An experimental investigation of emotion dysregulation in borderline personality disorder
Abstract
Despite the prominent role of emotion dysregulation in theoretical accounts of borderline personality disorder (BPD), few studies have examined emotion dysregulation in BPD. This study extends extant research by providing an experimental investigation of emotion dysregulation among outpatients with BPD. Specifically, this study modified an experimental measure of distress tolerance to examine differences between outpatients with BPD (n = 17) and those without a personality disorder (n = 18) in 2 aspects of emotion dysregulation: (a) the unwillingness to experience emotional distress in order to pursue goal-directed behavior and (b) the inability to engage in goal-directed behavior when distressed. As hypothesized, BPD participants were less willing to experience distress in order to pursue goal-directed behavior. However, BPD participants did not evidence greater difficulties engaging in goal-directed behavior when distressed. Results highlight directions for future research and suggest that particular aspects of emotion dysregulation may be more or less relevant to BPD.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The finding that distress tolerance was not significantly associated with diagnoses of eating disorders (ED-B/P) or borderline personality disorder, nor frequency of disordered eating behaviours, is inconsistent with theory regarding the role of distress tolerance in these disorders.
“In contrast, the finding that DT was not significantly associated with diagnoses of ED-B/P or BPD, nor frequency of DEB, is inconsistent with theory regarding the role of DT in these disorders, as well as previous studies demonstrating lower levels of DT in individuals with these disorders compared to healthy controls (Gratz et al., 2006;Mountford et al., 2007).”
From Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis (2022) · cites this paper as Gratz et al., 2006
The DERS has good construct validity in adult psychiatric patients and sensitivity to change due to successful clinical intervention.
“The DERS has also exhibited good construct validity in adult psychiatric patients. Specifically, the measure has demonstrated sensitivity to change due to successful clinical intervention [52, 53].”
Cites
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · see citing works
Self-citation(1993) · Cited by 7,136 · see citing works
Measuring experiential avoidance: A preliminary test of a working model
Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., Polusny, M. A., Dykstra, T. A., Batten, S. V., Bergan, J., et al. (2004) · The Psychological Record · doi:10.1007/bf03395492 · Cited by 2,140 · see citing works
A Self-Administering Scale for Measuring Intellectual Impairment and Deterioration
Shipley, W. C. (1940) · The Journal of Psychology · doi:10.1080/00223980.1940.9917704 · Cited by 1,238 · see citing works
Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder
Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.08.008 · Cited by 919 · see citing works
The borderline diagnosis I: psychopathology, comorbidity, and personaltity structure
Skodol, A. E., Gunderson, J. G., Pfohl, B., Widiger, T. A., Livesley, W. J., & Siever, L. J. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01324-0 · Cited by 769 · see citing works
Self-citationPhenotypic and Genetic Structure of Traits Delineating Personality Disorder
Livesley, W. J., Jang, K. L., & Vernon, P. A. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.10.941 · Cited by 661 · see citing works
Emotion Processing in Borderline Personality Disorders
LEVINE, D., Marziali, E., & Hood, J. E. (1997) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199704000-00004 · Cited by 430 · see citing works
Borderline Personality Disorder: A Clinical Guide
Gunderson, J. G., & Links, P. S. (1984) · Cited by 390 · see citing works
Self-citationEmotion dysregulation and the development of borderline personality disorder
Putnam, K. M., & Silk, K. R. (2005) · Development and Psychopathology · doi:10.1017/s0954579405050431 · Cited by 223 · see citing works
