcomes, regardless of treatment condition. The attrition rate for the ERT sessions was remarkably low (19%).Conclusions Early interventions for BPD symptoms in adolescence are feasible and necessary. No additional effect of ERT over TAU could be demonstrated in the present study. There is a clear need for developing effective interventions for adolescents with persistent BPD symptomatology. Clinical trial registration information-Evaluation of Group Training for Adolescents (Emotion Regulation Training) with Emotion Regulation Problems: A Randomized Controlled Clinical Trial; http://trailregister.nl/; ISRCTN97589104.
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The majority of these trials did not show the superiority of the specialized treatments compared with treatment as usual.
“The results indicate that the majority of these trials did not show the superiority of the specialized treatments compared with treatment as usual.”
From The (cost-)effectiveness of early intervention (MBT-early) versus standard protocolized treatment (CBT) for emerging borderline personality disorder in adolescents (the EARLY study): a study protocol for a randomized controlled trial (2024) · cites this paper as [30]
The Effectiveness of ERT section reports no significant differences between ERT plus treatment as usual and treatment as usual alone, so this trial supports the no-superiority point. The paper also describes earlier trials in its background, but it does not establish the citing sentence’s broader claim about a majority of the trials being discussed. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe evidence base for these adaptations is rather scarce; a recent review identified only ten randomized clinical trials.
“The evidence base for these adaptations is rather scarce. A recent review identified only ten randomized clinical trials [22–31].”
Dropout rates varied widely, ranging from 15 to 75%.
“Dropout rates varied widely, ranging from 15 to 75%.”
From The (cost-)effectiveness of early intervention (MBT-early) versus standard protocolized treatment (CBT) for emerging borderline personality disorder in adolescents (the EARLY study): a study protocol for a randomized controlled trial (2024) · cites this paper as [30]
The Results (page unavailable) report a 19% attrition rate for this trial. Our copy does not report dropout rates ranging from 15% to 75%; searches for that range and for dropout rates in other studies found no supporting passage. (LLM, conf=0.76)
Experimental — accuracy not yet measured
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Percentages, sums and reported differences re-computed from the paper’s own numbers.
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Self-citation
- Authors
- Marieke Schuppert, H., Timmerman, M. E., Bloo, J., van Gemert, T. G., Wiersema, H. M., Minderaa, R. B., Emmelkamp, P. M. G., & Nauta, M. H.
- Affiliations
- University of Groningen (NL)
- University Medical Center Groningen (NL)
- University of Amsterdam (NL)
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2012-12
- Volume
- 51
- Issue
- 12
- Pages
- 1314-1323.e2
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2107529022
- Cited by
- 111
- References
- 36
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 10 · 2023: 15 · 2022: 2 · 2021: 9 · 2020: 18 · 2019: 6 · 2018: 4 · 2017: 4 · 2016: 6 · 2015: 10 · 2014: 10 · 2013: 6 · 2012: 4
- FWCI
- 10.91
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- emotion regulation training, borderline personality disorder, adolescents, emotion regulation, group therapy, early intervention, psychopathology, quality of life, remission, predictors of treatment outcome, depression, attention deficit hyperactivity disorder, oppositional defiant disorder, abuse history, treatment discontinuation
- MeSH terms
- Adolescent, Affective Symptoms, Attention Deficit Disorder with Hyperactivity, Borderline Personality Disorder, Child, Depression, Female, Humans, Male, Psychiatric Status Rating Scales, Psychotherapy, Quality of Life, Treatment Outcome, Attention Deficit and Disruptive Behavior Disorders, Behavior Control
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