Emotion regulation and substance use frequency in women with substance dependence and borderline personality disorder receiving dialectical behavior therapy
Open accessAbstract
BACKGROUND: Dialectical behavior therapy (DBT) identifies emotion dysregulation as central to the dangerous impulsivity of borderline personality disorder (BPD) including substance use disorders, and DBT targets improved emotion regulation as a primary mechanism of change. However, improved emotion regulation with DBT and associations between such improvement and behavioral outcomes such as substance use has not been previously reported. OBJECTIVE: Thus, the goal of this study was to assess for improvement in emotion regulation and to examine the relationship between improvements in the emotion regulation and substance use problems following DBT treatment. METHOD: Emotion regulation as assessed by the Difficulties in Emotion Regulation Scale, depressed mood as assessed by the Beck Depression Inventory, and their associations with substance use frequency were investigated in 27 women with substance dependence and BPD receiving 20 weeks of DBT in an academic community outpatient substance abuse treatment program. RESULTS: Results indicated improved emotion regulation, improved mood, and decreased substance use frequency. Further, emotion regulation improvement, but not improved mood, explained the variance of decreased substance use frequency. CONCLUSION AND SCIENTIFIC SIGNIFICANCE: This is the first study to demonstrate improved emotion regulation in BPD patients treated with DBT and to show that improved emotion regulation can account for increased behavioral control in BPD patients. SIGNIFICANCE AND FUTURE RESEARCH: Emotion regulation assessment is recommended for future studies to further clarify the etiology and maintenance of disorders associated with emotional dysregulation such as BPD and substance dependence and to further explore emotion regulation as a potential mechanism of change for clinical interventions.
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.
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
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · see citing works
(1993) · Cited by 7,136 · 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
Handbook of self-regulation: research, theory, and applications
(2005) · Choice Reviews Online · doi:10.5860/choice.42-3719 · Cited by 3,644 · see citing works
(1993) · Medical Entomology and Zoology · Cited by 2,491 · see citing works
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K., & Lindenboim, N. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.7.757 · Cited by 2,025 · see citing works
Encyclopedia of research design
(2011) · Choice Reviews Online · doi:10.5860/choice.48-2447 · Cited by 1,924 · see citing works
Emotion regulation and mental health
Gross, J. J., & Muñoz, R. F. (1995) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.1995.tb00036.x · Cited by 1,595 · see citing works
How does stress increase risk of drug abuse and relapse?
Sinha, R. (2001) · Psychopharmacology · doi:10.1007/s002130100917 · Cited by 1,505 · see citing works
Self-citationDialectical behavior therapy for patients with borderline personality disorder and drug dependence
Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J. C., Kanter, J., & Comtois, K. A. (1999) · The American Journal on Addictions · doi:10.1080/105504999305686 · Cited by 1,043 · see citing works
Linehan, M. M., Dimeff, L. A., Reynolds, S. K., Comtois, K. A., Welch, S. S., Heagerty, P., & Kivlahan, D. R. (2002) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(02)00011-x · Cited by 741 · see citing works
Dialectical behavior therapy adapted for suicidal adolescents.
Miller, A. L., Rathus, J. H., Linehan, M., Wetzler, S., & Leigh, E. (1997) · Suicide and Life-Threatening Behaviour · doi:10.1097/00131746-199703000-00002 · Cited by 715 · see citing works
Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder
Koons, C. R., Robins, C. J., Lindsey Tweed, J., Lynch, T. R., Gonzalez, A. M., Morse, J. Q., Bishop, G. K., Butterfield, M. I., & Bastian, L. A. (2001) · Behavior Therapy · doi:10.1016/s0005-7894(01)80009-5 · Cited by 700 · see citing works
Donegan, N. H., Sanislow, C. A., Blumberg, H. P., Fulbright, R. K., Lacadie, C., Skudlarski, P., Gore, J. C., Olson, I., McGlashan, T. H., & Wexler, B. E. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00636-x · Cited by 663 · see citing works
Gratz, K. L., & Gunderson, J. G. (2006) · Behavior Therapy · doi:10.1016/j.beth.2005.03.002 · Cited by 618 · see citing works
(2007) · Cited by 485 · see citing works
Silbersweig, D., Clarkin, J. F., Goldstein, M., Kernberg, O. F., Tuescher, O., Levy, K. N., Brendel, G., Pan, H., Beutel, M., Pavony, M. T., et al. (2007) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.06010126 · Cited by 411 · cited 1× · see citing works
“, (16); for a review of neuroimaging studies of BPD see (17)).”
