An exploration of the emotional cascade model in borderline personality disorder
Open accessAbstract
The emotional cascade model proposes that the emotional and behavioral dysregulation of individuals with borderline personality disorder (BPD) may be fundamentally linked through emotional cascades, vicious cycles of intense rumination and negative affect that may induce aversive emotional states. In order to reduce this aversive emotion, dysregulated behaviors such as non-suicidal self-injury may then be used as distractions from intense rumination. This study explored emotional cascades in a sample enriched with participants meeting diagnostic criteria for BPD. The first part of the study explored a structural equation model that examined the mediational effects of emotional cascades on the relationship between BPD symptoms and dysregulated behavior and found evidence for full mediation, even after controlling for symptoms of depression and other Cluster B disorders. The second part of the study examined the effects of a rumination induction conducted with the intention of eliciting emotional cascades in those diagnosed with BPD. The results demonstrated that individuals with BPD experienced greater reactivity and intensity of negative affect, but not of positive affect, following the procedure-even when controlling for current depressive symptoms. Future directions and clinical implications for the emotional cascade model are discussed.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
There is a risk that persistent ambivalence contributes to persistent rumination and in consequence, to symptoms of overarousal, sleep problems or agitation that may in turn be associated with increased suicidal thoughts or behavior.
“There is furthermore a risk that persistent ambivalence contributes to persistent rumination and in consequence, to symptoms of overarousal, sleep problems or agitation that may in turn be associated with increased suicidal thoughts or behavior (44, 45).”
From Ambivalence model of suicidality [ABS-model]: an orientation model for the treatment of suicidal individuals (2024) · cites this paper as [45]
The Emotional Cascade Model section describes a reinforcing cycle between rumination and negative affect and reports a link between rumination and nonsuicidal self-injury. It does not address persistent ambivalence as a cause of rumination or establish the proposed path through overarousal, sleep problems, or agitation to suicidal thoughts or behavior. The cited passages have no page numbers in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Hu, L., & Bentler, P. M. (1999) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705519909540118 · Cited by 108,788 · see citing works
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,406 · see citing works
Principles and Practice of Structural Equation Modeling
Tabri, N., & Elliott, C. M. (2012) · Canadian Graduate Journal of Sociology and Criminology · doi:10.15353/cgjsc.v1i1.3787 · Cited by 39,065 · see citing works
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,385 · see citing works
(1998) · Cited by 36,049 · see citing works
Development and validation of brief measures of positive and negative affect: The PANAS scales.
Watson, D., Clark, L. A., & Tellegen, A. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.6.1063 · Cited by 32,433 · see citing works
Statistical Power Analysis for the Behavioral Sciences
Cohen, J. (2013) · doi:10.4324/9780203771587 · Cited by 25,373 · see citing works
Statistical Analysis With Missing Data
Lahiff, M., Little, R. J. A., & Rubin, D. B. (1989) · Journal of the American Statistical Association · doi:10.2307/2289883 · Cited by 17,384 · see citing works
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696 · see citing works
Multimodel Inference: Understanding AIC and BIC in Model Selection
Burnham, K. P., & Anderson, D. R. (2004) · Sociological Methods & Research · doi:10.1177/0049124104268644 · Cited by 11,648 · see citing works
A comparison of methods to test mediation and other intervening variable effects
MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.1.83 · Cited by 9,406 · see citing works
Cognitive-Behavioral Treatment of Borderline Personality Disorder
Cary, G. L. (1994) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1994.48.1.155 · Cited by 6,300 · see citing works
(2005) · Cited by 6,097 · see citing works
Analysis of Incomplete Multivariate Data
Schafer, J. L. (1997) · doi:10.1201/9781439821862 · Cited by 6,012 · see citing works
Analysis of Incomplete Multivariate Data
Booth, D. E., & Schafer, J. L. (2000) · Technometrics · doi:10.2307/1271466 · Cited by 5,627 · see citing works
Statistical Analysis With Missing Data
Ghosh, S., Little, R. J. A., & Rubin, D. B. (1988) · Technometrics · doi:10.2307/1269814 · Cited by 4,730 · see citing works
Responses to depression and their effects on the duration of depressive episodes
Nolen-Hoeksema, S. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.4.569 · Cited by 4,529 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
Siegel, L. J., & Fletcher‐Janzen, E. (2014) · Wiley eBooks · doi:10.1002/9781118660584.ese0728 · Cited by 3,438 · see citing works
Nolen-Hoeksema, S., & Morrow, J. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.61.1.115 · Cited by 3,276 · see citing works
(1997) · American Psychiatric Press eBooks · Cited by 3,056 · see citing works
Negative life events, cognitive emotion regulation and emotional problems
Garnefski, N., Kraaij, V, & Spinhoven, P. (2001) · Personality and Individual Differences · doi:10.1016/s0191-8869(00)00113-6 · Cited by 2,494 · see citing works
Constructive and unconstructive repetitive thought
Watkins, E. R. (2008) · Psychological Bulletin · doi:10.1037/0033-2909.134.2.163 · Cited by 2,421 · see citing works
Binge eating as escape from self-awareness
Heatherton, T. F., & Baumeister, R. F. (1991) · Psychological Bulletin · doi:10.1037/0033-2909.110.1.86 · Cited by 2,259 · see citing works
The functions of deliberate self-injury: a review of the evidence
Klonsky, E. D. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.08.002 · Cited by 1,979 · see citing works
Ecological Momentary Assessment (Ema) in Behavioral Medicine
Stone, A. A., & Shiffman, S. (1994) · Annals of Behavioral Medicine · doi:10.1093/abm/16.3.199 · Cited by 1,931 · see citing works
Solving the puzzle of deliberate self-harm: The experiential avoidance model
Chapman, A. L., Gratz, K. L., & Brown, M. Z. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.03.005 · Cited by 1,475 · see citing works
Distribution of the product confidence limits for the indirect effect: Program PRODCLIN
MacKinnon, D. P., Fritz, M. S., Williams, J. G., & Lockwood, C. M. (2007) · Behavior Research Methods · doi:10.3758/bf03193007 · Cited by 1,328 · see citing works
Effects of self-focused rumination on negative thinking and interpersonal problem solving.
Lyubomirsky, S., & Nolen–Hoeksema, S. (1995) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.69.1.176 · Cited by 1,162 · see citing works
Plate tectonics in the classification of personality disorder: Shifting to a dimensional model.
Widiger, T. A., & Trull, T. J. (2007) · American Psychologist · doi:10.1037/0003-066x.62.2.71 · Cited by 957 · see citing works
Bateman, A., & Fonagy, P. (2008) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.07040636 · Cited by 894 · see citing works
Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.111.1.198 · Cited by 780 · see citing works
Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.111.1.198 · Cited by 780 · see citing works
Development and validation of a three-dimensional measure of drinking motives.
Cooper, M. L., Russell, M., Skinner, J. B., & Windle, M. T. (1992) · Psychological Assessment · doi:10.1037/1040-3590.4.2.123 · Cited by 711 · see citing works
Development and validation of the anger rumination scale
Sukhodolsky, D. G., Golub, A., & Cromwell, E. N. (2001) · Personality and Individual Differences · doi:10.1016/s0191-8869(00)00171-9 · Cited by 711 · see citing works
The response styles theory of depression: Tests and an extension of the theory.
Just, N., & Alloy, L. B. (1997) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.106.2.221 · Cited by 697 · see citing works
Nolen–Hoeksema, S., Stice, E. M., Wade, E., & Bohon, C. (2007) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.116.1.198 · Cited by 677 · see citing works
Bushman, B. J., Baumeister, R. F., & Phillips, C. M. (2001) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.81.1.17 · Cited by 610 · see citing works
The functions of self-mutilation
Suyemoto, K. L. (1998) · Clinical Psychology Review · doi:10.1016/s0272-7358(97)00105-0 · Cited by 597 · see citing works
Paradoxical effects of thought suppression: a meta-analysis of controlled studies
Abramowitz, J. S., Tolin, D. F., & Street, G. P. (2001) · Clinical Psychology Review · doi:10.1016/s0272-7358(00)00057-x · Cited by 564 · see citing works
The response styles theory of depression: Tests and an extension of the theory.
Just, N., & Alloy, L. B. (1997) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.106.2.221 · Cited by 542 · see citing works
Smyth, J. M., Wonderlich, S. A., Heron, K. E., Sliwinski, M. J., Crosby, R. D., Mitchell, J. E., & Engel, S. G. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.4.629 · Cited by 538 · see citing works
Mediators of the Gender Difference in Rumination
Nolen-Hoeksema, S., & Jackson, B. (2001) · Psychology of Women Quarterly · doi:10.1111/1471-6402.00005 · Cited by 538 · see citing works
Anderson, T. W. (1957) · Journal of the American Statistical Association · doi:10.2307/2280845 · Cited by 492 · see citing works
Total, Direct, and Indirect Effects in Structural Equation Models
Bollen, K. A. (1987) · Sociological Methodology · doi:10.2307/271028 · Cited by 453 · see citing works
Selby, E. A., & Joiner, T. E. (2009) · Review of General Psychology · doi:10.1037/a0015687 · Cited by 452 · see citing works
Self-citationUnderstanding the relationship between emotional and behavioral dysregulation: Emotional cascades
Selby, E. A., Anestis, M. D., & Joiner, T. E. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.02.002 · Cited by 443 · see citing works
Self-citationRuminative Self-Focus and Negative Affect
Moberly, N., & Watkins, E. (2008) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.117.2.314 · Cited by 441 · see citing works
Psychotherapy for Borderline Personality: Focusing on Object Relations
M.D., M. J. H. (2006) · American Journal of Psychiatry · doi:10.1176/appi.ajp.163.5.944 · Cited by 427 · see citing works
Chewing on It Can Chew You Up: Effects of Rumination on Triggered Displaced Aggression.
