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Predictors of improvement in an open-trial multisite evaluation of emotion regulation group therapy
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2019 (English)In: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 48, no 4, p. 322-336Article in journal (Refereed) Published
Abstract [en]

Emotion regulation group therapy (ERGT) is a novel treatment specifically targeting deliberate non-suicidal self-harm (DSH) in individuals with borderline personality disorder (BPD). Identifying robust predictors of positive response to ERGT could aid clinicians in treatment selection; however, to date, only one such study has been conducted. Thus, we aimed to replicate previously identified predictors of treatment response to ERGT by investigating demographic, clinical, and diagnostic predictors in 95 women with BPD or subclinical BPD who had participated in an open-trial evaluation of ERGT. Outcomes evaluated were frequency of DSH and emotion dysregulation. Assessments were conducted at pretreatment, post-treatment, and 6-month follow-up. Multilevel mixed linear models and multilevel negative binomial generalized estimated equations were used to identify significant interactions between the predictors and outcomes.

We found that greater pretreatment DSH frequency was associated with greater improvements in DSH during treatment (b = 0.998, SE = 0.00, p = 0.03) and follow-up (b = 0.997, SE = 0.00, p < 0.01) and that greater BPD severity was associated with greater improvements in DSH during treatment (b = 0.84, SE = 0.06, p = 0.02) and in emotion dysregulation at follow-up (b = −3.05, SE = 1.47, p = 0.04). Co-occurring disorders were associated with poorer treatment response during follow-up. Results were generally consistent with a previous study of the predictors of response to ERGT. The findings provide further support for the utility of this treatment across a range of BPD patients, including patients with severe DSH and BPD.

Place, publisher, year, edition, pages
Routledge, 2019. Vol. 48, no 4, p. 322-336
Keywords [en]
Emotion regulation group therapy, predictors of treatment response, borderline personality disorder, deliberate self-harm, non-suicidal self-injury, emotion regulation
National Category
Psychiatry Applied Psychology
Identifiers
URN: urn:nbn:se:umu:diva-161484DOI: 10.1080/16506073.2018.1509119ISI: 000470850800005PubMedID: 30230412OAI: oai:DiVA.org:umu-161484DiVA, id: diva2:1336110
Funder
Stockholm County Council, SLL20140428Available from: 2019-07-09 Created: 2019-07-09 Last updated: 2019-07-09Bibliographically approved

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Sahlin, HannaBjureberg, JohanJokinen, JussiLundh, Lars-GunnarHellner, Clara
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