Borderline Personality Disorder and Emotion Dysregulation最新文献

{"title":"Comorbidity of borderline with antisocial and narcissistic personality disorders: a multimethod study.","authors":"Banafsheh Mohajerin, Parham Mohammadi, Richard Howard","doi":"10.1186/s40479-026-00349-z","DOIUrl":"10.1186/s40479-026-00349-z","url":null,"abstract":"<p><strong>Background: </strong>The construct of borderline personality disorder (BPD) remains contentious, with some arguing that it embraces too much pathology to be of any real value as a clinical diagnosis. Examining BPD's comorbidity is key to understanding its heterogeneous vs. homogeneous nature.</p><p><strong>Methods: </strong>This study aimed to uncover differences in patterns of symptoms and their severity between 3 groups of patients a with a DSM-5 diagnosis of BPD: (i) those with a single borderline diagnosis; (ii) those with a dual diagnosis of BPD and antisocial personality disorder (ASPD); those with a dual diagnosis of BPD and narcissistic personality disorder (NPD). Groups were compared in terms of: (i) borderline symptom severity; (ii) self-report measures of emotional dysregulation, suicidality, and identity disturbance; (iii) DSM-defined borderline symptom profiles. Network analysis assessed whether a stable and reproducible structure of symptoms could be seen across all three groups and whether groups differed in symptom prevalence.</p><p><strong>Results: </strong>Results of network analyses showed that the three groups shared the same symptom structure but differed systematically in which symptoms were most strongly endorsed: identity/interpersonal dysfunction in BPD, affective/behavioural dysregulation in BPD+ASPD, and a mixed/intermediate profile in BPD + NPD. BPD+ASPD showed the greatest severity of borderline symptoms, greatest emotional dysregulation, and highest impulsiveness and anger. The BPD group showed the highest identity disturbance and suicidality, BPD + NPD the lowest. In their symptom profiles, BPD were more likely to meet criteria for fear of abandonment, unstable relationships, identity disturbance and suicidality, while BPD+ASPD were more likely to meet criteria for impulsivity, affective instability, and anger control difficulty. The three groups differed on measures of identity and interpersonal relationships, supporting the idea that PD reflects disturbances of relationality.</p><p><strong>Conclusion: </strong>Results highlight that BPD can manifest in different ways that depend on its comorbidity. These differences require treatment to be tailored to the individual patient, with a focus on identity/interpersonal dysfunction when BPD presents alone, and on affective/behavioural dysregulation when BPD co-occurs with ASPD.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"13 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The combination of dialectical behavioral skills training with EMDR in the treatment of borderline personality disorder and psychological trauma: a feasibility randomized trial.","authors":"Joaquim Soler, Matilde Elices, Irene Canosa-García, Carlos Schmidt, Walter Lupo, Alicia Valiente-Gómez, Benedikt L Amann, Víctor Perez-Sola, Juan C Pascual","doi":"10.1186/s40479-026-00351-5","DOIUrl":"10.1186/s40479-026-00351-5","url":null,"abstract":"<p><strong>Background: </strong>Comorbid borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD) predict poorer treatment outcomes. Available treatments for BPD and psychological trauma are often phase-based, first ensuring stabilization of dysregulated behaviors and emotions and later focusing on treating trauma. This study investigates the feasibility, acceptability, and preliminary efficacy of combining dialectical behavioral therapy group skills training (DBT-ST), consisting of mindfulness, emotion regulation, distress tolerance, and interpersonal-effectiveness skills, with eye movement desensitization and reprocessing (EMDR) individual therapy for patients with BPD and psychological trauma.</p><p><strong>Methods: </strong>Forty-two participants with BPD and psychological trauma (40 females, mean age = 28.5, SD = 9.2) participated in the study. All participants underwent an initial 6-month DBT-ST group (phase 1), then those randomized to the experimental group received EMDR, and those in the control condition continued DBT-ST (phase 2). Feasibility and acceptability were assessed through qualitative interviews. Additionally, borderline personality disorder symptoms and trauma-related symptoms were measured as secondary clinical outcomes. Assessments were conducted at baseline, post phase 1, and post phase 2.</p><p><strong>Results: </strong>Overall retention from baseline to post phase 2 was 62%. Descriptively, retention was 81.2% in the DBT-ST continuation group and 72.2% in the DBT-ST+EMDR group, though this difference was not statistically significant. Qualitative interviews suggested that the sequential design was acceptable, and that DBT-ST helped some participants feel more prepared for subsequent trauma-focused work, although these findings are based on a small qualitative subsample. Both conditions reduced BPD symptoms, while only the DBT-ST+EMDR condition significantly reduced dissociative symptoms from baseline to post phase 2.