Blum, N., Pfohl, B., John, D. S. S., Monahan, P., & Black, D. (2002) · Comprehensive Psychiatry · doi:10.1053/comp.2002.33497 · Cited by 183 · see citing works
Borderline personality disorder and multiple aspects of emotional intelligence
Leible, T. L., & Snell, W. E. (2003) · Personality and Individual Differences · doi:10.1016/j.paid.2003.09.011 · Cited by 169 · see citing works
AFFECT REGULATION IN WOMEN WITH BORDERLINE PERSONALITY DISORDER TRAITS
Yen, S., Zlotnick, C., & Costello, E. M. (2002) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200210000-00006 · Cited by 163 · see citing works
Coping strategies in relation to personality disorders
Bijttebier, P., & Vertommen, H. (1999) · Personality and Individual Differences · doi:10.1016/s0191-8869(98)00187-1 · Cited by 127 · see citing works
Thyer (1985) · doi:10.1002/1097-4679(198507)41:4
Flagged first, then by citations
1 of the 16 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Emotion-regulation strategies across psychopathology: A meta-analytic review
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.11.004 · Cited by 6,686 · see citing works
Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L.-G., Bjärehed, J., DiLillo, D., Messman-Moore, T., Gumpert, C. H., et al. (2016) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-015-9514-x · Cited by 1,081 · see citing works
“, 2014), and behavioral (e.g., persistence on laboratory-based distress-inducing tasks; Gratz et al., 2006; Tull, Gratz, Latzman, Kimbrel, & Lejuez, 2010) indices of emotion regulation.”
Self-citationEmotion regulation and mental health: recent findings, current challenges, and future directions
Berking, M., & Wupperman, P. (2012) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3283503669 · Cited by 836 · see citing works
The curiosity and exploration inventory-II: Development, factor structure, and psychometrics
Kashdan, T. B., Gallagher, M. W., Silvia, P. J., Winterstein, B. P., Breen, W. E., Terhar, D., & Steger, M. F. (2009) · Journal of Research in Personality · doi:10.1016/j.jrp.2009.04.011 · Cited by 674 · see citing works
Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007) · Behavior Therapy · doi:10.1016/j.beth.2006.10.001 · Cited by 636 · see citing works
Self-citationEmotion regulation and aggression
Roberton, T., Daffern, M., & Bucks, R. S. (2011) · Aggression and Violent Behavior · doi:10.1016/j.avb.2011.09.006 · Cited by 599 · see citing works
Gámez, W., Chmielewski, M., Kotov, R., Ruggero, C., & Watson, D. (2011) · Psychological Assessment · doi:10.1037/a0023242 · Cited by 524 · see citing works
Neumann, A., van Lier, P. A. C., Gratz, K. L., & Koot, H. M. (2010) · Assessment · doi:10.1177/1073191109349579 · Cited by 521 · see citing works
Self-citationMeasurement of emotion dysregulation in adolescents
Weinberg, A., & Klonsky, E. D. (2009) · Psychological Assessment · doi:10.1037/a0016669 · Cited by 477 · see citing works
Hallion, L. S., Steinman, S. A., Tolin, D. F., & Diefenbach, G. J. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00539 · Cited by 464 · see citing works
Selby, E. A., & Joiner, T. E. (2009) · Review of General Psychology · doi:10.1037/a0015687 · Cited by 452 · see citing works
Components of Emotion Dysregulation in Borderline Personality Disorder: A Review
Carpenter, R. W., & Trull, T. J. (2012) · Current Psychiatry Reports · doi:10.1007/s11920-012-0335-2 · Cited by 446 · see citing works
Neacsiu, A. D., Rizvi, S. L., & Linehan, M. M. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.05.017 · Cited by 426 · see citing works
Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009) · Behavior Therapy · doi:10.1016/j.beth.2008.04.001 · Cited by 392 · see citing works
Gratz, K. L., & Roemer, L. (2008) · Cognitive Behaviour Therapy · doi:10.1080/16506070701819524 · Cited by 366 · see citing works
Self-citationHasking, P. A., Whitlock, J. L., Voon, D., & Rose, A. (2016) · Cognition & Emotion · doi:10.1080/02699931.2016.1241219 · Cited by 372 · see citing works
Giromini, L., Velotti, P., de Campora, G., Bonalume, L., & Cesare Zavattini, G. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.21876 · Cited by 301 · see citing works
An examination of the latent structure of the difficulties in emotion regulation scale.
Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2012) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-012-9280-y · Cited by 299 · see citing works
Weiss, N. H., Tull, M. T., Viana, A. G., Anestis, M. D., & Gratz, K. L. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.01.007 · Cited by 290 · see citing works
Self-citationAnxiety symptomatology: the association with distress tolerance and anxiety sensitivity
Keough, M. E., Riccardi, C. J., Timpano, K. R., Mitchell, M. A., & Schmidt, N. B. (2010) · Behavior Therapy · doi:10.1016/j.beth.2010.04.002 · Cited by 284 · see citing works
The Interpersonal Core of Personality Pathology
Hopwood, C. J., Wright, A. G. C., Ansell, E. B., & Pincus, A. L. (2013) · Journal of Personality Disorders · doi:10.1521/pedi.2013.27.3.270 · Cited by 261 · see citing works
Borderline personality disorder and emotion dysregulation
Chapman, A. L. (2019) · Development and Psychopathology · doi:10.1017/s0954579419000658 · Cited by 255 · see citing works
Facial emotion recognition in borderline personality disorder
Daros, A. R., Zakzanis, K. K., & Ruocco, A. C. (2012) · Psychological Medicine · doi:10.1017/s0033291712002607 · Cited by 251 · see citing works
Borderline personality disorder and emotional responding: a review of the research literature
Rosenthal, M. Z., Gratz, K. L., Kosson, D. S., Cheavens, J. S., Lejuez, C. W., & Lynch, T. R. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.04.001 · Cited by 245 · see citing works
Self-citationGratz, K. L., Bornovalova, M. A., Delany-Brumsey, A., Nick, B., & Lejuez, C. W. (2007) · Behavior Therapy · doi:10.1016/j.beth.2006.08.006 · Cited by 233 · see citing works
Self-citationRumination, experiential avoidance, and dysfunctional thinking in eating disorders.
Rawal, A., Park, R. J., & Williams, J. M. G. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.05.009 · Cited by 223 · see citing works
Emotional Cascades and Self‐Injury: Investigating Instability of Rumination and Negative Emotion
Selby, E. A., Franklin, J., Carson-Wong, A. R., & Rizvi, S. L. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.21966 · Cited by 227 · see citing works
Fowler, J. C., Charak, R., Elhai, J. D., Allen, J. G., Frueh, B. C., & Oldham, J. M. (2014) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2014.07.029 · Cited by 216 · see citing works
Tull, M. T., & Roemer, L. (2007) · Behavior Therapy · doi:10.1016/j.beth.2006.10.006 · Cited by 216 · see citing works
Self-citationWeiss, N. H., Gratz, K. L., & Lavender, J. M. (2015) · Behavior Modification · doi:10.1177/0145445514566504 · Cited by 212 · see citing works
Self-citationYiğit, İ., & Guzey, M. (2017) · Current Psychology · doi:10.1007/s12144-017-9712-7 · Cited by 219 · see citing works
Shared variance among self-report and behavioral measures of distress intolerance
McHugh, R. K., Daughters, S. B., Lejuez, C. W., Murray, H. W., Hearon, B. A., Gorka, S. M., & Otto, M. W. (2011) · Cognitive Therapy and Research · doi:10.1007/s10608-010-9295-1 · Cited by 206 · see citing works
Self-citationThe dialectical behavior therapy ways of coping checklist: development and psychometric properties
