Comparison of the effectiveness of emotion regulation skills training based on Gross Model and Linehan Model on suicidal thoughts in adolescents with borderline personality disoerder

Document Type : Research Paper

Authors

1 PhD Student of Psychology, University of Semnan, Faculty of Psychology and Educational Sciences, Semnan, Iran

2 Assistant Professor, Department of Clinical Psychology, University of Semnan, Faculty of Psychology and Educational Sciences, Semnan

3 Associate Professor, Department of Clinical Psychology, University of Semnan, Faculty of Psychology and Educational Sciences, Semnan, Iran

4 PhD in Clinical Psychology, Center for Psychology and Emancipation Counseling, Tehran, Iran

5 Assistant Professor, Department of Educational Psychology, Semnan University, School of Psychology and Educational Sciences, Semnan, Iran.

Abstract

The purpose of the study is to compare effectiveness of emotion regulation skills training based on Gross Model and Linehan Model on suicidal thoughts in adolescents with borderline personality disorder. This is an experimental study with pre-test, post-test and control group and two-month follow-up. The study population included all the adolescents with borderline personality disorder that were referred to counseling centers, psychiatrists, psychiatric services as well as suicide emergency centers in Tehran city in 2017. 45 subjects were selected by random sampling method and randomly were divided into two experimental groups and one control group waiting for treatment (n=15). Both experimental groups were under treatment within 8 sessions, weekly 2 sessions of 90 minutes while the control group received no treatment. The research tool included beck scale for suicide ideation which was conducted in pre-test, post-test. Data analysis showed Linehan Model has more effectiveness in reducing the suicidal thoughts of adolescents with borderline personality disorder than Grass Model and this effectiveness was stable. According to the findings both models of emotion regulation skills training were effective due to common components of treatment on reduction of suicidal thoughts. Overall, the results indicated a more effective Linehan Model on suicidal thoughts. Therefore, it can be used to improve suicidal thoughts.

Keywords

Main Subjects


 
Aldao, A., Sheppes, G. and Gross, J. J. (2015). Emotion regulation flexibility. Cognitive Therapy and Research, 39(3): 263-278.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
Butcher, J. N., Mineka, S. and Hooley, J. M. (2017). Abnormal psychology. Pearson Education India.
Garnefski, N. and Kraaij, V. (2014). Bully victimization and emotional problems in adolescents: Moderation by specific cognitive coping strategies? Journal of adolescence, 37(7): 1153-1160.
Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3): 281-291.
Gross, J. J. and Jazaieri, H. (2014). Emotion, emotion regulation, and psychopathology: An affective science perspective. Clinical Psychological Science, 2(4): 387-401.
Heshmati Molaee, N., Jahangiri, F. and Zandkarimi, G. (2016). The study of the psychometric properties of Beck's Suicidal Thoughts Scale in Girl's Adolescents, The 4th International Conference on Recent Innovations in Psychology. Consultation and Behavioral Sciences, Tehran, Nikan University, 273-274. (text in Persian).
Law, K. C. and Chapman, A. L. (2015). Borderline personality features as a potential moderator of the effect of anger and depressive rumination on shame, self-blame, and self-forgiveness. Journal of behavior therapy and experimental psychiatry, 46 (3): 27-34.
Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. Guilford Press.
Linehan, M. M., Neacsiu, A. D., Eberle, J. W. and Kramer, R. (2014). Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial. Behaviour research and therapy, 59 (2): 40-51.
Mertens, D. M. (2014). Research and evaluation in education and psychology: Integrating diversity with quantitative, qualitative, and mixed methods. Sage publications.
Neece, C. L., Berk, M. S. and Combs-Ronto, L. A. (2013). Dialectical behavior therapy and suicidal behavior in adolescence: Linking developmental theory and practice. Professional Psychology: Research and Practice, 44(4): 257-269.
Palahang, H., Nasr, M., Brahani, M. N. and Shahmohammadi, D. (1996). Epidemiology of Mental Illnesses in Kashan City. Iranian Journal of Psychiatry and Clinical Psychology, 4 (2):19-27 (text in Persian).
Salehi, A., Baghban, I., Bahrami, F. and Ahmadi, S. A. (2012). The effect of emotion regulation training based on dialectical behavior therapy and Gross Process Model on symptoms of emotional problems. Zahedan Journal Res Medicin Scince, 14(2): 49-55. (text in Persian).
Schulze, L., Schmahl, C. and Niedtfeld, I. (2016). Neural correlates of disturbed emotion processing in borderline personality disorder: a multimodal meta-analysis. Biological Psychiatry, 79(2): 97-106.
Selby, E. A. and Joiner Jr, T. E. (2013). Emotional cascades as prospective predictors of dysregulated behaviors in borderline personality disorder. Personality disorders: Theory, research, and treatment, 4(2): 168-187.
Soloff, P. H., Pruitt, P., Sharma, M., Radwan, J., White, R. and Diwadkar, V. A. (2012). Structural brain abnormalities and suicidal behavior in borderline personality disorder. Journal of psychiatric research, 46(4): 516-525.
Tomko, R. L., Trull, T. J., Wood, P. K. and Sher, K. J. (2014). Characteristics of borderline personality disorder in a community sample: Comorbidity, treatment utilization, and general functioning. Journal of personality disorders, 28(5): 734-750.
Yaghubi, N., Nasr, M. and Shahmohammadi D. (1995). Epidemiology of Mental Disorders in Urabn and Rural Areas of Sowmaesara-Gillan. Iranian Journal of Psychiatry and Clinical Psychology. 4 (1): 55-60 (text in Persian).