BackgroundDifficulties in emotion regulation and impulse control during cocaine abstinence
Fox, H. C., Axelrod, S. R., Paliwal, P., Sleeper, J., & Sinha, R. (2007) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2006.12.026 · Cited by 383 · see citing works
Self-citationFox, H. C., Hong, K. A., & Sinha, R. (2008) · Addictive Behaviors · doi:10.1016/j.addbeh.2007.10.002 · Cited by 366 · see citing works
Self-citationLenzenweger, M. F., Clarkin, J. F., Kernberg, O. F., & Foelsch, P. A. (2001) · Psychological Assessment · doi:10.1037/1040-3590.13.4.577 · Cited by 315 · see citing works
Kuo, J. R., & Linehan, M. M. (2009) · Journal of Abnormal Psychology · doi:10.1037/a0016392 · Cited by 288 · see citing works
van den Bosch, L. V. D., Verheul, R., Schippers, G., & van den Brink, W. J. (2002) · Addictive Behaviours · doi:10.1016/s0306-4603(02)00293-9 · Cited by 256 · see citing works
Sustained efficacy of dialectical behaviour therapy for borderline personality disorder
van den Bosch, L. M. C., Koeter, M. W. J., Stijnen, T., Verheul, R., & van den Brink, W. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.09.008 · Cited by 249 · see citing works
The Latest Neuroimaging Findings in Borderline Personality Disorder
Mauchnik, J., & Schmahl, C. G. (2010) · Current Psychiatry Reports · doi:10.1007/s11920-009-0089-7 · Cited by 229 · see citing works
Emotion dysregulation and the development of borderline personality disorder
Putnam, K. M., & Silk, K. R. (2005) · Development and Psychopathology · doi:10.1017/s0954579405050431 · Cited by 223 · see citing works
Dialectical Behavior Therapy with Suicidal Adolescents
Phillips, G. S. (2007) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2007.61.4.462 · Cited by 187 · see citing works
Carter, G. L., Willcox, C. H., Lewin, T. J., Conrad, A. M., & Bendit, N. (2010) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048670903393621 · Cited by 180 · see citing works
Gratz, K. L., Rosenthal, M. Z., Tull, M. T., Lejuez, C. W., & Gunderson, J. G. (2010) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2009.08.005 · Cited by 178 · see citing works
Directed forgetting of emotional stimuli in borderline personality disorder.
Korfine, L., & Hooley, J. M. (2000) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.109.2.214 · Cited by 144 · see citing works
Lenzenweger, M. F., Clarkin, J. F., Fertuck, E. A., & Kernberg, O. F. (2004) · Journal of Personality Disorders · doi:10.1521/pedi.18.5.421.51323 · Cited by 142 · see citing works
Gratz, K. L., Tull, M. T., Baruch, D. E., Bornovalova, M. A., & Lejuez, C. W. (2008) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2008.04.005 · Cited by 140 · see citing works
Hypervigilance in Borderline Disorder: A Test with the Emotional Stroop Paradigm
Arntz, A. R., Appels, C., & Sieswerda, S. (2000) · Journal of Personality Disorders · doi:10.1521/pedi.2000.14.4.366 · Cited by 132 · see citing works
Frontolimbic structural changes in borderline personality disorder
Minzenberg, M., Fan, J., New, A. S., Tang, C. Y., & Siever, L. J. (2007) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2007.07.015 · Cited by 127 · see citing works
EEG theta activity and pain insensitivity in self-injurious borderline patients
Russ, M. J., Campbell, S. S., Kakuma, T., Harrison, K. M., & Zanine, E. (1999) · Psychiatry Research · doi:10.1016/s0165-1781(99)00113-4 · Cited by 107 · see citing works
Affect instability in adults with a borderline personality disorder
Stein, K. F. (1996) · Archives of Psychiatric Nursing · doi:10.1016/s0883-9417(96)80084-7 · Cited by 92 · see citing works
Westra, H. A., Stewart, S. H., & Conrad, B. E. (2002) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(02)00091-9 · Cited by 83 · see citing works
Ross, S., Dermatis, H., Levounis, P., & Galanter, M. S. (2003) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-120020511 · Cited by 72 · see citing works