Neacsiu, A. D., Rizvi, S. L., Vitaliano, P. P., Lynch, T. R., & Linehan, M. M. (2010) · Journal of Clinical Psychology · doi:10.1002/jclp.20685 · Cited by 200 · see citing works
Bardeen, J. R., Kumpula, M. J., & Orcutt, H. K. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.01.003 · Cited by 209 · see citing works
Gratz, K. L., & Tull, M. T. (2009) · Cognitive Therapy and Research · doi:10.1007/s10608-009-9268-4 · Cited by 197 · see citing works
Self-citationGratz, K. L., Tull, M. T., & Levy, R. (2014) · Psychological Medicine · doi:10.1017/s0033291713002134 · Cited by 194 · see citing works
Self-citationRefining the measurement of distress intolerance
McHugh, R. K., & Otto, M. W. (2012) · Behavior Therapy · doi:10.1016/j.beth.2011.12.001 · Cited by 190 · see citing works
Baer, R. A., Peters, J. R., Eisenlohr-Moul, T. A., Geiger, P. J., & Sauer-Zavala, S. E. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.03.002 · Cited by 191 · see citing works
Editorial overview: New directions in the science of emotion regulation
Tull, M. T., & Aldao, A. (2015) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2015.03.009 · Cited by 189 · see citing works
Self-citationBullis, J. R., Boettcher, H., Sauer‐Zavala, S., Farchione, T. J., & Barlow, D. H. (2019) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12278 · Cited by 216 · see citing works
Dialectical Behavior Therapy for Adolescents: Theory, Treatment Adaptations, and Empirical Outcomes
MacPherson, H. A., Cheavens, J. S., & Fristad, M. A. (2012) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-012-0126-7 · Cited by 185 · see citing works
Pisani, A. R., Wyman, P. A., Petrova, M., Schmeelk-Cone, K., Goldston, D. B., Xia, Y., & Gould, M. S. (2013) · Journal of Youth and Adolescence · doi:10.1007/s10964-012-9884-2 · Cited by 183 · see citing works
Kuo, J. R., Khoury, J. E., Metcalfe, R., Fitzpatrick, S., & Goodwill, A. M. (2014) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2014.08.008 · Cited by 177 · see citing works
Gratz, K. L., & Chapman, A. L. (2007) · Psychology of Men & Masculinity · doi:10.1037/1524-9220.8.1.1 · Cited by 174 · see citing works
Self-citationPsychometric properties of the Difficulties in Emotion Regulation Scale across demographic groups.
Ritschel, L. A., Tone, E. B., Schoemann, A. M., & Lim, N. E. (2015) · Psychological Assessment · doi:10.1037/pas0000099 · Cited by 168 · see citing works
Emotion Regulation Mediates the Relationship between ADHD and Depressive Symptoms in Youth
Seymour, K. E., Chronis-Tuscano, A. M., Halldorsdottir, T., Stupica, B., Owens, K., & Sacks, T. (2011) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-011-9593-4 · Cited by 173 · see citing works
Daros, A. R., & Williams, G. E. (2019) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000212 · Cited by 169 · see citing works
Vine, V., & Aldao, A. (2014) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2014.33.4.319 · Cited by 170 · see citing works
Lavender, J. M., Tull, M. T., DiLillo, D., Messman-Moore, T., & Gratz, K. L. (2017) · Assessment · doi:10.1177/1073191115601218 · Cited by 164 · see citing works
“The AAQ demonstrates adequate convergent and concurrent validity (Hayes et al., 2004) and is significantly associated with a behavioral measure of willingness to tolerate distress (Gratz et al., 2006).”
