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Cited by 37Personality Disorders and PsychopathologyAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesBipolar Disorder and Treatment

Cognitive Emotion Regulation Strategies in Borderline Personality Disorder: Diagnostic Comparisons and Associations with Potentially Harmful Behaviors

Daros, Alexander R., Guevara, Mylann A., Uliaszek, Amanda A., McMain, Shelley F., Ruocco, Anthony C.·2018·Psychopathology
DOI 10.1159/000487008
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Abstract

BACKGROUND: Although difficulties in emotion regulation (ER) are considered a core feature of borderline personality disorder (BPD), the specific strategies that individuals with BPD most commonly use, their diagnostic specificity, and their associations with harmful behaviors have not been firmly established. SAMPLING AND METHODS: Individuals with BPD (n = 30), mixed anxiety and/or depressive disorders (MAD; n = 30), and healthy controls (HC; n = 32) completed questionnaires assessing both cognitive ER strategies (e.g., cognitive reappraisal) and potentially harmful behaviors that individuals might use to regulate their emotions (e.g., self-injury). RESULTS: BPD subjects endorsed more maladaptive cognitive ER strategies and fewer adaptive strategies compared to HC. Compared to MAD subjects, BPD individuals endorsed more maladaptive cognitive ER strategies, but only when those with subthreshold symptoms in the MAD group were excluded. BPD also endorsed engaging in potentially harmful behaviors more often than both HC and MAD. Discriminant analysis revealed that MAD endorsed lower rates of problem-solving and cognitive reappraisal compared to both HC and BPD. Higher maladaptive and lower adaptive ER strategies were associated with higher rates of potentially harmful behaviors, although the specific strategies differed for MAD versus BPD. CONCLUSIONS: BPD and MAD endorse cognitive ER strategies with a comparable frequency, although BPD subjects engage in potentially harmful behaviors more often. Subthreshold BPD symptoms may also affect rates of ER strategy use in individuals with other mental disorders.

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  • Difficulties in tolerating and regulating intense emotions are part of the main characteristics of BPD, leading to the use of dysfunctional behaviours for emotional regulation.

    “The result is not unexpected and is entirely in line with other studies [23,24,25], considering the fact that difficulties in tolerating and regulating intense emotions are part of the main characteristics of BPD, leading to the use of dysfunctional behaviours for emotional regulation.”

    From Cognitive Coping Strategies among Inpatient Adolescents with Depression and Psychiatric Comorbidity (2023) · cites this paper as [23]

  • The result that adolescents with depression and BPD traits have higher maladaptive strategy scores is not unexpected and is in line with other studies.

    “The result is not unexpected and is entirely in line with other studies [23,24,25], considering the fact that difficulties in tolerating and regulating intense emotions are part of the main characteristics of BPD, leading to the use of dysfunctional behaviours for emotional regulation.”

    From Cognitive Coping Strategies among Inpatient Adolescents with Depression and Psychiatric Comorbidity (2023) · cites this paper as [23]

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Authors
Daros, A. R., Guevara, M. A., Uliaszek, A. A., McMain, S. F., & Ruocco, A. C.
Affiliations
  • University of Toronto (CA)
  • Centre for Addiction and Mental Health (CA)
ORCID
Venue
Psychopathology
Publisher
S. Karger AG
Published
2018
Volume
51
Issue
2
Pages
83-95
ISSN
  • 0254-4962 (ISSN-L)
  • 1423-033X
DOI
10.1159/000487008
OpenAlex
W2789681636
Cited by
37
References
74
Citations by year
2026: 2 · 2025: 5 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 4
FWCI
3.81
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychopathology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
borderline personality disorder, emotion regulation, cognitive reappraisal, self-harm, mixed anxiety-depressive disorder, subthreshold symptoms, problem solving, maladaptive emotion regulation, diagnostic specificity
MeSH terms
Adolescent, Adult, Borderline Personality Disorder, Emotions, Female, Humans, Middle Aged, Surveys and Questionnaires, Self-Injurious Behavior, Young Adult

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