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Cited by 22Personality Disorders and PsychopathologySubstance Abuse Treatment and OutcomesPsychotherapy Techniques and Applications

Emotional dysregulation as a target in the treatment of co-existing substance use and borderline personality disorders: a pilot study

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Hall, Kate, Simpson, Angela, O'donnell, Renee, Sloan, Elise, Staiger, Petra K., Morton, Jane, Ryan, Deirdre, Nunn, Brogan +2 more·2018·Clinical Psychologist
DOI 10.1111/cp.12162
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Abstract

BackgroundBorderline personality disorder (BPD) and substance use disorders (SUD) are frequently co‐morbid and their co‐occurrence exacerbates the symptomatology and associated harms for both disorders. However, few intervention studies have examined the delivery of an integrated intervention for BPD and SUD within alcohol and other drug (AOD) treatment settings. This single arm pilot study examined the clinical utility and outcomes of a 12‐session emotion regulation intervention for clients with co‐occurring SUD and BPD symptoms delivered in an outpatient AOD treatment setting.MethodForty‐five adult treatment‐seekers (64.4% women, mean age 35.8 years (SD = 10.4)) attending an outpatient AOD service, who exhibited three or more symptoms of BPD, engaged in a 12‐session emotion regulation intervention. Clinical measures assessing alcohol and drug use, BPD symptoms, emotion dysregulation and acceptance, non‐avoidance of thoughts and emotions, and psychological flexibility were collected at baseline, session 6 and session 12. Treatment engagement, satisfaction, and rapport were also measured.ResultsFifty‐one percent of participants completed the 12‐session intervention. The results demonstrated that the number of drugs using occasions in the past 28 days significantly reduced from baseline compared to session 12. Furthermore, a significant reduction was identified in BPD symptom severity, emotion dysregulation, and non‐acceptance, experiential avoidance, and psychological inflexibility from baseline to session 12.ConclusionsFor those individuals who completed the 12‐session emotion regulation intervention, there were significant reductions across a number of clinical outcomes. However, retention in treatment for this vulnerable client group remains a significant challenge in the AOD setting.

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  • The current findings lend support to transdiagnostic interventions designed to target low distress tolerance for individuals with impulsive-type psychopathology.

    “Therefore, while the current findings lend support to the recent development of transdiagnostic interventions designed to target low DT for individuals with impulsive-type psychopathology (e.g., Hall et al., 2018Hall et al., , 2021;;Ritschel et al., 2015), they also suggest that such interventions may need to be combined with disorder-specific interventions.”

    From Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis (2022) · cites this paper as Hall et al., 2018

  • ERIC is an emotion regulation and impulse control modular CBT skills-based program, which was developed through a 3-year participatory research program in partnership with vulnerable young people and youth services across Australia.

    “ERIC is an emotion regulation and impulse control modular CBT skills-based program, which was developed through a 3-year participatory research program in partnership with vulnerable young people and youth services across Australia (Hall and Simpson, 2018).”

    From An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study (2021) · cites this paper as Hall and Simpson, 2018

  • The attrition rates in the current study were comparable to other studies of treatment seekers with polysubstance use and psychosocial complexity.

    “Indeed, the attrition rates in the current study were comparable to other studies of treatment seekers with polysubstance use (e.g., Hall et al., 2018) and psychosocial complexity (Ferguson et al., 2020).”

    From An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study (2021) · cites this paper as Hall et al., 2018

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Authors
Hall, K., Simpson, A., O'donnell, R., Sloan, E., Staiger, P. K., Morton, J., Ryan, D., Nunn, B., Best, D., & Lubman, D. I.
Affiliations
  • Deakin University (AU)
  • Centre for Drug Use, Addictive and Anti‐social Behaviour Research, Deakin University, Geelong, Australia,
  • Private Practice, Melbourne, Victoria, Australia,
  • Sheffield Hallam University (GB)
  • Eastern Health (AU)
Corresponding author
Hall, Kate
ORCID
Venue
Clinical Psychologist
Publisher
Informa UK Limited
Published
2018-07-01
Volume
22
Issue
2
Pages
112-125
ISSN
  • 1328-4207 (ISSN-L)
  • 1742-9552
DOI
10.1111/cp.12162
OpenAlex
W2810754628
Cited by
22
References
66
Citations by year
2026: 3 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 6 · 2021: 2 · 2018: 1
FWCI
0.88
Type
journal article
Language
en
Open access
Licence
Locations
  • Clinical Psychologist (publishedVersion)
  • SHURA (Sheffield Hallam University Research Archive) (Sheffield Hallam University) (acceptedVersion)
  • Figshare (submittedVersion, cc-by)
Funders
Australian Commonwealth Department of Health and Ageing
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
borderline personality disorder, substance use disorders, co-occurring disorders, emotional dysregulation, emotion regulation interventions, acceptance and commitment therapy, psychological flexibility, experiential avoidance, alcohol and other drug treatment, treatment retention, outpatient addiction services

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