Mindfulness in Borderline Personality Disorder: Decentering Mediates the Effectiveness.
Psicothema
; 33(3): 407-414, 2021 Aug.
Article
em En
| MEDLINE
| ID: mdl-34297670
ABSTRACT
BACKGROUND:
Mindfulness skills training is a core component of dialectical behavior therapy (DBT) that has proven to be an effective stand-alone treatment for the general symptoms commonly present in patients with borderline personality disorder (BPD). The aim of the present study was to compare the effectiveness of mindfulness-based DBT skills training (DBT-M) to interpersonal effectiveness-based DBT skills training (DBT-IE) in reducing BPD symptoms. We also evaluated the specific mechanism of action of these therapies through two proposed mediators decentering and emotion dysregulation.METHOD:
A total of 102 participants diagnosed with BPD were included in the study. Multivariate repeated-measures ANOVAs were performed followed by a multiple mediation analysis.RESULTS:
The analyses showed that DBT-M was more effective than DBT-IE in reducing BPD symptoms, although both interventions were effective in reducing emotion dysregulation. We identified a serial mediation model in which DBT-M reduced BPD symptoms by increasing decentering ability, which in turn reduced emotion dysregulation. This mediation effect showed that changes in decentering preceded improvements in emotion dysregulation.CONCLUSIONS:
These findings underscore the key role of decentering as a primary mechanism of action in DBT-M, suggesting that this skill is a main component for BPD treatment.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtorno da Personalidade Borderline
/
Atenção Plena
/
Terapia do Comportamento Dialético
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article