Mindfulness skills in borderline personality disorder patients during dialectical behavior therapy: Preliminary results
Open accessAbstract
OBJECTIVE: One of the components of dialectical behavior therapy (DBT) is the use of mindfulness skills as a core component of treatment for subjects with borderline personality disorder (BPD). In this study, we investigated changes in and correlates of mindfulness skills over a 1-year follow-up including a 4-week session of intensive DBT followed by 10 months of standard DBT. METHODS: Fifty-two BPD subjects were assessed several times using the Kentucky Inventory of Mindfulness Skills (KIMS) which describes mindfulness in four discrete dimensions: observing (Obs), describing (Des), acting with awareness (AwA) and accepting without judgment (AwJ). RESULTS: AwJ was the only dimension that increased significantly over time after adjustment for potential confounding factors (β = 0.24; P = 0.0002). Increases in AwJ correlated with improvement in BPD symptoms. CONCLUSIONS: This study highlights the usefulness of investigating changes in mindfulness dimensions during DBT. AwJ is a possible mechanism for positive change. Encouraging this skill should lead to a more adaptive response to problematic situations and counteract impulsive and problematic behaviors. The lack of specific control groups means that these findings are preliminary and replication is required.
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An increase in the dimension accepting without judgment in the KIMS was found during an intensive DBT intervention.
“Finally, an increase in the dimension accepting without judgment in the KIMS during an intensive DBT intervention was also found (Perroud et al., 2012).”
From Mapping mindfulness in psychotherapy: a scoping review on conceptualization, applications, and research directions (2026) · cites this paper as Perroud et al., 2012
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- Authors
- Perroud, N., Nicastro, R., Jermann, F., & Huguelet, P.
- Affiliations
- University Hospital of Geneva (CH)
- Corresponding author
- Perroud, Nader
- Venue
- International Journal of Psychiatry in Clinical Practice
- Publisher
- Informa UK Limited
- Published
- 2012-03-24
- Volume
- 16
- Issue
- 3
- Pages
- 189-196
- ISSN
- 1365-1501 (ISSN-L)
- 1471-1788
- OpenAlex
- W1963698137
- Cited by
- 73
- References
- 30
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 5 · 2018: 8 · 2017: 7 · 2016: 4 · 2015: 7 · 2014: 6 · 2013: 2 · 2012: 1
- FWCI
- 5.82
- Type
- journal article
- Language
- en
- Open access
- Licence
- cc-by
- Locations
- International Journal of Psychiatry in Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Funders
- Department of Biotechnology, Ministry of Science and Technology, India
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- mindfulness skills, borderline personality disorder, dialectical behavior therapy, observation, description, acting with awareness, therapeutic mechanisms, symptom change
- MeSH terms
- Adult, Awareness, Behavior Therapy, Borderline Personality Disorder, Female, Follow-Up Studies, Humans, Judgment, Male, Psychiatric Status Rating Scales, Time Factors, Linear Models, Treatment Outcome, Meditation, Emotional Intelligence, Self Report
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