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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.
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“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
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“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].”
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Metadata
- 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 ›
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