</p><p><strong>Conclusions: </strong>A definitive, fully powered randomized clinical trial is warranted to confirm these findings and optimize the integration of DBT-ST and EMDR.</p><p><strong>Trial registration: </strong>Clinical Trials, NCT04856449. Registered on 08-04-2021.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13488291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of online family connections for family members of people with BPD: a naturalistic comparison with the face-to-face format.","authors":"Amaury Durpoix, Satchel Cohen, Sophie Slovak, Karen Dieben, Sophie Bluteau Blin, Axel Baptista, Nader Perroud, Martin Blay, Mario Speranza","doi":"10.1186/s40479-026-00341-7","DOIUrl":"10.1186/s40479-026-00341-7","url":null,"abstract":"<p><strong>Introduction: </strong>Borderline Personality Disorder (BPD) is a common condition with significant negative impacts on relatives due to its interpersonal instability and suicidal behaviors. Family Connections (FC) is currently the most empirically supported intervention for family members of individuals with BPD. However, access to FC remains limited. Online delivery could overcome geographic barriers, as digital formats have shown efficacy in psychotherapies for patients, though little is known about their effectiveness for family-oriented interventions. During the COVID-19 crisis, rapid adaptations of psychotherapeutic programs such as FC to online formats created an opportunity to collect data. This study aimed to compare the effectiveness of the online FC with face-to-face format.</p><p><strong>Method: </strong>This multicenter naturalistic study extended a previous project involving French-speaking FC participants. The program was first delivered face-to-face (n = 141) and then online (n = 27). FC is a 12-week group intervention providing psychoeducation about BPD and teaching coping skills derived from Dialectical Behavior Therapy.</p><p><strong>Results: </strong>Groups were comparable at baseline, except for certain variables. Controlling for baseline scores, multiple linear regressions showed no significant group differences for post-intervention burden (b=-0.59, p = 0.825) or depression (b = 1.37, p = 0.398). However, the online group improved more in emotion dysregulation (b=-9.05, p = 0.003) but less in coping (b=-0.79, p < 0.000).</p><p><strong>Discussion: </strong>Findings support the online FC format as comparably effective to the face-to-face version, suggesting its potential to enhance accessibility without compromising outcomes. Replication in randomized designs is warranted.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148101946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intimacy in close relationships and borderline personality features: the importance of traumatic childhood experiences, rejection sensitivity, and first-impression social judgments for attachment security.","authors":"Annegret Krause-Utz, Isabella Ivory, Başak Deren Delibaş, Irene Bijsterveld Muñoz, Stefanie Lis","doi":"10.1186/s40479-026-00350-6","DOIUrl":"10.1186/s40479-026-00350-6","url":null,"abstract":"<p><strong>Background: </strong>Intimacy, feeling close to others, and mutual trust and regard are important aspects of a secure attachment style that contributes to stable relationships. Difficulties experiencing intimacy have been linked to traumatic childhood experiences, such as abuse and neglect, rejection sensitivity (RS), and borderline personality disorder (BPD). In experimental studies, patients with BPD perceived unfamiliar faces as less trustworthy and detected less positive cues of happiness, social affirmation, and inclusion. However, it remains unclear whether social-cognitive judgments of unfamiliar faces predict attachment-related intimacy beyond BPD features, childhood trauma, and RS.</p><p><strong>Objective: </strong>This study aimed to simultaneously investigate the predictive effects of BPD features, childhood trauma, RS, and first-impression social-cognitive judgments of trustworthiness and happiness on intimacy in close relationships, beyond romantic relationships. Additionally, we investigated whether the association between BPD features and attachment-related intimacy is moderated by childhood trauma, RS, and first-impression social judgments.</p><p><strong>Methods: </strong>In an online study, 509 women completed questionnaires on intimacy in close relationships (subscales of the Adult Attachment Scale Revised), BPD features (Personality Assessment Inventory Borderline Features Scale), childhood trauma (Childhood Trauma Questionnaire Short Form), and RS (Adult Rejection Sensitivity Questionnaire). Additionally, they evaluated happiness and trustworthiness in unfamiliar female faces. Hierarchical linear regression analysis with intimacy as outcome tested the predictive strengths of all variables including interactions with BPD features.