Comparison of Emotion-Focused Therapy Approach and Meta-Diagnostic Protocol on Emotion Regulation in Adolescents with Borderline Personality Disorder
Comparison of Emotion-Focused Therapy Approach and Meta-Diagnostic Protocol on Emotion Regulation in Adolescents with Borderline Personality Disorder
Background: This study aims to evaluate the effectiveness of an emotion-focused therapy approach and a meta-diagnostic protocol in improving emotion regulation among adolescents with borderline disorder.
Methods: The study was a quasi-experimental design utilizing a pre-test-post-test and follow-up approach (three months later) with both control and experimental groups. The statistical population for this research comprised young individuals with borderline personality disorder seeking treatment at psychological clinics in Tehran from July to October 2023. A sample of 39 individuals was purposefully selected to participate in the study. The intervention, which consisted of six sessions conducted twice a week by a clinical psychologist, took place at one of the clinics involved in the study. The Cognitive Emotion Regulation Questionnaire (CERQ) was utilized as the measurement tool in this research. Statistical analysis was performed using SPSS version 27 and JASP version 18.1.0 software.
Results: The findings of this study indicated that the component of other blame showed a significant difference between the Emotion-focused therapy group and the control group during the follow-up phase (p<0.001). Similarly, there was no notable difference between the Meta-diagnostic therapy group and the control group during the follow-up phase (p=1.000).
Conclusion: According to the findings of this research, emotion-focused therapy may be beneficial in emotion regulation of adolescents diagnosed with borderline personality disorder. Nonetheless, the Meta-diagnostic therapy approach did not prove effective in enhancing emotional well-being and did not lead to a decrease in emotional maladjustment or an improvement in negative self-concept.
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Leichsenring F, Fonagy P, Heim N, Kernberg OF, Leweke F, Luyten P, Salzer S, Spitzer C, Steinert C. Borderline personality disorder: a comprehensive review of diagnosis and clinical presentation, etiology, treatment, and current controversies. World psychiatry. 2024 Feb;23(1):4-25. https://doi.org/10.1002/wps.21156
Bohus M, Stoffers-Winterling J, Sharp C, Krause-Utz A, Schmahl C, Lieb K. Borderline personality disorder. The Lancet. 2021 Oct 23;398(10310):1528-40. 10.1016/S0140-6736(21)00476-1
Leichsenring F, Heim N, Leweke F, Spitzer C, Steinert C, Kernberg OF. Borderline personality disorder: a review. JAMA. 2023 Feb 28;329(8):670-9. 10.1001/jama.2023.0589
Shah AQ, Prasad D, Caropreso L, Frey BN, de Azevedo Cardoso T. The comorbidity between Borderline Personality Disorder (BPD) and Generalized Anxiety Disorder (GAD): A systematic review and meta-analysis. Journal of psychiatric research. 2023 Aug 1;164:304-14. https://doi.org/10.1016/j.jpsychires.2023.06.009
Beheshti Motlagh A, Rezaei Z, Zohrevand M. The effectiveness of schema therapy on impulsivity, emotion regulation and ataxia in people with borderline disorder. Clinical Psychology Achievements. 2022 May 22;8(1):25-38. https://doi.org/10.22055/jacp.2023.42838.1272
Miano A, Barnow S, Wagner S, Roepke S, Dziobek I. Dyadic emotion regulation in women with borderline personality disorder. Cognitive Therapy and Research. 2021 Dec 1:1-6. https://doi.org/10.1007/s10608-021-10206-8
Salgó E, Szeghalmi L, Bajzát B, Berán E, Unoka Z. Emotion regulation, mindfulness, and self-compassion among patients with borderline personality disorder, compared to healthy control subjects. Plos one. 2021 Mar 17;16(3):e0248409. https://doi.org/10.1371/journal.pone.0248409
Gratz KL, Kiel EJ, Mann AJ, Tull MT. The prospective relation between borderline personality disorder symptoms and suicide risk: The mediating roles of emotion regulation difficulties and perceived burdensomeness. Journal of affective disorders. 2022 Sep 15;313:186-95. https://doi.org/10.1016/j.jad.2022.06.066