BackgroundSelf-citationTsanas, A., Saunders, K. E. A., Bilderbeck, A. C., Palmius, N., Osipov, M., Clifford, G. D., Goodwin, G. Μ., & De Vos, M. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.06.065 · Cited by 162 · see citing works
Tull, M. T., & Gratz, K. L. (2008) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2007.03.005 · Cited by 162 · see citing works
Self-citationHow is affective instability defined and measured? A systematic review
Marwaha, S., He, Z., Broome, M. R., Singh, S. P., Scott, J. L., Eyden, J., & Dieter Wolke, C. (2013) · Psychological Medicine · doi:10.1017/s0033291713002407 · Cited by 160 · see citing works
(2008) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 157 · see citing works
Dixon–Gordon, K. L., Aldao, A., & Reyes, A. D. L. (2014) · Cognition & Emotion · doi:10.1080/02699931.2014.983046 · Cited by 153 · see citing works
Bornovalova, M. A., Gratz, K. L., Daughters, S. B., Nick, B., Delany-Brumsey, A., Lynch, T. R., Kosson, D., & Lejuez, C. W. (2008) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2007.07.014 · Cited by 152 · see citing works
Self-citationThe role of emotion dysregulation in suicide as considered through the ideation to action framework
Law, K. C., Khazem, L. R., & Anestis, M. D. (2015) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2015.01.014 · Cited by 151 · see citing works
Acceptance: An Historical and Conceptual Review
Williams, J. C., & Lynn, S. J. (2010) · Imagination, Cognition and Personality · doi:10.2190/ic.30.1.c · Cited by 155 · see citing works
Tull, M. T., Jakupcak, M., Paulson, A., & Gratz, K. L. (2007) · Anxiety Stress & Coping · doi:10.1080/10615800701379249 · Cited by 145 · see citing works
Self-citationReinforcement Sensitivity Theory and emotion regulation difficulties: A multimodal investigation
Tull, M. T., Gratz, K. L., Latzman, R. D., Kimbrel, N. A., & Lejuez, C. W. (2010) · Personality and Individual Differences · doi:10.1016/j.paid.2010.08.010 · Cited by 140 · see citing works
Self-citationGratz, K. L., Tull, M. T., Baruch, D. E., Bornovalova, M. A., & Lejuez, C. W. (2008) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2008.04.005 · Cited by 140 · see citing works
Self-citationProspective effects of emotion-regulation skills on emotional adjustment.
Berking, M., Orth, U., Wupperman, P., Meier, L. L., & Caspar, F. (2008) · Journal of Counseling Psychology · doi:10.1037/a0013589 · Cited by 145 · see citing works
Gratz, K. L., Dixon–Gordon, K. L., Chapman, A. L., & Tull, M. T. (2015) · Assessment · doi:10.1177/1073191114565878 · Cited by 139 · see citing works
Self-citationBrindle, K. A., Moulding, R., Bakker, K., & Nedeljkovic, M. (2015) · Australian Journal of Psychology · doi:10.1111/ajpy.12084 · Cited by 137 · see citing works
Garofalo, C., Velotti, P., & Zavattini, G. C. (2017) · Psychology of Violence · doi:10.1037/vio0000141 · Cited by 137 · see citing works
Coutinho, J. F. P., Ribeiro, E., Ferreirinha, R., & Dias, P. C. (2010) · Archives of Clinical Psychiatry (São Paulo) · doi:10.1590/s0101-60832010000400001 · Cited by 136 · see citing works
McDermott, M. J., Tull, M. T., Gratz, K. L., Daughters, S. B., & Lejuez, C. W. (2009) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2009.01.006 · Cited by 137 · see citing works
Self-citationIverson, K. M., Follette, V. M., Pistorello, J., & Fruzzetti, A. E. (2012) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/a0023703 · Cited by 133 · see citing works
Shame regulation in personality pathology.
