THE ROLE OF DIALECTICAL BEHAVIOR THERAPY IN THE EMOTIONAL REGULATION OF PATIENTS WITH BORDERLINE PERSONALITY DISORDER
DOI:
https://doi.org/10.56238/arev7n11-273Keywords:
Borderline Personality Disorder, Dialectical Behavior Therapy, Emotional Regulation, Systematic ReviewAbstract
Borderline Personality Disorder (BPD) is characterized by significant emotional dysregulation and impulsivity, representing a considerable clinical challenge. This systematic review aimed to analyze the scientific evidence on the effectiveness of Dialectical Behavior Therapy (DBT) in the emotional regulation of patients with BPD. Eight articles published between 2020 and 2024 were selected and analyzed, following the PRISMA protocol. The results indicate that DBT promotes significant improvements in emotional regulation through mechanisms such as mindfulness training, distress tolerance, and cognitive restructuring. Emotional regulation proved to be a fundamental prerequisite for subsequent interventions with traumatic memories. It is concluded that DBT constitutes an effective intervention for emotional regulation in BPD, although its implementation in the Brazilian context faces challenges related to professional training and cultural adaptations.
Downloads
References
AMERICAN PSYCHIATRIC ASSOCIATION. Manual diagnóstico e estatístico de transtornos mentais: DSM-5-TR. 5. ed. Porto Alegre: Artmed, 2022.
BOHUS, M. et al. Dialectical Behavior Therapy for Posttraumatic Stress Disorder (DBT-PTSD) Compared to Cognitive Processing Therapy (CPT) in Women with Borderline Personality Disorder: A Randomized Controlled Trial. JAMA Psychiatry, v. 77, n. 12, p. 1235-1245, 2020. DOI: https://doi.org/10.1001/jamapsychiatry.2020.2148
BRAUN, V.; CLARKE, V. Using thematic analysis in psychology. Qualitative Research in Psychology, v. 3, n. 2, p. 77-101, 2006. DOI: https://doi.org/10.1191/1478088706qp063oa
DISTEL, M. A. et al. Heritability of borderline personality disorder features is similar across three countries. Psychological Medicine, v. 38, n. 9, p. 1219-1229, 2008. DOI: https://doi.org/10.1017/S0033291707002024
FLEISCHHAKER, C. et al. Efficacy of Dialectical Behavior Therapy for Adolescents in a Naturalistic Outpatient Setting: Moderators and Predictors of Treatment Outcome. Child Psychiatry & Human Development, v. 52, p. 789-800, 2021.
GRATZ, K. L.; ROEMER, L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, v. 26, n. 1, p. 41-54, 2004. DOI: https://doi.org/10.1023/B:JOBA.0000007455.08539.94
GROSS, J. J. Emotion regulation: Current status and future prospects. Psychological Inquiry, v. 26, n. 1, p. 1-26, 2015. DOI: https://doi.org/10.1080/1047840X.2014.940781
LANDY, M. S. H. et al. Effectiveness of Dialectical Behavior Therapy for Treating Patients With Borderline Personality Disorder in a Public Mental Health Setting: A Randomized Controlled Trial. Psychiatric Services, v. 73, n. 5, p. 505-512, 2022.
LEICHSENRING, F. et al. Borderline personality disorder. The Lancet, v. 377, n. 9759, p. 74-84, 2011. DOI: https://doi.org/10.1016/S0140-6736(10)61422-5
LINEHAN, M. M. Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press, 1993.
LINEHAN, M. M. Treinamento de habilidades em DBT: Manual de terapia comportamental dialética. 2. ed. Porto Alegre: Artmed, 2018.
MCMAIN, S. F. et al. The impact of dialectical behavior therapy on quality of life and emotion regulation in borderline personality disorder: A one-year follow-up study. Journal of Psychiatric Research, v. 158, p. 56-63, 2023.
MIRANDA, R. S.; SILVA, A. B. B. Adaptações culturais da DBT no Brasil: revisão integrativa. Psicologia: Teoria e Prática, v. 22, n. 3, p. 200-215, 2020.
NEACSIU, A. D. et al. The role of emotion regulation in Dialectical Behavior Therapy for borderline personality disorder: A systematic review. Clinical Psychology Review, v. 80, 2020.
PAGE, M. J. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, v. 372, n. 71, 2021.
SCHMITT, R. et al. Neural Correlates of Emotion Regulation in Patients with Borderline Personality Disorder: A Longitudinal fMRI Study Following Dialectical Behavior Therapy. Human Brain Mapping, v. 44, n. 8, p. 3125-3137, 2023.
STOFFERS-WINTERLING, J. M. et al. Dialectical behaviour therapy for borderline personality disorder: A meta-analysis using mixed-effects modelling. Journal of Personality Disorders, v. 36, n. 3, p. 289-307, 2022.
VALENTINE, S. E. et al. Cultural Adaptations of Dialectical Behavior Therapy: A Systematic Review. Journal of Consulting and Clinical Psychology, v. 88, n. 5, p. 467-483, 2020.
ZANARINI, M. C. et al. Childhood experiences reported by borderline patients. American Journal of Psychiatry, v. 154, n. 8, p. 1101-1106, 1997. DOI: https://doi.org/10.1176/ajp.154.8.1101