Hawkins, K. A., & Sinha, R. (1998) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(98)00030-2 · Cited by 62 · see citing works
Self-citationMarlowe, D. B., Kirby, K. C., Festinger, D. S., Husband, S. D., & Platt, J. J. (1997) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199708000-00002 · Cited by 57 · see citing works
GRATZ, K. L., LACROCE, D. M., & GUNDERSON, J. G. (2006) · Journal of Psychiatric Practice · doi:10.1097/00131746-200605000-00004 · Cited by 50 · see citing works
Trull, T. J. (2001) · Journal of Personality Disorders · doi:10.1521/pedi.15.1.19.18647 · Cited by 43 · see citing works
Kurtz, J. E., & Morey, L. C. (1998) · Journal of Personality Disorders · doi:10.1521/pedi.1998.12.4.351 · Cited by 24 · see citing works
Woodberry, K. A., Gallo, K. P., & Nock, M. K. (2007) · Psychiatry Research · doi:10.1016/j.psychres.2007.06.007 · Cited by 15 · see citing works
Emotion regulation in acceptance and commitment therapy
Blackledge, J. T., & Hayes, S. C. (2001) · Journal of Clinical Psychology · doi:10.1002/1097-4679(200102)57:2
Flagged first, then by citations
Cited by
Sorted by citations
Hormes, J. M., Kearns, B., & Timko, C. A. (2014) · Addiction · doi:10.1111/add.12713 · Cited by 398 · see citing works
Emotion regulation in substance use disorders: a systematic review and meta-analysis
Stellern, J., Xiao, K. B., Grennell, E., Sanches, M., Gowin, J. L., & Sloan, M. E. (2023) · Addiction · doi:10.1111/add.16001 · Cited by 366 · see citing works
“Women with borderline personality disorder and substance dependence also reported lower DERS scores after a 20-week DBT program [92].”
BackgroundChiesa, A., & Serretti, A. (2014) · Substance Use & Misuse · doi:10.3109/10826084.2013.770027 · Cited by 348 · see citing works
Examining emotion regulation as an outcome, mechanism, or target of psychological treatments
Gratz, K. L., Weiss, N. H., & Tull, M. T. (2015) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2015.02.010 · Cited by 288 · see citing works
Emotion Regulation and Substance Use: A Meta-Analysis
Weiss, N. H., Kiefer, R., Goncharenko, S., Raudales, A. M., Forkus, S. R., Schick, M. R., & Contractor, A. A. (2022) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.109131 · Cited by 235 · see citing works
Fowler, J. C., Charak, R., Elhai, J. D., Allen, J. G., Frueh, B. C., & Oldham, J. M. (2014) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2014.07.029 · Cited by 216 · see citing works
Yiğit, İ., & Guzey, M. (2017) · Current Psychology · doi:10.1007/s12144-017-9712-7 · Cited by 219 · see citing works
Childhood maltreatment: altered network centrality of cingulate, precuneus, temporal pole and insula
Teicher, M. H., Anderson, C. M., Ohashi, K., & Polcari, A. (2014) · Biological Psychiatry · doi:10.1016/j.biopsych.2013.09.016 · Cited by 202 · see citing works
Personality Disorders and the 3-Year Course of Alcohol, Drug, and Nicotine Use Disorders
Hasin, D. S. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.136 · Cited by 200 · see citing works
Barnicot, K., Katsakou, C., Bhatti, N., Savill, M., Fearns, N., & Priebe, S. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.04.004 · Cited by 159 · see citing works
A meta-analysis of the relationship between trait mindfulness and substance use behaviors
Karyadi, K. A., VanderVeen, J. D., & Cyders, M. A. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.07.014 · Cited by 158 · see citing works
Katz, D., & Toner, B. (2013) · Mindfulness · doi:10.1007/s12671-012-0132-3 · Cited by 131 · see citing works
Hershberger, A. R., Um, M., & Cyders, M. A. (2017) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2017.05.032 · Cited by 127 · see citing works
Tull, M. T., Weiss, N. H., Adams, C. E., & Gratz, K. L. (2012) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.05.001 · Cited by 121 · see citing works
Sleep disturbance and emotion dysregulation as transdiagnostic processes in a comorbid sample