Bushman, B. J., Bonacci, A. M., Pedersen, W. C., Vasquez, E. A., & Miller, N. (2005) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.88.6.969 · Cited by 422 · see citing works
The association between rumination and negative affect: A review
Kirkegaard Thomsen, D. (2006) · Cognition and Emotion · doi:10.1080/02699930500473533 · Cited by 416 · see citing works
Joiner, T. E., Alfano, M. S., & Metalsky, G. I. (1992) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.101.1.165 · Cited by 401 · see citing works
Self-citationCharacterizing affective instability in borderline personality disorder
Koenigsberg, H. W., Harvey, P. D., Mitropoulou, V., Schmeidler, J., New, A. S., Goodman, M., Silverman, J. M., Serby, M., Schopick, F., & Siever, L. J. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.5.784 · Cited by 379 · see citing works
Mindfulness and coping with dysphoric mood: contrasts with rumination and distraction
Broderick, P. C. (2005) · Cognitive Therapy and Research · doi:10.1007/s10608-005-3888-0 · Cited by 374 · see citing works
Dillon, W. R., Kumar, A. S., & Mulani, N. (1987) · Psychological Bulletin · doi:10.1037/0033-2909.101.1.126 · Cited by 334 · see citing works
Nonsuicidal self-injury in young adolescent girls: Moderators of the distress-function relationship.
Hilt, L. M., Cha, C. B., & Nolen–Hoeksema, S. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.1.63 · Cited by 329 · see citing works
Rumination, Depression, and Alcohol Use: Tests of Gender Differences
Nolen–Hoeksema, S., & Harrell, Z. A. T. (2002) · Journal of Cognitive Psychotherapy · doi:10.1891/jcop.16.4.391.52526 · Cited by 264 · see citing works
Rumination, mood and social problem-solving in major depression
Donaldson, C., & Lam, D. (2004) · Psychological Medicine · doi:10.1017/s0033291704001904 · Cited by 209 · see citing works
Mood-induced self-focused attention.
Salovey, P. (1992) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.62.4.699 · Cited by 204 · 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
Focus of attention, chronic expectancy, and responses to a feared stimulus.
Carver, C. S., Blaney, P. H., & Scheier, M. F. (1979) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.37.7.1186 · Cited by 130 · see citing works
What is Emptiness? Clarifying the 7th Criterion for Borderline Personality Disorder
Klonsky, E. D. (2008) · Journal of Personality Disorders · doi:10.1521/pedi.2008.22.4.418 · Cited by 129 · see citing works
Cognitive Vulnerability to Depression in Individuals With Borderline Personality Disorder
Abela, J. R. Z., Payne, A. V. L., & Moussaly, N. (2003) · Journal of Personality Disorders · doi:10.1521/pedi.17.4.319.23968 · Cited by 98 · see citing works
A Taxometric Study of Borderline Personality Disorder.
