Change in emotion-based narrative as a potential mechanism of change in a brief treatment for borderline personality disorder
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View abstract on PubMed
Summary
This summary is machine-generated.Reducing emotion-based narrative problems in borderline personality disorder treatment predicts symptom improvement. This study highlights narrative construction as a key mechanism for therapeutic change.
Area Of Science
- Psychology
- Psychiatry
- Clinical Psychology
Background
- Autobiographical narrative coherence is a potential mechanism for change in personality disorder treatments.
- Limited empirical evidence exists on narrative construction's role in borderline personality disorder (BPD), especially regarding emotion-body integration.
- This study investigates emotion-based narrative markers and their impact on symptom change in BPD.
Purpose Of The Study
- To demonstrate changes in emotion-based narrative markers during brief psychiatric treatment for BPD.
- To assess the impact of these narrative changes on subsequent symptom reduction.
- To explore narrative construction as a pathway to a more coherent Self in BPD treatment.
Main Methods
- A secondary process-outcome analysis of a randomized controlled trial involving 57 BPD clients.
- Data collected at three time points over four months of brief psychiatric treatment.
- Symptom change measured by OQ-45.2; emotion-narrative change assessed using the Narrative-Emotion Process Coding System.
Main Results
- Significant changes observed in all three emotion-based narrative marker categories.
- A reduction in problem emotion-based narrative markers from session 1 to 5 predicted symptom reduction from session 5 to 10.
- Emotion-based narrative markers show a time-dependent relationship with symptom change.
Conclusions
- Emotion-based narrative construction is a viable method for studying therapeutic change in BPD.
- Reducing emotion-based problem markers may be a crucial mechanism of change in BPD treatment.
- Further time-dependent controlled designs are needed to validate these findings.
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