</p><p><strong>Results: </strong>Higher BPD features, childhood trauma, particularly emotional neglect, and RS, as well as lower trustworthiness impressions predicted less intimacy in close relationships. Despite their interrelations, all predictors except happiness ratings showed unique predictive effects on intimacy. Interaction effects were not significant.</p><p><strong>Discussion: </strong>Findings support the importance of BPD features, childhood trauma, and RS for experiences of closeness and connection in adult attachment relationships. Additionally, findings provide first evidence for a small direct link between trustworthiness evaluations of unfamiliar faces and lower experiences of intimacy. Future research should investigate these associations in clinical samples including both women and men to further understand whether trustworthiness impressions could be an important socio-cognitive mechanism and potential treatment target.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13377836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148006254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blame through my eyes: How first-person perspective shapes social attention and attribution in harmful interactions - a comparative eye tracking study.","authors":"Adrianna Jakubowska, Raphaëlle Fortin, Makar Varenyk, Li Ting Lin, Anna Zajenkowska","doi":"10.1186/s40479-026-00348-0","DOIUrl":"10.1186/s40479-026-00348-0","url":null,"abstract":"<p><strong>Background: </strong>Rigid attributional patterns are a key component of social cognitive deficits linked to aggression. Prior eye-tracking research using a third-person perspective revealed that, compared to community adults, incarcerated violent offenders oriented less to faces and showed a stronger correlation between perceived intentionality and assigned blame (Intentionality/Blame isomorphism), a metric of attributional inflexibility. The present study investigated how adopting an immersive first-person victim perspective affects both I/B isomorphism and facial attention.</p><p><strong>Methods: </strong>A total of 184 adults participated in our study, including 119 community members (60 female, 59 male) and 65 incarcerated violent offenders (32 female, 33 male). During the eye-tracking task, participants viewed 27 static visual scenes depicting ambiguous interpersonal harm between two actors - a harm doer and a victim - and were instructed to imagine themselves as the victim in each scenario. The scenes included both hostile (e.g., a harmful act) and non-hostile (e.g., mitigating expressions or gestures) cues. Independent samples t-tests were used to compare group differences in I/B isomorphism and face dwell time, and Pearson's correlations were used to examine the relationships between variables.</p><p><strong>Results: </strong>Consistent with our hypothesis and contrary to findings from third-person studies, incarcerated violent offenders exhibited significantly lower I/B isomorphism than community adults under a first-person perspective. Furthermore, no significant differences in face dwell time were observed between these two groups.</p><p><strong>Conclusions: </strong>These results suggest that, among incarcerated violent offenders, adopting a victim's perspective may disrupt rigid attributional patterns and normalize attention to social cues. These findings suggest that perspective-taking interventions could support improvements in empathy, cognitive flexibility, and overall interpersonal functioning.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13352780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to physical intimate partner violence in childhood and borderline personality disorder traits: the mediating role of insecure attachment.","authors":"Jaylene C Arnett, Veola E Vazquez, Jessie R Lowell, Robert A Pate","doi":"10.1186/s40479-026-00345-3","DOIUrl":"10.1186/s40479-026-00345-3","url":null,"abstract":"<p><strong>Background: </strong>Borderline personality disorder (BPD) is a mental illness that severely impacts a person's ability to regulate emotions and involves traits such as unstable interpersonal relationships, negative self-image, and marked impulsivity (National Institute of Mental Health, 2022). Extensive research has implied that childhood trauma is associated with BPD traits as well as insecure attachment (Peng et al., 2020). The current study aims to examine the mediating role of insecure attachment in the association between exposure to physical intimate partner violence (IPV) in childhood and BPD traits.</p><p><strong>Methods: </strong>A total of 156 adults who had previous childhood exposure to physical IPV were recruited using Amazon's Mechanical Turk (MTurk). Participants were administered questionnaires measuring the level of violence exposed in childhood, anxious and avoidant attachment in adulthood, and BPD traits in adulthood.