Schoenleber, M. L., & Berenbaum, H. (2011) · Journal of Abnormal Psychology · doi:10.1037/a0025281 · Cited by 149 · see citing works
Negative affect intensity influences drinking to cope through facets of emotion dysregulation
Veilleux, J. C., Skinner, K. D., Reese, E. D., & Shaver, J. A. (2013) · Personality and Individual Differences · doi:10.1016/j.paid.2013.11.012 · Cited by 128 · see citing works
A Multilevel Perspective on the Development of Borderline Personality Disorder
Fonagy, P., & Luyten, P. (2016) · Wiley eBooks · doi:10.1002/9781119125556.devpsy317 · Cited by 131 · see citing works
Berking, M., Neacsiu, A., Comtois, K. A., & Linehan, M. M. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.04.011 · Cited by 124 · see citing works
Euler, S., Nolte, T., Constantinou, M., Griem, J., Montague, P. R., & Fonagy, P. (2019) · Journal of Personality Disorders · doi:10.1521/pedi_2019_33_427 · Cited by 128 · see citing works
Tull, M. T., Weiss, N. H., Adams, C. E., & Gratz, K. L. (2012) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.05.001 · Cited by 121 · see citing works
Self-citationGratz, K. L., Tull, M. T., & Gunderson, J. G. (2008) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2007.05.011 · Cited by 121 · see citing works
Self-citationJennissen, S., Holl, J., Mai, H., Wolff, S., & Barnow, S. (2016) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2016.10.015 · Cited by 118 · see citing works
Garofalo, C., & Velotti, P. (2017) · Journal of Criminal Justice · doi:10.1016/j.jcrimjus.2017.05.015 · Cited by 120 · see citing works
Emotion regulation as mediator of treatment outcome in therapy for deliberate self‐harm
Slee, N., Spinhoven, P., Garnefski, N., & Arensman, E. (2008) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.577 · Cited by 118 · see citing works
Associations between Emotion Regulation and Parental Reflective Functioning
Schultheis, A., Mayes, L. C., & Rutherford, H. J. V. (2019) · Journal of Child and Family Studies · doi:10.1007/s10826-018-01326-z · Cited by 124 · see citing works
Psychopathy and Aggression: The Role of Emotion Dysregulation
Garofalo, C., Neumann, C. S., & Velotti, P. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260519900946 · Cited by 116 · see citing works
Miranda, R., Tsypes, A., Gallagher, M., & Rajappa, K. (2013) · Cognitive Therapy and Research · doi:10.1007/s10608-013-9524-5 · Cited by 113 · see citing works
Cohn, A. M., Jakupcak, M., Seibert, L. A., Hildebrandt, T., & Zeichner, A. (2010) · Psychology of Men & Masculinity · doi:10.1037/a0018090 · Cited by 112 · see citing works
A Neurobiological Model of Borderline Personality Disorder: Systematic and Integrative Review
Ruocco, A. C., & Carcone, D. (2016) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000123 · Cited by 111 · see citing works
Williams, F., & Hasking, P. A. (2009) · Prevention Science · doi:10.1007/s11121-009-0147-8 · Cited by 109 · see citing works
Tull, M. T., Stipelman, B. A., Salters-Pedneault, K., & Gratz, K. L. (2009) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2008.08.002 · Cited by 105 · see citing works
Self-citationCoifman, K. G., Berenson, K. R., Rafaeli, E., & Downey, G. (2012) · Journal of Abnormal Psychology · doi:10.1037/a0028502 · Cited by 102 · see citing works
Gratz, K. L., Bardeen, J. R., Levy, R., Dixon–Gordon, K. L., & Tull, M. T. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.12.005 · Cited by 102 · see citing works
Self-citationGratz, K. L., Hepworth, C., Tull, M. T., Paulson, A., Clarke, S., Remington, B., & Lejuez, C. W. (2010) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2010.04.009 · Cited by 101 · see citing works
Self-citationEmotion dysregulation across levels of substance use
Garke, M. Å., Isacsson, N. H., Sörman, K., Bjureberg, J., Hellner, C., Gratz, K. L., Berghoff, C. R., Sinha, R., Tull, M. T., & Jayaram‐Lindström, N. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113662 · Cited by 94 · see citing works