Rothschild, L., Cleland, C. M., Haslam, N., & Zimmerman, M. (2003) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.112.4.657 · Cited by 91 · see citing works
Armey, M. F., & Crowther, J. H. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.1.9 · Cited by 77 · see citing works
James, L. M., & Taylor, J. E. (2006) · Addictive Behaviors · doi:10.1016/j.addbeh.2006.06.012 · Cited by 76 · see citing works
Relationship between EDNOS and its subtypes and borderline personality disorder
Marino, M. F., & Zanarini, M. C. (2001) · International Journal of Eating Disorders · doi:10.1002/eat.1029 · Cited by 75 · see citing works
Helping with deliberate self-harm: Some practical guidelines
ALLEN, C. (1995) · Journal of Mental Health · doi:10.1080/09638239550037523 · Cited by 70 · see citing works
Glaser, J. ‐., van Os, J., Mengelers, R., & Myin‐Germeys, I. (2007) · Psychological Medicine · doi:10.1017/s0033291707002322 · Cited by 61 · see citing works
Cognitive Vulnerability to Depression and Axis II Personality Dysfunction
Smith, J. M., Sylvia, L. G., Alloy, L. B., & Abramson, L. Y. (2006) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9038-5 · Cited by 57 · see citing works
Chapter 70. Borderline Personality Disorder
Gunderson, J. G., Weinberg, I., & Choi-Kain, L. W. (2014) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781585625048.gg70 · Cited by 52 · see citing works
Fink, E. L., Smith, A. R., Gordon, K. H., Holm‐Denoma, J. M., & Joiner, T. E. (2008) · International Journal of Eating Disorders · doi:10.1002/eat.20556 · Cited by 33 · see citing works
Self-citationDillon, W. R., Kumar, A., V, & Mulani, N. (1987) · Psychological Bulletin · doi:10.1037//0033-2909.101.1.126 · Cited by 23 · see citing works
Scale for Suicide Ideation: Psychometric properties of a self-report version
Beck, A. T., Steer, R. A., & Ranieri, W. F. (1988) · Journal of Clinical Psychology · doi:10.1002/1097-4679(198807)44:4
Garner (1983) · doi:10.1002/1098-108x(198321)2:2
Flagged first, then by citations
Research works printed but not linked: 1
- Gunderson JG Borderline personality disorder 1984 Washington, DC American Psychiatric Press
Cited by
Sorted by citations
Reflecting on rumination: Consequences, causes, mechanisms and treatment of rumination
Watkins, E. R., & Roberts, H. (2020) · Behaviour Research and Therapy · doi:10.1016/j.brat.2020.103573 · Cited by 862 · see citing works
Gender differences in rumination: A meta-analysis
Johnson, D. P., & Whisman, M. A. (2013) · Personality and Individual Differences · doi:10.1016/j.paid.2013.03.019 · Cited by 712 · see citing works
Emotion dysregulation and non-suicidal self-injury: a systematic review and meta-analysis
Wolff, J. C., Thompson, E., Thomas, S. A., Nesi, J., Bettis, A. H., Ransford, B., Scopelliti, K., Frazier, E. A., & Liu, R. T. (2019) · European Psychiatry · doi:10.1016/j.eurpsy.2019.03.004 · Cited by 512 · see citing works
Selby, E. A., & Joiner, T. E. (2009) · Review of General Psychology · doi:10.1037/a0015687 · Cited by 452 · see citing works
Self-citationComponents 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
Current Definitions of “Transdiagnostic” in Treatment Development: A Search for Consensus
Sauer-Zavala, S., Gutner, C. A., Farchione, T. J., Boettcher, H. T., Bullis, J. R., & Barlow, D. H. (2017) · Behavior Therapy · doi:10.1016/j.beth.2016.09.004 · Cited by 371 · see citing works
Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review
Paulus, F. W., Ohmann, S., Möhler, E., Plener, P. L., & Popow, C. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.628252 · Cited by 335 · see citing works
Anestis, M. D., Bagge, C. L., Tull, M. T., & Joiner, T. E. (2011) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2010.10.013 · Cited by 271 · see citing works
Self-citationThe Four-Function Model of Nonsuicidal Self-Injury
Bentley, K. H., Nock, M. K., & Barlow, D. H. (2014) · Clinical Psychological Science · doi:10.1177/2167702613514563 · Cited by 251 · 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
Self-citationAnestis, M. D., & Joiner, T. E. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.08.006 · Cited by 204 · see citing works
Self-citationBarrocas, A. L., Giletta, M., Hankin, B. L., Prinstein, M. J., & Abela, J. R. Z. (2014) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-014-9895-4 · Cited by 192 · 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
Bullis, 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
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
The 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
Self-citationDifficulties in emotion regulation and suicide ideation and attempt in adolescent inpatients
Hatkevich, C., Penner, F., & Sharp, C. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2018.11.038 · Cited by 139 · see citing works
Relationships between depressive rumination, anger rumination, and borderline personality features.