Fairholme, C. P., Nosen, E., Nillni, Y. I., Schumacher, J. A., Tull, M. T., & Coffey, S. F. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.05.014 · Cited by 123 · see citing works
Weiss, N. H., Tull, M. T., Sullivan, T. P., Dixon–Gordon, K. L., & Gratz, K. L. (2015) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2015.07.679 · Cited by 110 · see citing works
Bloom, J. M., Woodward, E. N., Susmaras, T., & Pantalone, D. W. (2012) · Psychiatric Services · doi:10.1176/appi.ps.201100311 · Cited by 103 · see citing works
Price, C. J., Thompson, E. A., Crowell, S. E., Pike, K., Cheng, S. C., Parent, S., & Hooven, C. (2019) · Substance Abuse · doi:10.1080/08897077.2018.1488335 · Cited by 94 · see citing works
Psychiatric comorbidity and the persistence of drug use disorders in the United States
Fenton, M. C., Keyes, K. M., Geier, T. J., Greenstein, E., Skodol, A. E., Krueger, B., Grant, B. F., & Hasin, D. S. (2011) · Addiction · doi:10.1111/j.1360-0443.2011.03638.x · Cited by 99 · see citing works
Jauregui, P., Estévez, A., & Urbiola, I. (2016) · Journal of Behavioral Addictions · doi:10.1556/2006.5.2016.038 · Cited by 97 · see citing works
Emotion dysregulation across levels of substance use
Garke, M. Å., Isacsson, N. H., Sörman, K., Bjureberg, J., Hellner, C., Gratz, K. L., Berghoff, C. R., Sinha, R., Tull, M. T., & Jayaram‐Lindström, N. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113662 · Cited by 94 · see citing works
Self-citationWeiss, N. H., Tull, M. T., Lavender, J., & Gratz, K. L. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.03.014 · Cited by 93 · see citing works
Cavicchioli, M., Movalli, M., Vassena, G., Ramella, P., Prudenziati, F., & Maffei, C. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.106035 · Cited by 94 · see citing works
Tripp, J. C., McDevitt‐Murphy, M. E., Avery, M. L., & Bracken, K. L. (2015) · Journal of Dual Diagnosis · doi:10.1080/15504263.2015.1025013 · Cited by 93 · see citing works
Difficulties regulating positive emotions and alcohol and drug misuse: A path analysis
Weiss, N. H., Forkus, S. R., Contractor, A. A., & Schick, M. R. (2018) · Addictive Behaviors · doi:10.1016/j.addbeh.2018.03.027 · Cited by 89 · see citing works
Rudge, S., Feigenbaum, J., & Fonagy, P. (2017) · Journal of Mental Health · doi:10.1080/09638237.2017.1322185 · Cited by 89 · see citing works
Hsu, S. H., Collins, S. E., & Marlatt, G. A. (2013) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.11.002 · Cited by 83 · see citing works
Musser, N., Zalewski, M., Stepp, S. D., & Lewis, J. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.06.003 · Cited by 85 · see citing works
A Proof of Concept for Using Brief Dialectical Behavior Therapy as a Treatment for Problem Gambling
Christensen, D. R., Dowling, N. A., Jackson, A. C., Brown, M., Russo, J., Francis, K. L., & Umemoto, A. (2013) · Behaviour Change · doi:10.1017/bec.2013.10 · Cited by 83 · see citing works
Wupperman, P., Marlatt, G. A., Cunningham, A., Bowen, S., Berking, M., Mulvihill‐Rivera, N., & Easton, C. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.20830 · Cited by 81 · see citing works
A Factor Analytic Evaluation of the Difficulties in Emotion Regulation Scale
Lee, D. J., Witte, T. K., Bardeen, J. R., Davis, M. T., & Weathers, F. W. (2016) · Journal of Clinical Psychology · doi:10.1002/jclp.22297 · Cited by 80 · see citing works
Mindfulness and Emotion Regulation
Heppner, W. L., Spears, C. A., Vidrine, J. I., & Wetter, D. W. (2015) · Handbook of Mindfulness and Self-Regulation · doi:10.1007/978-1-4939-2263-5_9 · Cited by 78 · see citing works
EMOTION REGULATION IN MOTHERS AND YOUNG CHILDREN FACED WITH TRAUMA
Pat‐Horenczyk, R., Cohen, S., Ziv, Y., Achituv, M., Asulin-Peretz, L., Blanchard, T., Schiff, M., & Brom, D. (2015) · Infant Mental Health Journal · doi:10.1002/imhj.21515 · Cited by 70 · see citing works
Long, K., Felton, J. W., Lilienfeld, S. O., & Lejuez, C. W. (2014) · Personality Disorders Theory Research and Treatment · doi:10.1037/per0000085 · Cited by 72 · see citing works
