PhD Scientific Days 2023

Mental Health Sciences - Posters N

The role of MBCT in a fragmented world: coping with overwhelming negative emotions in borderline personality disorder

Előadó neve

Szilvia, Kresznerits

Neptun code

S8Z491

Előadó munkahelye

Semmelweis University, Faculty of Medicine, Department of Clinical Psychology

Előadó telefonszáma

+36203913149

Előadó e-mail címe

kresznerits.szilvia@med.semmelweis-univ.hu

Az előadás címe

The role of MBCT in a fragmented world: coping with overwhelming negative emotions in borderline personality disorder

Szerző(k) neve és munkahelye

Szilvia Kresznerits1,2, Ágnes Zinner-Gérecz1, Dóra Perczel-Forintos1
1Semmelweis University, Faculty of Medicine, Department of Clinical Psychology
2Semmelweis University, Doctoral School of Mental Health Sciences, Doctoral Program of Mental Health Sciences (4/2)

Bemutatás módja

Poszter

Szekció

Mental Health Sciences - Posters N

Language of the presentation

English

Preferred session

Health Sciences

Összefoglaló szövege

Introduction
Mindfulness-Based Cognitive Therapy (MBCT) is a time-limited group therapy that can be effective in coping with the cascade of negative cognitions and emotions. These are leading background factors in suicidal behaviour, non-suicidal self-injury (NSSI), and are also central issues in Borderline Personality Disorder (BPD).

Aims
Our aim was to establish the adaptation of MBCT for borderline outpatients with NSSI, and to investigate the relationship between mindfulness skills and emotion regulation processes. We expected that MBCT could show new directions in patients' attitudes and reactions to their emotions. Consequently, their maladaptive emotion regulation, impulsivity, self-harm and depressive symptoms will decrease.

Methods
A nonrandomized-controlled trial was conducted with mixed-methods evaluation on self-reported symptoms of NSSI, mindfulness skills, emotion dysregulation, depressive symptoms and self-compassion. N=104 patients were assessed for eligibility, and a total of 84 BPD patients fulfilled the inclusion criteria. After a two-stepped interview procedure, participants attended an 8-week MBCT group intervention. Participants were assessed 3 times: 1) 8 weeks before the intervention; 2) pre-intervention; and 3) post-intervention (N=49).

Results
Comparing pre- and post-intervention scores, we found significant reduction in the frequency of NSSI (ZWilcoxon(49)=6.441; p<.001), depression scores (t(48)=3.180, p=.003, d=.379) impulsivity (t(48)=4.780, p<.001, d=.492) and maladaptive emotion regulation strategies (t(48)=2.087; p=.042, d=.25). Significant improvement was shown in self-compassion (t(47)=-3.089; p=.003, d=.499) and mindfulness skills (t(48)=-5.844; p<.001, d=.906). There was no significant change in adaptive emotion regulation strategies t(48)=-1.164, p=.250), dissociation level(t(48)=1.470, p=.148) and anger expression total score (t(47)=1.691, p=.097).

Conclusion
Based on the results of the pilot study focused MBCT seems to be effective for BPD patients in reducing self-harm and emotion dysregulation. In order to patients truly receive an usable and lasting tool for adaptive coping, it is important to refine the sequence of exercises and the length of the MBCT group, with special attention to intrusive traumatic experiences, self-hatred and commitment difficulties.

University and Doctoral School

Semmelweis University, Doctoral School of Mental Health Sciences

Supervisor

Dr. Dóra Perczel-Forintos, Prof.

Publication of my abstract

I give consent to the publication of my abstract on the website of the congress.

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

8243

Start

11:24

End

11:29

Authors (legacy)

Szilvia Kresznerits1,2, