The Application of Mindfulness in The Treatment of Borderline Personality Disorder

Authors

  • Yike Duan
  • Xinyue Lv

DOI:

https://doi.org/10.62051/4rd1jd15

Keywords:

Borderline personality disorder; mindfulness; mechanisms.

Abstract

Borderline personality disorder is characterized by generally unstable patterns in emotional regulation, impulse control, interpersonal relationships, and self-image. It is always accompanied by some associated disorders, such as problematic alcohol use and self-harm. The cause of borderline personality disorder is well understood, with genetic factors and childhood abuse both contributing, and it is more common in women than in men. In this study, we also investigated the neuroscientific aspect of changes in the brains of people with borderline personality disorder. We wanted to find out about the effectiveness of mindfulness in the treatment of borderline personality disorder. Studies show that mindfulness practice affects psychological and neural processes and systems, leading to improved attentional capacity, body awareness and engagement in cognitive control processes, and recognising the therapy as a behavioural component to improve emotion regulation and reduce symptoms in people with borderline personality disorder. We proposed 3 hypotheses regarding the mechanism of mindfulness treatment in patients with borderline personality disorder. That is, mindfulness may affect borderline personality disorder by improving individuals' emotional regulation, reducing impulsivity, and inducing changes at the neurophysiological level.

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References

[1] American Psychiatric Association & American Psychiatric Association (Eds.). (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed). American Psychiatric Association.

[2] Helle, A. (2019). Alcohol Use Disorder and Antisocial and Borderline Personality Disorders. Alcohol Research: Current Reviews, 40(1), arcr. v40.1.05.

[3] Widiger, T. A., & Weissman, M. M. (1991). Epidemiology of Borderline Personality Disorder. Psychiatric Services, 42(10), 1015–1021.

[4] Prevalence and stability of the DSM-III-R personality disorders in a community-based survey of adolescents. (1993). American Journal of Psychiatry, 150(8), 1237–1243.

[5] Skodol, A. E., Gunderson, J. G., Pfohl, B., Widiger, T. A., Livesley, W. J., & Siever, L. J. (2002). The borderline diagnosis I: Psychopathology, comorbidity, and personaltity structure. Biological Psychiatry, 51(12), 936–950.

[6] Livesley, W. J., Jang, K. L., & Vernon, P. A. (1998). Phenotypic and Genetic Structure of Traits Delineating Personality Disorder. Archives of General Psychiatry, 55(10), 941.

[7] Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K., & Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: Gender, prevalence, and comorbidity with substance dependence disorders. Journal of Personality Disorders, 24(4), 412–426.

[8] 22.Trull, T. J., Freeman, L. K., Vebares, T. J., Choate, A. M., Helle, A. C., & Wycoff, A. M. (2018). Borderline personality disorder and substance use disorders: An updated review. Borderline Personality Disorder and Emotion Dysregulation, 5, 15.

[9] Becker, K., Adam, H., In-Albon, T., Kaess, M., Kapusta, N., Plener, P. L., & Für Die Leitliniengruppe. (2017). Diagnostik und Therapie von Suizidalität im Jugendalter: Das Wichtigste in Kürze aus den aktuellen Leitlinien. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 45(6), 485–497.

[10] 10.MacPherson, L., Magidson, J. F., Reynolds, E. K., Kahler, C. W., & Lejuez, C. W. (2010). Changes in sensation seeking and risk-taking propensity predict increases in alcohol use among early adolescents. Alcoholism, Clinical and Experimental Research, 34(8), 1400–1408.

[11] Reichl, C., & Kaess, M. (2021). Self-harm in the context of borderline personality disorder. Current Opinion in Psychology, 37, 139–144.

[12] Creswell, J. David. 2017. ‘Mindfulness Interventions’. Annual Review of Psychology 68(Volume 68, 2017):491–516.

[13] Didonna, Fabrizio, Roberta Rossi, Clarissa Ferrari, Luca Iani, Laura Pedrini, Nicoletta Rossi, Erica Xodo, and Mariangela Lanfredi. 2019. ‘Relations of Mindfulness Facets with Psychological Symptoms among Individuals with a Diagnosis of Obsessive–Compulsive Disorder, Major Depressive Disorder, or borderline personality disorder’. Psychology and Psychotherapy: Theory, Research and Practice 92(1):112–30.

[14] Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of Mindfulness by Self-Report: The Kentucky Inventory of Mindfulness Skills. Assessment, 11(3), 191–206.

[15] Bishop, S. R., Segal, Z. V., Lau, M., Anderson, N. C., Carlson, L., Shapiro, S. L., et al. (2003). The Toronto Mindfulness Scale: Development and validation. Manuscript under review.

[16] Schmidt, C., Soler, J., Vega, D., & Pascual, J. C. (2024). Practice matters: The role of mindfulness skills in emotion dysregulation in borderline personality disorder. Journal of Contextual Behavioral Science (Print), 100756–100756.

[17] Elices, M., Pascual, J. C., Portella, M. J., Feliu-Soler, A., Martín-Blanco, A., Carmona, C., & Soler, J. (2016). Impact of Mindfulness Training on Borderline Personality Disorder: A Randomized Trial. Mindfulness, 7(3), 584–595.