A contextual model of self-regulation change mechanisms among individuals with addictive disorders
Roos, C. R., & Witkiewitz, K. A. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.08.008 · Cited by 71 · see citing works
The promise of third-wave behavioral therapies in the treatment of substance use disorders
Stotts, A. L., & Northrup, T. F. (2015) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2014.12.028 · Cited by 70 · see citing works
Maffei, C., Cavicchioli, M., Movalli, M., Cavallaro, R., & Fossati, A. (2018) · Substance Use & Misuse · doi:10.1080/10826084.2018.1480035 · Cited by 62 · see citing works
Zeifman, R. J., & Wagner, A. C. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.11.001 · Cited by 67 · see citing works
Gratz, K. L., Moore, K. E., & Tull, M. T. (2016) · Personality Disorders Theory Research and Treatment · doi:10.1037/per0000198 · Cited by 62 · see citing works
Chugani, C. D., Ghali, M. N., & Brunner, J. (2013) · Journal of College Student Psychotherapy · doi:10.1080/87568225.2013.824337 · Cited by 58 · see citing works
Mehlum, L. (2021) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2020.08.017 · Cited by 58 · see citing works
Gratz, K. L., Tull, M. T., Matusiewicz, A. M., Breetz, A., & Lejuez, C. W. (2013) · Personality Disorders Theory Research and Treatment · doi:10.1037/per0000020 · Cited by 53 · see citing works
Ellis, J. D., Rabinowitz, J. A., Ware, O. D., Wells, J. L., Dunn, K. E., & Huhn, A. S. (2023) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2022.208932 · Cited by 49 · see citing works
Iwakabe, S., Nakamura, K., & Thoma, N. C. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2183155 · Cited by 54 · see citing works
Emotion dysregulation and smoking among treatment-seeking smokers
Rogers, A. H., Bakhshaie, J., Viana, A. G., Manning, K. F., Mayorga, N. A., Garey, L., Raines, A. M., Schmidt, N. B., & Zvolensky, M. J. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.12.025 · Cited by 47 · see citing works
Managing patients with dual diagnosis in psychiatric practice
Baigent, M. F. (2012) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3283523d3d · Cited by 47 · see citing works
Tomlinson, M. F. (2018) · International Journal of Forensic Mental Health · doi:10.1080/14999013.2017.1416003 · Cited by 45 · see citing works
Zalewski, M., Lewis, J. K., & Martin, C. G. (2018) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2018.02.013 · Cited by 37 · see citing works
Examining the role of attentional control in terms of specific emotion regulation difficulties
O’Bryan, E. M., Kraemer, K. M., Johnson, A. L., McLeish, A. C., & McLaughlin, L. E. (2016) · Personality and Individual Differences · doi:10.1016/j.paid.2016.12.015 · Cited by 42 · see citing works
Um, M., Hershberger, A. R., Whitt, Z. T., & Cyders, M. A. (2018) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-018-0084-x · Cited by 42 · see citing works
Jansen, J. M., van den Heuvel, O. A., van der Werf, Y. D., de Wit, S. J., Veltman, D. J., van den Brink, W., & Goudriaan, A. E. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00272 · Cited by 43 · see citing works
Respiratory sinus arrhythmia as a potential measure in substance use treatment–outcome studies
Price, C., & Crowell, S. E. (2015) · Addiction · doi:10.1111/add.13232 · Cited by 40 · see citing works
McCrady, B. S. (2017) · Wiley eBooks · doi:10.1002/9781118877142.ch16 · Cited by 42 · see citing works
Jauregui, P., Onaindia, J., & Estévez, A. (2017) · Journal of Gambling Studies · doi:10.1007/s10899-017-9675-5 · Cited by 37 · see citing works
Hart, T. A., Noor, S. W. B., Adam, B. D., Vernon, J. R. G., Brennan, D. J., Gardner, S. L., Husbands, W. C., & Myers, T. (2017) · AIDS and Behavior · doi:10.1007/s10461-016-1669-2 · Cited by 41 · see citing works
Pilot study of a brief dialectical behavior therapy skills group for jail inmates.