Baer, R. A., & Sauer-Zavala, S. E. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0019478 · Cited by 132 · see citing works
Tomko, R. L., Lane, S. P., Pronove, L. M., Padovano, H. T., Brown, W. C., Solhan, M. B., Wood, P. K., & Trull, T. J. (2015) · Journal of Abnormal Psychology · doi:10.1037/abn0000064 · Cited by 119 · see citing works
Selby, E. A., & Joiner, T. E. (2012) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0029933 · Cited by 115 · see citing works
Self-citationSelby, E. A., Kranzler, A., Panza, E. A., & Fehling, K. B. (2014) · Journal of Personality · doi:10.1111/jopy.12147 · Cited by 113 · 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
Emotion dysregulation as a maintenance factor of borderline personality disorder features
Stepp, S. D., Scott, L. N., Morse, J. Q., Nolf, K. A., Hallquist, M. N., & Pilkonis, P. A. (2013) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2013.11.006 · Cited by 92 · see citing works
“You Need to Stop Talking About This!”: Verbal Rumination and the Costs of Social Support
Afifi, T. D., Afifi, W. A., Merrill, A. F., Denes, A., & Davis, S. M. (2013) · Human Communication Research · doi:10.1111/hcre.12012 · Cited by 91 · see citing works
Smith, K. E., & Juarascio, A. S. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1046-8 · Cited by 90 · see citing works
Nonsuicidal self-injury disorder: The path to diagnostic validity and final obstacles
Selby, E. A., Kranzler, A., Fehling, K. B., & Panza, E. A. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.03.003 · Cited by 89 · see citing works
Self-citationThe Pernicious Blend of Rumination and Fearlessness in Non-Suicidal Self-Injury
Selby, E. A., Connell, L. D., & Joiner, T. E. (2009) · Cognitive Therapy and Research · doi:10.1007/s10608-009-9260-z · Cited by 88 · see citing works
Self-citationRichmond, S., Hasking, P. A., & Meaney, R. (2015) · Archives of Suicide Research · doi:10.1080/13811118.2015.1008160 · Cited by 88 · see citing works
Dixon–Gordon, K. L., Haliczer, L. A., Conkey, L. C., & Whalen, D. J. (2018) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-018-9647-9 · Cited by 83 · see citing works
Ruminative and mindful self-focused attention in borderline personality disorder
Sauer, S. E., & Baer, R. A. (2012) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/a0025465 · Cited by 78 · see citing works
Snir, A., Rafaeli, E., Polack, R. G., Berenson, K. R., & Downey, G. (2015) · Personality Disorders Theory Research and Treatment · doi:10.1037/per0000104 · Cited by 75 · see citing works
Selby, E. A., Nock, M. K., & Kranzler, A. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2013.12.005 · Cited by 72 · see citing works
Self-citationMcMain, S. F., Boritz, T. Z., & Leybman, M. J. (2015) · Journal of Psychotherapy Integration · doi:10.1037/a0038768 · Cited by 67 · see citing works
The Nature of Pain Offset Relief in Nonsuicidal Self-Injury
Franklin, J. C., Puzia, M., Lee, K. M., Lee, G. E., Hanna, E. K., Spring, V. L., & Prinstein, M. J. (2013) · Clinical Psychological Science · doi:10.1177/2167702612474440 · Cited by 74 · see citing works
du Pont, A., Rhee, S. H., Corley, R. P., Hewitt, J. K., & Friedman, N. P. (2017) · Clinical Psychological Science · doi:10.1177/2167702617720747 · Cited by 69 · see citing works
Emotional Dysregulation and Nonsuicidal Self-Injury: A Meta-Analytic Review
You, J., Ren, Y., Zhang, X., Wu, Z., Xu, S., & Lin, M. P. (2018) · Neuropsychiatry · doi:10.4172/neuropsychiatry.1000399 · Cited by 66 · see citing works
A lexicon-based approach to detecting suicide-related messages on Twitter
Sarsam, S. M., Al‐Samarraie, H., Alzahrani, A. I., Alnumay, W. S., & Smith, A. P. (2020) · Biomedical Signal Processing and Control · doi:10.1016/j.bspc.2020.102355 · Cited by 69 · see citing works
Martel, M. O., Jamison, R. N., Wasan, A. D., & Edwards, R. R. (2014) · Pain Medicine · doi:10.1111/pme.12416 · Cited by 65 · see citing works
Kim, S., Sharp, C., & Carbone, C. (2013) · Personality Disorders Theory Research and Treatment · doi:10.1037/per0000038 · Cited by 62 · see citing works
Sauer, C., Sheppes, G., Lackner, H., Arens, E., Tarrasch, R., & Barnow, S. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.04.113 · Cited by 58 · see citing works
Anger rumination and aggressive behaviour in borderline personality disorder
Martino, F., Caselli, G., Berardi, D., Fiore, F., Marino, E., Menchetti, M., Prunetti, E., Ruggiero, G. M., Sasdelli, A., Selby, E. A., et al. (2015) · Personality and Mental Health · doi:10.1002/pmh.1310 · Cited by 63 · see citing works
Self-citationThe case for borderline personality disorder as an emotional disorder: Implications for treatment.