Self-citationWeiss, N. H., Tull, M. T., Lavender, J., & Gratz, K. L. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.03.014 · Cited by 93 · see citing works
Self-citationWeiss, N. H., Tull, M. T., Davis, L. T., Dehon, E. E., Fulton, J. J., & Gratz, K. L. (2011) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2011.621970 · Cited by 93 · see citing works
Self-citationBorderline personality disorder and bipolar affective disorder. Spectra or spectre? A review
Bassett, D. L. (2012) · Australian and New Zealand journal of psychiatry (Print) · doi:10.1177/0004867411435289 · Cited by 91 · see citing works
Experiential Avoidance and Emotion Regulation in Borderline Personality Disorder
Chapman, A. L., Dixon-Gordon, K. L., & Walters, K. N. (2011) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-011-0124-6 · Cited by 94 · see citing works
Vujanovic, A. A., Bonn-Miller, M. O., Bernstein, A., McKee, L. G., & Zvolensky, M. J. (2010) · Cognitive Behaviour Therapy · doi:10.1080/16506070903441630 · Cited by 90 · see citing works
Pathological personality traits and emotion regulation difficulties
Pollock, N. C., McCabe, G. A., Southard, A. C., & Zeigler‐Hill, V. (2016) · Personality and Individual Differences · doi:10.1016/j.paid.2016.02.049 · Cited by 90 · see citing works
Buckholdt, K. E., Parra, G. R., Anestis, M. D., Lavender, J. M., Jobe‐Shields, L., Tull, M. T., & Gratz, K. L. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-014-9655-3 · Cited by 87 · see citing works
Self-citationGratz, K. L., Tull, M., Reynolds, E., Bagge, C., Latzman, R. D., Daughters, S., & Lejuez, C. (2009) · Development and Psychopathology · doi:10.1017/s0954579409990150 · Cited by 82 · see citing works
Self-citationThe Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity.
Carpenter, J. K., Sanford, J., & Hofmann, S. G. (2019) · Behavior Therapy · doi:10.1016/j.beth.2018.10.003 · Cited by 82 · see citing works
A Brazilian Investigation of the 36- and 16-Item Difficulties in Emotion Regulation Scales
Miguel, F. K., Giromini, L., Colombarolli, M. S., Zuanazzi, A. C., & Zennaro, A. (2016) · Journal of Clinical Psychology · doi:10.1002/jclp.22404 · Cited by 84 · see citing works
Domínguez‐Clavé, E., Soler, J., Pascual, J. C., Elices, M., Franquesa, A., Valle, M., Álvarez, E., & Riba, J. (2018) · Psychopharmacology · doi:10.1007/s00213-018-5085-3 · Cited by 81 · see citing works
Emotion regulation mediates relationships between mindfulness facets and aggression dimensions
Garofalo, C., Gillespie, S. M., & Velotti, P. (2019) · Aggressive Behavior · doi:10.1002/ab.21868 · Cited by 81 · see citing works
- Authors
- Gratz, K. L., Rosenthal, M. Z., Tull, M. T., Lejuez, C. W., & Gunderson, J. G.
- Affiliations
- Harvard University (US)
- Duke Medical Center (US)
- VA Boston Healthcare System (US)
- University of Maryland, College Park (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2006-11
- Volume
- 115
- Issue
- 4
- Pages
- 850-855
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W2026768605
- Cited by
- 518
- References
- 16
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 12 · 2023: 19 · 2022: 23 · 2021: 36 · 2020: 36 · 2019: 37 · 2018: 28 · 2017: 27 · 2016: 29 · 2015: 38 · 2014: 42 · 2013: 36 · 2012: 42
- FWCI
- 17.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- McLean Hospital
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- borderline personality disorder, emotional dysregulation, distress tolerance, goal-directed behavior, emotional distress, outpatients, personality disorders
- MeSH terms
- Adolescent, Adult, Borderline Personality Disorder, Female, Humans, Male, Middle Aged, Psychological Theory, Surveys and Questionnaires, Severity of Illness Index, Mood Disorders, Diagnostic and Statistical Manual of Mental Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
