CoChat
Sign Up
Cited by 254Personality Disorders and PsychopathologySubstance Abuse Treatment and OutcomesBipolar Disorder and Treatment

The DOI matches its Crossref record; 45 of the 45 references it cites were found in a registry or an index.

Emotion regulation and substance use frequency in women with substance dependence and borderline personality disorder receiving dialectical behavior therapy

Open access
Axelrod, Seth R., Perepletchikova, Francheska, Holtzman, Kevin, Sinha, Rajita·2011·The American Journal of Drug and Alcohol Abuse
DOI 10.3109/00952990.2010.535582PMC PMC3052760
Open this paper in CoChat — free account

Abstract

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.

Overview

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.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3109/00952990.2010.535582

Cites

45 of 45 references verified0 citation errors · 0 not checkable

Statistics

Verification

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.

A few free checks a day · papers already verified open instantly · results are public

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 45 references

Research works printed but not linked: 4

  1. Linehan MM, 2006, therapy by experts for suicidal behaviors and borderline personality disorder. Arch Gen Psychiatry, 63, 757
  2. McMain S, 2004, Dialectical Behavior Therapy for Substance Users with Borderline Personality Disorder: A Randomized Controlled Trial in Canada [Presentation]
  3. Linehan MM, 2009, Preliminary Outcome of a Randomized Controlled Trial of DBT vs. Drug Counseling for Opiate-Dependent BPD Men and Women [Presentation]
  4. Miller AL, 1997, J Pract Psychol Behav Health, 3, 78

Cited by

Sorted by citations

Items 201–253 of 253

Related

See all

Metadata

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
DOI
10.3109/00952990.2010.535582
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
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