Sauer-Zavala, S. E., & Barlow, D. H. (2014) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12063 · Cited by 62 · see citing works
Selby, E. A., Ward, A., & Joiner, T. E. (2009) · International Journal of Eating Disorders · doi:10.1002/eat.20761 · Cited by 61 · see citing works
Self-citationBayes, A. J., Parker, G. B., & McClure, G. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.06.027 · Cited by 60 · see citing works
Sex and Emotion in the Acquired Capability for Suicide
Anestis, M. D., Bender, T. W., Selby, E. A., Ribeiro, J. D., & Joiner, T. E. (2011) · Archives of Suicide Research · doi:10.1080/13811118.2011.566058 · Cited by 59 · see citing works
Self-citationThe relationship between rumination and NSSI: A systematic review and meta-analysis.
Coleman, S. E., Dunlop, B., Hartley, S., & Taylor, P. (2021) · British Journal of Clinical Psychology · doi:10.1111/bjc.12350 · Cited by 50 · see citing works
Rumination and body dissatisfaction interact to predict concurrent binge eating
Gordon, K. H., Holm‐Denoma, J. M., Troop‐Gordon, W., & Sand, E. C. (2012) · Body Image · doi:10.1016/j.bodyim.2012.04.001 · Cited by 54 · see citing works
Meaney, R., Hasking, P., & Reupert, A. (2016) · PLOS ONE · doi:10.1371/journal.pone.0157294 · Cited by 53 · see citing works
Emotional instability, poor emotional awareness, and the development of borderline personality
Cole, P. M., Llera, S. J., & Pemberton, C. K. (2009) · Development and Psychopathology · doi:10.1017/s0954579409990162 · Cited by 53 · see citing works
Dialectical behavior therapy in an intensive outpatient program with a mixed-diagnostic sample
Ritschel, L. A., Cheavens, J. S., & Nelson, J. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.20863 · Cited by 52 · see citing works
The Dynamics of Pain During Nonsuicidal Self-Injury
Selby, E. A., Kranzler, A., Lindqvist, J., Fehling, K. B., Brillante, J., Yuan, F., Gao, X., & Miller, A. L. (2018) · Clinical Psychological Science · doi:10.1177/2167702618807147 · Cited by 52 · see citing works
Self-citationEsposito, C., Dragone, M., Affuso, G., Amodeo, A. L., & Bacchini, D. (2022) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-022-02083-7 · Cited by 51 · see citing works
Arbuthnott, A. E., Lewis, S. P., & Bailey, H. N. (2014) · Journal of Clinical Psychology · doi:10.1002/jclp.22115 · Cited by 50 · see citing works
Garofalo, C., & Velotti, P. (2014) · Addiction Research & Theory · doi:10.3109/16066359.2014.987758 · Cited by 49 · see citing works
Kuo, J. R., Neacsiu, A. D., Fitzpatrick, S., & MacDonald, D. E. (2013) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-013-9378-x · Cited by 45 · see citing works
Rumination, Mindfulness, and Borderline Personality Disorder Symptoms
Selby, E. A., Fehling, K. B., Panza, E. A., & Kranzler, A. (2015) · Mindfulness · doi:10.1007/s12671-015-0432-5 · Cited by 48 · see citing works
Self-citationSelby, E. A., Doyle, P., Crosby, R. D., Wonderlich, S. A., Engel, S. G., Mitchell, J. D., & Grange, D. L. (2012) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2012.08.014 · Cited by 47 · see citing works
Self-citationEmotional processes in borderline personality disorder: An update for clinical practice.