</p><p><strong>Results: </strong>The results of the study indicated that exposure to physical IPV was positively associated with anxious attachment and BPD traits (medium effect), anxious attachment was positively associated with avoidant attachment and BPD traits (large effect), and avoidant attachment was positively associated with BPD traits (medium effect). The mediation analysis revealed a positive indirect effect of childhood exposure to physical IPV on BPD traits through anxious attachment. However, the indirect effect of exposure to physical IPV on BPD traits through avoidant attachment was not significant.</p><p><strong>Conclusions: </strong>These findings highlight the importance of addressing the role of exposure to physical IPV in childhood as it relates to attachment-related challenges and personality pathology. Interventions for this population should focus on enhancing secure attachment patterns that may be associated with healthier adult relationships and life satisfaction. Given the cross-sectional design, conclusions regarding directionality are limited. Therefore, longitudinal research is necessary to replicate these findings.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13343722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mentalizing on the edge: borderline traits and their association with real-time self-reflection - an ecological momentary assessment study.","authors":"Inken Höller, Sarah Schwitzky, Thomas Forkmann, Saskia Forster, Philip S Santangelo","doi":"10.1186/s40479-026-00347-1","DOIUrl":"10.1186/s40479-026-00347-1","url":null,"abstract":"<p><strong>Background: </strong>Mentalization plays a key role in borderline personality disorder (BPD), yet its moment-to-moment fluctuations remain understudied. This study is the first to use established self-report items within an Ecological Momentary Assessment (EMA) to explore the links between aspects of mentalizing in daily life and BPD traits in a community sample.</p><p><strong>Methods: </strong>The non-clinical sample consisted of 86 participants (86% female) aged between 18 and 51 years (M = 22.93, SD = 5.36). As part of a baseline survey in the laboratory, the participants completed self-report questionnaires to assess borderline accentuation and mentalizing in the form of subjective certainty regarding their own and others' mental states (self-certainty and other-certainty). In addition, in a subsequent one-week EMA, they reported momentary self-certainty and other-certainty at six randomized times during the day.</p><p><strong>Results: </strong>Using multiple regression (enter method), self-certainty proved to be a negative predictor of borderline accentuation, with intraindividual variations correlating positively with borderline personality style. Contrary to expectations, however, neither the level of other-certainty in the EMA nor the corresponding intraindividual fluctuations were related to borderline accentuation.</p><p><strong>Conclusion: </strong>Future studies should consider the high intraindividual variability of self- and other-certainty in order to obtain ecologically valid insights into mentalizing processes in the context of BPD. Promoting self-certainty may be a valuable target in BPD treatment. However, other-certainty might not be as important.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"13 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13170161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of dialectical behaviour therapy training: a quantitative systematic review using Kirkpatrick's four-level model.","authors":"Melanie Harris, Carolien Lamers, Michaela Swales","doi":"10.1186/s40479-026-00344-4","DOIUrl":"10.1186/s40479-026-00344-4","url":null,"abstract":"<p><p>Effective therapist training is critical to the successful implementation of Dialectical Behaviour Therapy (DBT) in routine clinical practice. Although various training approaches exist, their outcomes have not been comprehensively synthesised. This systematic review examined the effectiveness of DBT training across different delivery formats and identified key factors associated with training success. Four databases (Medline, CINAHL, PsycInfo, and PubMed) were searched for quantitative studies, and the quantitative components of mixed-methods studies, evaluating training outcomes according to Kirkpatrick’s Four-Level Model. Twenty-four studies met inclusion criteria. Six priority outcomes were assessed for certainty using the GRADE approach. Overall, DBT training was well received and associated with positive effects on therapists’ knowledge, self-efficacy, attitudes, and self-reported DBT use. More intensive training models with implementation support were linked to improved knowledge acquisition, motivation, self-reported DBT use, and, in some cases, client outcomes. The studies were highly heterogeneous in design and measures, few reported effect sizes, and most carried moderate risk of bias. As a result, the overall certainty of evidence was generally low. These findings highlight the potential effectiveness of DBT training while emphasising the need for more rigorous, standardised evaluations to strengthen the evidence base.