Moore, K. E., Folk, J. B., Boren, E. A., Tangney, J. P., Fischer, S. F., & Schrader, S. W. (2016) · Psychological Services · doi:10.1037/ser0000105 · Cited by 40 · see citing works
Noor, S. W. B., Adam, B. D., Brennan, D. J., Moskowitz, D., Gardner, S. L., & Hart, T. A. (2017) · Archives of Sexual Behavior · doi:10.1007/s10508-017-0948-y · Cited by 37 · see citing works
Weiss, N. H., Brick, L. A. D., Schick, M. R., Forkus, S. R., Raudales, A. M., Contractor, A. A., & Sullivan, T. P. (2022) · Addiction · doi:10.1111/add.15992 · Cited by 39 · see citing works
Cavicchioli, M., Movalli, M., Ramella, P., Vassena, G., Prudenziati, F., & Maffei, C. (2019) · Addiction Research & Theory · doi:10.1080/16066359.2019.1590558 · Cited by 38 · see citing works
Tull, M. T., & Gratz, K. L. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9490-3 · Cited by 35 · see citing works
The State of the Science: Dialectical Behavior Therapy
Rizvi, S. L., Bitran, A., Oshin, L. A., Yin, Q., & Ruork, A. K. (2024) · Behavior Therapy · doi:10.1016/j.beth.2024.02.006 · Cited by 34 · see citing works
Emotional regulation in eating disorders and gambling disorder: A transdiagnostic approach
Munguía, L., Jiménez-Múrcia, S., Granero, R., Baenas, I., Agüera, Z., Sánchez, I., Codina, E., del Pino-Gutiérrez, A., Testa, G., Treasure, J., et al. (2021) · Journal of Behavioral Addictions · doi:10.1556/2006.2021.00017 · Cited by 27 · see citing works
Darharaj, M., Hekmati, I., Ayagh, F. M. G., Ahmadi, A., Eskin, M., & Ranjbar, H. A. (2023) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-023-01031-z · Cited by 34 · see citing works
Gratz, K. L., Weiss, N. H., McDermott, M. J., DiLillo, D., Messman‐Moore, T. L., & Tull, M. T. (2016) · Journal of Personality Disorders · doi:10.1521/pedi_2016_30_252 · Cited by 34 · see citing works
Cavicchioli, M., Ramella, P., Vassena, G., Simone, G., Prudenziati, F., Sirtori, F., Movalli, M., & Maffei, C. (2020) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2020.1712411 · Cited by 32 · see citing works
Emotion differentiation predicts likelihood of initial lapse following substance use treatment
Anand, D., Chen, Y., Lindquist, K. A., & Daughters, S. B. (2017) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2017.09.007 · Cited by 33 · see citing works
Integrating Preclinical and Clinical Models of Negative Urgency
Halcomb, M., Argyriou, E., & Cyders, M. A. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00324 · Cited by 34 · see citing works
Berthollier, C. F. N. (2014) · Journal of Psychology & Psychotherapy · doi:10.4172/2161-0487.1000133 · Cited by 33 · see citing works
Blanchard, B. E., Stevens, A. K., Cann, A. T., & Littlefield, A. K. (2018) · Addictive Behaviors · doi:10.1016/j.addbeh.2018.12.020 · Cited by 31 · see citing works
Examining Pathways of Childhood Maltreatment and Emotional Dysregulation Using Self-Compassion
Reffi, A. N., Boykin, D. M., & Orcutt, H. K. (2018) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2018.1485810 · Cited by 32 · see citing works
Yaghubi, M., Zargar, F., & Akbari, H. (2017) · Europe PMC (PubMed Central) · Cited by 28 · see citing works
Hu, Z., Jing, Y., Xue, Y., Fan, P., Wang, L., Vanyukov, M. M., Kirisci, L., Wang, J., Tarter, R. E., & Xie, X. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.107604 · Cited by 27 · see citing works