Babapour S, Shafiabadi A, Shamir AS, Andbil AF. The effectiveness of emotion-oriented therapy on the treatment of patients with borderline personality disorder. Journal of Adolescent and Youth Psychological Studies (JAYPS). 2023 Sep 1;4(9):117-27. https://doi.org/10.61838/kman.jayps.4.9.13
Afsar M, Hassani F, Farzad V, Golshani F. Comparison of the Effectiveness of Emotionally-Focused Therapy (EFT) and Mindfulness-Based Schema Therapy (MBST) on Emotion Regulation in Women with Borderline Personality Disorder (BPD). Applied Family Therapy Journal (AFTJ). 2021;2(1):262-76. https://journals.kmanpub.com/index.php/aftj/article/view/433
Parham R, Namdarpour F, Dayarian M. The effectiveness of the emotion-oriented approach on distress tolerance and cognitive emotion regulation of married women. Rooyesh-e-Ravanshenasi Journal (RRJ). 2023 Oct 10;12(7):113-22. http://frooyesh.ir/article-1-4505-en.html
Zarieh S, Naderi F, Bakhtiarpoor S, Askari P. The effectiveness of Emotion-Focused Therapy in Cognitive Emotion Regulation and Ego Strength among Cardiovascular Patients with Obesity. Health Psychology. 2023 Nov 22;12(47):119-32. https://doi.org/10.30473/hpj.2024.66573.5712
Pouladi S, Hasanshahi MM, Rabiei M, Baghery N. The effect of unified transdiagnostic treatment on the improvement of internalizing behavioral problems, emotional regulation, and empathy in children with anxiety disorders. Research in Cognitive and Behavioral Sciences. 2022 Aug 23;12(1):141-64. 10.22108/cbs.2022.133945.1655
Hatamian P, Tabatabaei K, Azadfallah P, Hasani J. The effectiveness of transdiagnostic native treatment based on emotion regulation on reducing insomnia disorder (single-case study). Iranian Journal of Nursing Research. 2023 Aug 10;18(3):0-. 10.22034/IJNR.18.3.41
Mozaffari V, Shiiroudi G, Shafiabadi A. Effectiveness of Integrated Meta-Diagnostic Therapy on Cognitive Emotion Regulation and Psychological Resilience of Veterans' Spouses. Iranian Journal of War and Public Health. 2020 Aug 10;12(3):149-55. 10.52547/ijwph.12.3.149
Rahimi M, Bahramipour M. The Effective of unified transdiagnostic treatment on emotional awareness, cognitive emotion regulation and positive and negative affect in anxious children. Clinical Psychology and Personality. 2024 Jun 21;22(1). 10.22070/cpap.2024.16501.1252
Kang H. Sample size determination and power analysis using the G* Power software. Journal of educational evaluation for health professions. 2021 Jul 30;18.10.3352/jeehp.2021.18.17
Akhondi Yazdi Z, Ghazanfari A, Sharifi T. Comparison of the Effectiveness of Transdiagnostic Treatment and Cognitive-Behavioral Therapy on the Anxiety and Depression of Depressed Women. Journal of Research in Behavioural Sciences. 2024 Jan 10;21(4):818-29. URL: http://rbs.mui.ac.ir/article-1-1724-fa.html
Ardestani SY, Shakib N, Yousefi S. The effectiveness of emotion-focused cognitive therapy on cognitive flexibility and rumination of adolescents with practical obsessive-compulsive disorder. Journal of Adolescent and Youth Psychological Studies (JAYPS). 2021 Sep 14;2(1):160-70. https://journals.kmanpub.com/index.php/jayps/article/view/472
Garnefski N, Koopman H, Kraaij V, ten Cate R. Brief report: Cognitive emotion regulation strategies and psychological adjustment in adolescents with a chronic disease. Journal of adolescence. 2009 Apr;32(2):449-54. https://doi.org/10.1016/j.adolescence.2008.01.003
Samani S, Sadeghi L. Psychometric properties of the cognitive emotion regulation questionnaire. Psychological methods and models. 2010 Sep 23;1(1):51-62. https://dorl.net/dor/20.1001.1.22285516.1389.1.1.5.9
Mizani S, Rezaei A, Khayyer M, Shegefti NS. The Mediating Role of Cognitive Emotion Regulation for Maladaptive Schemas and Negative Affects AmongYouth. Quarterly Journal of Psychological Methods and Models Spring. 2021;12(43). https://doi.org/10.30495/jpmm.2021.4712
Timulak L, Keogh D. Emotion-focused therapy: A transdiagnostic formulation. Journal of Contemporary Psychotherapy. 2020 Mar;50(1):1-3. https://doi.org/10.1007/s10879-019-09426-7
Javidnia S, Mojtabaei M, Bashardost S. Comparison of the effect of emotion-focused therapy and mindfulness-based cognitive therapy on emotion regulation in women with Covid-19 grief disorder. Iranian Journal of Psychiatric Nursing. 2022 Mar 10;9(6):1-3. http://ijpn.ir/article-1-1901-en.html
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