Borderline Personality Disorder and Emotion Dysregulation最新文献

{"title":"A pilot randomized controlled trial of mentalization-based treatment and structured clinical management for outpatients with borderline personality disorder in South Korea.","authors":"HyunKyung Shin, Wonjun Choi, You Sun Chung, Haein Park, Uk-Jin Oh, Sun-Woo Choi, Ju-Yeal Lee, Seokho Yun, Bokyung Choo, Bon-Hoon Koo, Jeong-Ho Seok","doi":"10.1186/s40479-026-00354-2","DOIUrl":"10.1186/s40479-026-00354-2","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the effectiveness of mentalization-based treatment (MBT) for borderline personality disorder (BPD) compared to structured clinical management (SCM) in a South Korean clinical setting.</p><p><strong>Methods: </strong>This single-blind pilot randomized controlled trial included 64 individuals with a primary diagnosis of BPD who underwent either MBT (n = 37) or SCM (n = 27) in an outpatient setting over 12 months. Both interventions included weekly individual and group sessions. The primary outcome measure was the number of suicide attempts. Secondary outcomes included depressive symptoms, suicide risk, hospitalization frequency and duration, mentalization difficulties, adult attachment styles, BPD symptom severity, and resilience. Outcomes were assessed at baseline and 6 and 12 months. Analyses were conducted using generalized estimating equations, following the intention-to-treat principle.</p><p><strong>Results: </strong>Both treatment groups demonstrated a significant reduction in suicide attempts over 12 months, with no significant between-group differences in the primary outcome. However, participants receiving MBT showed consistent and sustained improvements in depressive symptoms, mentalization difficulties, and resilience. MBT was also associated with a significant reduction in attachment anxiety at 12 months, whereas the SCM produced earlier reductions in suicide risk and improvements in psychic equivalence. No significant changes were observed in attachment avoidance or in the hasty and incomplete mentalizing domains in either group.</p><p><strong>Conclusions: </strong>This pilot trial provides preliminary evidence that both MBT and SCM were effective in reducing suicidal behaviors and enhancing psychological functioning among Koreans with BPD. MBT demonstrated greater long-term benefits in emotion regulation and adaptability, suggesting that it may serve as a culturally scalable intervention in non-Western clinical settings.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13628851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413421","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":"Which EDE-Q items are structurally relevant in borderline personality disorder? An exploratory graph analysis.","authors":"Nora M Laskowski, Hannah R Hambruch, Isa Häkkinen, Iris Pollmann, Claudia M Deutschmann, Gerrit Brandt, Cristina Ballero Reque, Georgios Paslakis","doi":"10.1186/s40479-026-00355-1","DOIUrl":"10.1186/s40479-026-00355-1","url":null,"abstract":"<p><strong>Background: </strong>Borderline personality disorder (BPD) frequently co-occurs with eating disorders (EDs). Despite this clinical relevance, the dimensional structure of commonly used assessment instruments, such as the Eating Disorder Examination Questionnaire (EDE-Q), has not been sufficiently examined in BPD populations. Previous research suggests that the original four-factor structure of the EDE-Q may not be stable across different populations.</p><p><strong>Methods: </strong>This study examined the structure of the EDE-Q in a clinical sample of individuals with BPD (N = 73) using Exploratory Graph Analysis (EGA), a network-based approach to dimensionality assessment. Dimensionality and item stability were evaluated using nonparametric bootstrapping. Robustness was assessed via sensitivity analyses, including median imputation, variation of the regularization parameter, comparison of community detection algorithms, and leave-one-item-out procedures.</p><p><strong>Results: </strong>After iterative item reduction, a three-dimensional solution emerged, comprising 13 items. The identified dimensions reflected (1) Restraint, (2) Cognitive-Interpersonal Eating Concerns, and (3) Body Dissatisfaction. The final solution demonstrated high robustness across all sensitivity analyses, with identical dimensional structures and item assignments under multiple conditions.</p><p><strong>Conclusions: </strong>The findings suggest that the original four-factor structure of the EDE-Q may not fully generalize to individuals with BPD. Several aspects of the identified structure are consistent with previous research reporting deviations from the original EDE-Q model. These findings underscore the importance of validating assessment instruments within specific clinical populations and support a cautious interpretation of standard EDE-Q subscale scores in individuals with BPD.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":"13 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13317289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354166","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":"Dialectical behavioral therapy-based skills training program for family members of suicide attempters: a randomized controlled trial.","authors":"Jose H Marco-Salvador, Sandra Perez-Rodriguez, Laura Diaz-Sanahuja, Antonio Grau, Macarena Paredes-Mealla, Verónica Guillen","doi":"10.1186/s40479-026-00353-3","DOIUrl":"10.1186/s40479-026-00353-3","url":null,"abstract":"<p><strong>Background: </strong>Family members of individuals who have attempted suicide may experience feelings of guilt, depression, hopelessness, and burnout. Previous studies suggest that Psychoeducational Interventions (PI) for caregivers of people with suicide attempts improve their feelings of caregiver burden and that Dialectical Behavioral Therapy (DBT) helps to reduce caregivers' burden, depression, and validating behaviors. However, no studies have analyzed whether DBT is more effective than PI for caregivers of people who have made suicide attempts.</p><p><strong>Methods: </strong>The aim of the study was to analyze the differential efficacy of the DBT vs. PI. The study was a superiority trial with a two-arm randomized controlled design. The intention-to-treat principle was employed using mixed-effects models. In all, 108 caregivers of patients diagnosed with Suicide Behavior Disorder were randomized.</p><p><strong>Results: </strong>DBT was equally effective as PI in alleviating caregivers' burden. DBT was more effective than PI in increasing caregivers´ family empowerment and validation behaviors and reducing stress.</p><p><strong>Conclusions: </strong>This study suggests that DBT could be an effective intervention for caregivers of people with suicide attempts.</p><p><strong>Trial registration: </strong>The study was registered on December 15, 2021 in https://www.</p><p><strong>Clinicaltrials: </strong>gov/ ID: NCT05157607.</p>","PeriodicalId":48586,"journal":{"name":"Borderline Personality Disorder and Emotion Dysregulation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253739","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":"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}