Dixon–Gordon, K. L., Peters, J. R., Fertuck, E. A., & Yen, S. (2016) · Journal of Psychotherapy Integration · doi:10.1037/int0000044 · Cited by 50 · see citing works
Grit and Perseverance in Suicidal Behavior and Non-Suicidal Self-Injury
Anestis, M. D., & Selby, E. A. (2015) · Death Studies · doi:10.1080/07481187.2014.946629 · Cited by 46 · see citing works
Self-citationDell'Osso, L., Cremone, I. M., Carpita, B., Dell'Oste, V., Muti, D., Massimetti, G., Barlati, S., Vita, A., Fagiolini, A., Carmassi, C., et al. (2019) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s198616 · Cited by 45 · see citing works
Emotion dysregulation acts in the relationship between vulnerable narcissism and suicidal ideation
Ponzoni, S., Beomonte Zobel, S., Rogier, G., & Velotti, P. (2021) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12730 · Cited by 44 · see citing works
Momentary interpersonal processes of suicidal surges in borderline personality disorder
Kaurin, A., Dombrovski, A. Y., Hallquist, M. N., & Wright, A. G. C. (2022) · Psychological Medicine · doi:10.1017/s0033291720004791 · Cited by 44 · see citing works
No pain, no change: Reductions in prior negative affect following physical pain
Bresin, K., Gordon, K. H., Bender, T. W., Gordon, L., & Joiner, T. E. (2010) · Motivation and Emotion · doi:10.1007/s11031-010-9168-7 · Cited by 43 · see citing works
Self-citationRüfenacht, E., Euler, S., Prada, P., Nicastro, R., Dieben, K., Hasler, R., Pham, E., Perroud, N. A., & Weibel, S. (2019) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-019-0108-1 · Cited by 44 · see citing works
Singhal, N., Bhola, P., Reddi, V. S. K., Bhaskarapillai, B., & Joseph, S. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.113877 · Cited by 44 · see citing works
Law, K. C., & Chapman, A. L. (2014) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2014.07.008 · Cited by 43 · see citing works
Ranjbar, H. A., Parhoon, H., Mohammadkhani, S., Munawar, K., Moradi, A., & Jobson, L. (2021) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12735 · Cited by 43 · see citing works
The bidirectional associations between state anger and rumination and the role of trait mindfulness
Borders, A., & Lu, S. (2016) · Aggressive Behavior · doi:10.1002/ab.21693 · Cited by 41 · see citing works
Peters, J. R., Eisenlohr-Moul, T. A., Upton, B. T., Talavera, N. A., Folsom, J. J., & Baer, R. A. (2017) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-017-9594-x · Cited by 41 · see citing works
Neuroqueer Feminism: Turning with Tenderness toward Borderline Personality Disorder
Johnson, M. L. (2021) · Signs · doi:10.1086/712081 · Cited by 40 · see citing works
Johansen, M. S., Normann‐Eide, E., Normann‐Eide, T., & Wilberg, T. (2013) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12076 · Cited by 39 · see citing works
Peters, J. R., Smart, L. M., & Baer, R. A. (2015) · Journal of Personality Disorders · doi:10.1521/pedi_2014_28_151 · Cited by 39 · see citing works
Chapman, A. L., Rosenthal, M. Z., Dixon–Gordon, K. L., Turner, B. J., & Kuppens, P. (2016) · Journal of Personality Disorders · doi:10.1521/pedi_2016_30_264 · Cited by 39 · see citing works
Daros, A. R., Guevara, M. A., Uliaszek, A. A., McMain, S. F., & Ruocco, A. C. (2018) · Psychopathology · doi:10.1159/000487008 · Cited by 37 · see citing works
Toward a unifying theory of dysregulated behaviors
Bresin, K. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101885 · Cited by 38 · see citing works
Cheavens, J. S., & Heiy, J. E. (2011) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2011.30.5.441 · Cited by 37 · see citing works
Non‐suicidal self‐injury in high school students: Associations with identity processes and statuses
Luyckx, K., Gandhi, A., Bijttebier, P., & Claes, L. (2015) · Journal of Adolescence · doi:10.1016/j.adolescence.2015.03.003 · Cited by 37 · see citing works
Keng, S., & Tan, H. H. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.11.005 · Cited by 38 · see citing works
Nonsuicidal self‐injury and rumination: A meta‐analysis
Nagy, L. M., Shanahan, M. L., & Seaford, S. P. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23394 · Cited by 36 · see citing works
Reduced cortical and subcortical volumes in female adolescents with borderline personality disorder
Richter, J., Brunner, R. M., Parzer, P., Resch, F., Stieltjes, B., & Henze, R. (2014) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2014.01.006 · Cited by 36 · see citing works
What dreams may come: Emotional cascades and nightmares in borderline personality disorder.