Salgó, E., Szeghalmi, L., Bajzát, B., Berán, E., & Unoka, Z. (2021) · PLoS ONE · doi:10.1371/journal.pone.0248409 · Cited by 26 · see citing works
Watkins, L. E., Franz, M. R., DiLillo, D., Gratz, K. L., & Messman‐Moore, T. L. (2015) · Psychology of Addictive Behaviors · doi:10.1037/adb0000127 · Cited by 26 · see citing works
Jansen, J. M., van den Heuvel, O. A., van der Werf, Y. D., de Wit, S. J., Veltman, D. J., van den Brink, W., & Goudriaan, A. E. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00227 · Cited by 26 · see citing works
Hart, T. A., Noor, S. W. B., Vernon, J. R. G., Antony, M. M., Gardner, S. L., & O’Cleirigh, C. M. (2019) · Behavior Therapy · doi:10.1016/j.beth.2019.09.001 · Cited by 25 · see citing works
Cavelti, M., Corbisiero, S., Bitto, H., Mörstedt, B., Newark, P. E., Faschina, S., Chanen, A. M., Moggi, F., & Stieglitz, R. (2017) · Journal of Attention Disorders · doi:10.1177/1087054717698814 · Cited by 25 · see citing works
Hart, T. A., Noor, S. W. B., Adam, B. D., Vernon, J. R. G., Brennan, D. J., Gardner, S. L., Husbands, W. C., & Myers, T. (2018) · AIDS and Behavior · doi:10.1007/s10461-018-2154-x · Cited by 25 · see citing works
Weiss, N. H., Duke, A. A., & Sullivan, T. P. (2014) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2014.899586 · Cited by 24 · see citing works
Fitzpatrick, S., Ip, J., Krantz, L. H., Zeifman, R. J., & Kuo, J. R. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103447 · Cited by 24 · see citing works
Kleiber, B. V., Felder, J. N., Ashby, B., Scott, S., Dean, J., & Dimidjian, S. (2017) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2016.12.002 · Cited by 24 · see citing works
Rizvi, S. L., & Fitzpatrick, S. (2020) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12691 · Cited by 23 · see citing works
Ledden, S., Rains, L. S., Schlief, M., Barnett, P., Ching, B. C. F., Hallam, B., Günak, M. M., Steare, T., Parker, J., Labovitch, S., et al. (2021) · BMC Psychiatry · doi:10.1186/s12888-022-04171-z · Cited by 17 · see citing works
Hall, K., Simpson, A., O'donnell, R., Sloan, E., Staiger, P. K., Morton, J., Ryan, D., Nunn, B., Best, D., & Lubman, D. I. (2018) · Clinical Psychologist · doi:10.1111/cp.12162 · Cited by 22 · see citing works
Kleiber, B. V., & Dimidjian, S. (2014) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12055 · Cited by 40 · see citing works
Weiss, N. H., Hogan, J., Brem, M., Massa, A. A., Kirby, C. M., & Flanagan, J. C. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.109066 · Cited by 22 · see citing works
Morken, K., Binder, P., Arefjord, N., & Karterud, S. (2019) · Psychotherapy Research · doi:10.1080/10503307.2017.1325021 · Cited by 20 · see citing works
Higher Emotion Dysregulation and Coping Motives in Alcoholand Marijuana Users
Lucke, H. R., Harbke, C. R., Mathes, E. W., & Hammersley, J. J. (2021) · Substance Use & Misuse · doi:10.1080/10826084.2021.1901927 · Cited by 20 · see citing works
Lindsay, J. A. B., McGowan, N. M., Henning, T., Harriss, E., & Saunders, K. (2024) · Journal of Medical Internet Research · doi:10.2196/54941 · Cited by 20 · see citing works
Hope and Recovery From Substance Abuse for Female Drug Offenders in Taiwan
Law, F. M., & Guo, G. (2011) · International Journal of Offender Therapy and Comparative Criminology · doi:10.1177/0306624x11426418 · Cited by 20 · see citing works