[18] Perroud, N., Nicastro, R., Jermann, F., & Huguelet, P. (2012). Mindfulness skills in borderline personality disorder patients during dialectical behavior therapy: Preliminary results. International Journal of Psychiatry in Clinical Practice, 16(3), 189–196.

[19] Cebolla, A., Demarzo, M., Martins, P., Soler, J., & Garcia-Campayo, J. (2017). Unwanted effects: Is there a negative side of meditation? A multicentre survey. PLOS ONE, 12(9), e0183137.

[20] Baer, R., Crane, C., Montero-Marin, J., Phillips, A., Taylor, L., Tickell, A., & Kuyken, W. (2020). Frequency of Self-reported Unpleasant Events and Harm in a Mindfulness-Based Program in Two General Population Samples. Mindfulness.

[21] Linehan, M. M., Bohus, M., & Lynch, T. (2007). Dialectical behavior therapy for pervasive emotion dysregulation. Theoretical and practical underpinnings. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 581–605). New York, NY: The Guilford Press.

[22] Carmona I Farrés, C., Elices, M., Soler, J., Domínguez-Clavé, E., Pomarol-Clotet, E., Salvador, R., & Pascual, J. C. (2019). Effects of Mindfulness Training on Borderline Personality Disorder: Impulsivity Versus Emotional Dysregulation. Mindfulness, 10(7), 1243–1254.

[23] Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending Linehan’stheory.Psychological Bulletin, 135(3), 495–510.

[24] Holzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559.

[25] Shapiro, S., Carlson, L. E., Astin, J., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386.

[26] Axelrod SR, Perepletchikova F, Holtzman K, Sinha R: Emotion regulation and substance use frequency in women with substance dependence and borderline personality disorder receiving dialectical behavior therapy. Am J Drug Alcohol Abuse 2011, 37:37-42.

[27] McMain SF, Fitzpatrick S, Boritz T, Barnhart R, Links P, Streiner DL: Outcome trajectories and prognostic factors for suicide and self-harm behaviors in patients with borderline personality disorder following one year of outpatient psychotherapy. J Pers Disord 2018, 32:497-512.

[28] Barratt, E. S., Patton, J., & Stanford, M. (1975). Barratt impulsiveness scale. University of Texas Texas: Barratt-Psychiatry Medical Branch.

[29] Sebastian, A., Jacob, G., Lieb, K., & Tüscher, O. (2013). Impulsivity in borderline personality disorder: a matter of disturbed impulse control or a facet of emotional dysregulation? Current Psychiatry Reports, 15(2), 339.

[30] Soler, J., Elices, M., Pascual, J. C., Martín-Blanco, A., Feliu-Soler, A., Carmona, C., & Portella, M. J. (2016). Effects of mindfulness training on different components of impulsivity in borderline personality disorder: Results from a pilot randomized study. Borderline Personality Disorder and Emotion Dysregulation, 3(1), 1.

[31] Ainslie, G. (1975). Specious reward: a behavioral theory of impulsiveness and impulse control. Psychological bulletin, 82(4), 463.

[32] Mischel, W., Shoda, Y., & Rodriguez, M. L. (1989). Delay of gratification in children. Science, 244(4907), 933-938.

[33] Dougherty, D. M., Mathias, C. W., Marsh, D. M., & Jagar, A. A. (2005). Laboratory behavioral measures of impulsivity. Behavior research methods, 37(1), 82-90.

[34] Giluk, T. L. (2009). Mindfulness, Big Five personality, and affect: A meta-analysis. Personality and Individual Differences, 47(8), 805-811.

[35] Peters, J. R., Erisman, S. M., Upton, B. T., Baer, R. A., & Roemer, L. (2011). A preliminary investigation of the relationships between dispositional mindfulness and impulsivity. Mindfulness, 2, 228-235.

[36] Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experimental avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.

[37] Peters, J. R., Erisman, S. M., Upton, B. T., Baer, R. A., & Roemer, L. (2011). A Preliminary Investigation of the Relationships Between Dispositional Mindfulness and Impulsivity. Mindfulness, 2(4), 228–235.

[38] Wingrove, J., & Bond, A. J. (1997). Impulsivity: A state as well as trait variable. Does mood awareness explain low correlations between trait and behavioural measures of impulsivity? Personality and Individual Differences, 22,333–339.

[39] Grecucci, A., Pappaianni, E., Siugzdaite, R., Theuninck, A., & Job, R. (2015). Mindful Emotion Regulation: Exploring the Neurocognitive Mechanisms behind Mindfulness. BioMed Research International, 2015, 1–9.

[40] Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How Does Mindfulness Meditation Work? Proposing Mechanisms of Action from a Conceptual and Neural Perspective. Perspectives on Psychological Science, 6(6), 537–559.

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Published

24-12-2024

How to Cite

Duan, Y., & Lv, X. (2024). The Application of Mindfulness in The Treatment of Borderline Personality Disorder. Transactions on Materials, Biotechnology and Life Sciences, 7, 241-247. https://doi.org/10.62051/4rd1jd15