Predictors of treatment response to an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder.

Gratz, Kim L.; Dixon-Gordon, Katherine L.; Tull, Matthew T.

doi:10.1037/per0000062

Cited by 51Personality Disorders and PsychopathologySuicide and Self-Harm StudiesPsychotherapy Techniques and Applications

Predictors of treatment response to an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder.

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Gratz, Kim L., Dixon-Gordon, Katherine L., Tull, Matthew T.·2014·Personality Disorders: Theory, Research, and Treatment

DOI 10.1037/per0000062PMC PMC4059504

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Abstract

Despite evidence for the efficacy of several treatments for deliberate self-harm (DSH) within borderline personality disorder (BPD), predictors of response to these treatments remain unknown. This study examined baseline demographic, clinical, and diagnostic predictors of treatment response to an adjunctive emotion regulation group therapy (ERGT) for DSH among women with BPD. A recent RCT provided evidence for the efficacy of this ERGT (relative to a treatment-as-usual only waitlist condition). Participants in this study include the full intent-to-treat sample who began ERGT (across treatment and waitlist conditions; n = 51). Baseline diagnostic and clinical data were collected at the initial assessment, and outcome measures of DSH and self-destructive behaviors, emotion dysregulation/avoidance, and BPD symptoms (among others) were administered at pretreatment, posttreatment, and 3- and 9-months posttreatment. Notably, both demographic variables and characteristics of participants' ongoing therapy in the community had minimal impact on treatment response. However, several indicators of greater severity in domains relevant to this ERGT (i.e., baseline emotion dysregulation and BPD criteria, lifetime and recent DSH, and past-year hospitalization and suicide attempts) predicted better responses during treatment and follow-up across the primary targets of treatment. Likewise, several co-occurring disorders (i.e., social phobia, panic disorder, and a cluster B personality disorder) predicted greater improvements in BPD symptoms during treatment or follow-up. Finally, although co-occurring generalized anxiety disorder, posttraumatic stress disorder, and cluster A and C personality disorders were associated with poorer treatment response during follow-up, most of these effects reflected a lack of continued improvements during this period (vs. worsening of symptoms).

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It is engagement in ERGT rather than other non-specific treatment-related factors that influences reductions in deliberate self-harm frequency.
“These results are consistent with past findings that characteristics of participants’ ongoing therapy in the community had minimal impact on treatment response to ERGT43 and suggest that it is engagement in ERGT rather than other (non-specific) treatment-related factors that influences reductions in DSH frequency.”
From Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design (2017) · cites this paper as [43]
Past research found that several indicators of greater severity in domains relevant to ERGT predicted better responses during treatment and follow-up.
“Nonetheless, past research examining predictors of treatment response to ERGT found that several indicators of greater severity in domains relevant to ERGT (ie, baseline emotion dysregulation and BPD criteria, lifetime and recent DSH, and past-year hospitalisation and suicide attempts) predicted better responses during treatment and follow-up,43”
From Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design (2017) · cites this paper as [43]

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Predictors of improvement in an open-trial multisite evaluation of emotion regulation group therapy
Sahlin, H., Bjureberg, J., Gratz, K. L., Tull, M. T., Hedman‐Lagerlöf, E., Bjärehed, J., Jokinen, J., Lundh, L., Hellner, C., & Ljótsson, B. (2018) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2018.1509119 · Cited by 11 · see citing works
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Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder
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Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology.
Gratz, K. L., & Tull, M. T. (2011) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/a0022144 · Cited by 115 · see citing works
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Mechanisms of change in an emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder
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Emotion Regulation as a Mechanism of Change in an Acceptance-Based Emotion Regulation Group Therapy for Deliberate Self-Harm Among Women With Borderline Personality Pathology
Gratz, K. L., Levy, R., & Tull, M. T. (2012) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.26.4.365 · Cited by 69 · see citing works
Self-citation

Authors: Gratz, K. L., Dixon-Gordon, K. L., & Tull, M. T.
Affiliations: University of Mississippi Medical Center (US)
ORCID: Gratz, Kim L.
Tull, Matthew T.
Venue: Personality Disorders: Theory, Research, and Treatment
Publisher: American Psychological Association (APA)
Published: 2014-01
Volume: 5
Issue: 1
Pages: 97-107
ISSN: 1949-2715 (ISSN-L)
1949-2723
DOI: 10.1037/per0000062
PMC: PMC4059504
OpenAlex: W1984205726
Cited by: 51
References: 48
Citations by year: 2026: 1 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 1 · 2021: 8 · 2020: 5 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 4 · 2015: 8 · 2014: 1
FWCI: 7.10
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Personality Disorders Theory Research and Treatment (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R34 MH079248)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: self-harm, borderline personality disorder, predictors of treatment response, emotional dysregulation, women, co-occurring disorders, social anxiety disorder, panic disorder, cluster B personality disorders, generalized anxiety disorder, post-traumatic stress disorder, hospitalization, suicide attempts, self-destructive behavior
MeSH terms: Adult, Borderline Personality Disorder, Emotions, Female, Humans, Interview, Psychological, Psychotherapy, Group, Suicide, Attempted, Self-Injurious Behavior, Treatment Outcome, Young Adult

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Predictors of treatment response to an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder.

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