Dugdale, S., Ward, J., Hernen, J., Elison, S., Davies, G., & Donkor, D. (2016) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-016-0069-y · Cited by 20 · see citing works
Cooperman, N. A., Rizvi, S. L., Hughes, C. D., & Williams, J. M. (2019) · Journal of dual diagnosis · doi:10.1080/15504263.2018.1548719 · Cited by 18 · see citing works
Price, C. J., Crowell, S. E., Pike, K. C., Cheng, S. C., Puzia, M., & Thompson, E. A. (2018) · Substance Use & Misuse · doi:10.1080/10826084.2018.1508297 · Cited by 17 · see citing works
Klanecky, A. K., McChargue, D. E., & Tuliao, A. P. (2016) · Journal of Addictive Diseases · doi:10.1080/10550887.2016.1139428 · Cited by 18 · see citing works
Peri, S., Neppala, G. K., Shaik, R., & Parvaz, M. A. (2024) · Current Addiction Reports · doi:10.1007/s40429-024-00582-y · Cited by 18 · see citing works
Alexithymia mediates the association between childhood trauma and adolescent E-cigarette use
Sutherland, B. D., Fallah‐Sohy, N., Kopera, M., Jakubczyk, A., Sutherland, M. T., & Trucco, E. M. (2022) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2022.109500 · Cited by 17 · see citing works
Forkus, S. R., Rosellini, A. J., Monteith, L. L., Contractor, A. A., & Weiss, N. H. (2020) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000604 · Cited by 18 · see citing works
Rumination, Substance Use, and Self‐Harm in a Representative Australian Adult Sample
Tait, R. J., Brinker, J. K., Moller, C. I., & French, D. J. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.22025 · Cited by 16 · see citing works
Russell, B. S., & Lincoln, C. R. (2015) · Parenting · doi:10.1080/15295192.2016.1116893 · Cited by 16 · see citing works
Giannelli, E., Gold, C., Bieleninik, L., Ghetti, C. M., & Gelo, O. (2019) · Counselling and Psychotherapy Research · doi:10.1002/capr.12228 · Cited by 12 · see citing works
- Authors
- Axelrod, S. R., Perepletchikova, F., Holtzman, K., & Sinha, R.
- Affiliations
- Yale University (US)
- Corresponding author
- Axelrod, Seth R.
- ORCID
- Sinha, Rajita
- Venue
- The American Journal of Drug and Alcohol Abuse
- Publisher
- Informa UK Limited
- Published
- 2010-11-22
- Volume
- 37
- Issue
- 1
- Pages
- 37-42
- ISSN
- 0095-2990 (ISSN-L)
- 1097-9891
- PMC
- PMC3052760
- OpenAlex
- W2165284188
- Cited by
- 254
- References
- 45
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 14 · 2023: 18 · 2022: 13 · 2021: 24 · 2020: 37 · 2019: 17 · 2018: 17 · 2017: 22 · 2016: 12 · 2015: 14 · 2014: 13 · 2013: 15 · 2012: 10
- FWCI
- 11.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The American Journal of Drug and Alcohol Abuse (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (T32MH062994, K99MH087627)
- National Institute on Drug Abuse (P50DA016556, P50-DA0941, P50DA009241)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- dialectical behavior therapy, emotion regulation, borderline personality disorder, substance dependence, substance use frequency, women, emotional dysregulation, mechanisms of change, Difficulties in Emotion Regulation Scale, depressive mood, impulsivity
- MeSH terms
- Adult, Analysis of Variance, Behavior Therapy, Borderline Personality Disorder, Emotions, Female, Humans, Middle Aged, Psychiatric Status Rating Scales, Treatment Outcome, Diagnosis, Dual (Psychiatry), Substance-Related 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 ›
Are you an author, or do you see a problem with this page? Request a review