Selby, E. A., Ribeiro, J. D., & Joiner, T. E. (2013) · Dreaming · doi:10.1037/a0032208 · Cited by 36 · see citing works
Self-citationSprague, J., & Verona, E. (2010) · Journal of Abnormal Psychology · doi:10.1037/a0019194 · Cited by 36 · see citing works
Vansteelandt, K., Houben, M., Claes, L., Berens, A., Sleuwaegen, E., Sienaert, P. A., & Kuppens, P. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.02.003 · Cited by 34 · see citing works
Martino, F., Caselli, G., Tommaso, J. D., Sassaroli, S., Spada, M. M., Valenti, B., Berardi, D., Sasdelli, A., & Menchetti, M. (2017) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2152 · Cited by 33 · see citing works
Cullen, K. R., LaRiviere, L. L., Vizueta, N., Thomas, K., Hunt, R. H., Miller, M. J., Lim, K., & Schulz, S. (2015) · Brain Imaging and Behavior · doi:10.1007/s11682-015-9406-4 · Cited by 34 · see citing works
Sauer-Zavala, S. E., Geiger, P. J., & Baer, R. A. (2013) · Journal of Personality Disorders · doi:10.1521/pedi_2013_27_098 · Cited by 33 · see citing works
Chen, Y., Fu, W., Ji, S., Zhang, W., Sun, L., Yang, T., He, K., & Zhou, Y. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04800-1 · Cited by 33 · see citing works
Overarousal as a mechanism of the relation between rumination and suicidality
Rogers, M. L., Schneider, M. E., Tucker, R. P., Law, K. C., Anestis, M. D., & Joiner, T. E. (2017) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2017.03.024 · Cited by 32 · see citing works
Self-citationAnger Rumination and Mindfulness: Mediating Effects on Forgiveness
Anuncibay, R. D. L. F., Barbadillo, Á. G., Sánchez, D. O., Ordóñez-Camblor, N., & Pizarro-Ruiz, J. P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18052668 · Cited by 30 · see citing works
Gardner, K. J., Qualter, P., Stylianou, M., & Robinson, A. J. (2010) · Personality and Individual Differences · doi:10.1016/j.paid.2010.07.018 · Cited by 30 · see citing works
Lisoni, J., Barlati, S., Deste, G., Ceraso, A., Nibbio, G., Baldacci, G., & Vita, A. (2022) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2022.110537 · Cited by 29 · see citing works
Tuna, E., & Bozo, Ö. (2013) · The Journal of General Psychology · doi:10.1080/00221309.2013.834289 · Cited by 28 · see citing works
Mindfulness Effects on Mind Wandering and Autonomic Balance
Bortolla, R., Galli, M., Spada, G. E., & Maffei, C. (2022) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-021-09527-x · Cited by 28 · see citing works
Allen, B., Cramer, R. J., Harris, P. B., & Rufino, K. A. (2013) · Archives of Suicide Research · doi:10.1080/13811118.2013.748413 · Cited by 28 · see citing works
Johnson, S. L., Robison, M., Anvar, S., Swerdlow, B. A., & Timpano, K. R. (2022) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12849 · Cited by 28 · see citing works
Drabble, J., Bowles, D., & Barker, L. A. (2014) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2014.00274 · Cited by 27 · see citing works
Wang, S. B., & Borders, A. (2018) · Eating Behaviors · doi:10.1016/j.eatbeh.2018.02.004 · Cited by 26 · see citing works
Kovács, L. N., Schmelowszky, Á., Galambos, A., & Kökönyei, G. (2020) · Personality and Individual Differences · doi:10.1016/j.paid.2020.110339 · Cited by 26 · see citing works
Boredom in Borderline Personality Disorder: A Lost Criterion Reconsidered
Masland, S. R., Shah, T. V., & Choi-Kain, L. W. (2020) · Psychopathology · doi:10.1159/000511312 · Cited by 26 · see citing works
- Authors
- Selby, E. A., Anestis, M. D., Bender, T. W., & Joiner, T. E.
- Affiliations
- Florida State University (US)
- Corresponding author
- Joiner, Thomas E.
- Venue
- Journal of Abnormal Psychology
- Published
- 2009-05
- Volume
- 118
- Issue
- 2
- Pages
- 375-387
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- PMC
- PMC2842601
- OpenAlex
- W1997775530
- Cited by
- 290
- References
- 73
- Citations by year
- 2026: 14 · 2025: 14 · 2024: 27 · 2023: 19 · 2022: 14 · 2021: 30 · 2020: 19 · 2019: 17 · 2018: 20 · 2017: 13 · 2016: 17 · 2015: 15 · 2014: 22 · 2013: 20 · 2012: 13
- FWCI
- 10.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Rutgers University Community Repository (Rutgers University) (submittedVersion)
- Funders
- National Institute of Mental Health (F31MH081396)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- borderline personality disorder, emotional dysregulation, behavioral dysregulation, rumination, non-suicidal self-injury, negative affect, positive affect, rumination induction, mediation, depression
- MeSH terms
- Adolescent, Affect, Borderline Personality Disorder, Depression, Female, Humans, Male, Models, Psychological, Surveys and Questionnaires, Self-Injurious Behavior, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
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