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DBT skills + parent training for preschool parents with emotion dysregulation and substance misuse.","authors":"Yoel Everett, Olivia A Frigoletto, Ian Shryock, Ana C Hernandez, Angela H Lee, Ruby Cuellar, Kavya Mudiam, Robyn E Metcalfe, Candice Mottweiler, Maureen Zalewski","doi":"10.1186/s40479-026-00343-5","DOIUrl":"10.1186/s40479-026-00343-5","url":null,"abstract":"<p><p>BACKGROUND: Parenting and substance use recovery often intersect, as many adults accessing substance use disorder (SUD) treatment are also parents. Critically, parental SUDs are a risk factor for poorer parenting behaviors, with downstream impacts on child mental health. However, extant evidence-based interventions do not target proximal, parent-specific relapse risk factors (e.g., parental emotion dysregulation [ED], parenting stress), and relapse risk remains high. We sought to address this by integrating best practices in SUD, ED, and parenting interventions to expand reach and improve outcomes. METHODS: This pilot study assessed feasibility, acceptability, and preliminary efficacy of a 20-week Dialectical Behavior Therapy Skills + Parent Training (DBT Skills + PT) telehealth group intervention for parents in SUD remission with elevated ED. Participants were 12 parents (11 mothers) of preschool-aged children (5 female). RESULTS: Intervention feasibility (i.e., attendance, attrition, diary card compliance) and acceptability (i.e., satisfaction, skills use) were high. All treatment-completers maintained their SUD remission and reported large reductions in ED, child behavior problems, negative parenting behaviors, and parenting stress. Quantitative results were corroborated by qualitative feedback provided at an exit interview. CONCLUSIONS: The present findings support further larger scale testing of DBT Skills + PT as a promising intervention for parents in SUD remission with elevated ED, with prospective intergenerational impacts. </p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13202939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the Spanish structured interview of personality organization revised (STIPO-R) in a clinical and community sample.","authors":"Maria Jesus Rufat, Josep Lluís Matalí, Fernando Gutiérrez, Marc Ferrer, Elisabet Sánchez, Claudia Zumel, Eulàlia Ripoll, Joan Vegué, Natàlia Calvo","doi":"10.1186/s40479-026-00342-6","DOIUrl":"10.1186/s40479-026-00342-6","url":null,"abstract":"<p><p>BACKGROUND: The diagnosis of personality disorders (PD) remains challenging in clinical practice. The Diagnostic and Statistical Manual of Mental Disorders reviewed (DSM-5-TR) proposes an alternative diagnostic hybrid model (AMPD), that emphasizes dimensional assessment of personality pathology, particularly severity of impairment in personality functioning (Criterion A), a construct conceptually derived from Kernberg’s model of personality organization (PO) but operationalized in a highly simplified form. However, few structured diagnostic interviews aligned with this framework are available in Spanish. The Structured Interview of Personality Organization–Revised (STIPO-R) provides a dimensional assessment of the original PO construct and may offer clinically valuable information beyond current Criterion A measures. The aim of the present study was to validate the Spanish version of the STIPO-R and to examine its reliability (internal consistency) and construct validity. METHOD: A cross-sectional study was carried out with a sample of 206 subjects distributed into two groups: a clinical group comprised 134 outpatient psychiatric patients diagnosed with PD who were administered both the SCID-II and the Spanish version of the STIPO-R. The control group comprised 72 subjects without a PD diagnosis in the preceding ten years to whom the Spanish STIPO-R was administered. Reliability (internal consistency) and four types of validity evidence were examined: criterion, content, structural and concurrent with the SCID-II. RESULTS: The results confirmed that the Spanish STIPO-R has adequate reliability (internal consistency), and content, structural, criterion and concurrent validity. The CFA confirmed a six-factor solution consistent with the domain structure proposed in the original English version: (1) Identity, (2) Object relations, (3) Primitive defenses, (4) Advanced defenses, (5) Aggression and (6) Moral values. CONCLUSIONS: The Spanish STIPO-R is empirically confirmed to be valid and reliable for assessing normal and pathological personality organization according to Kernberg’s full theoretical model; including Defense Mechanisms, absent from the AMPD, and Aggression and Moral values, only partially represented within its trait domains - thereby offering clinicians a more comprehensive assessment of personality pathology. </p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13169810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}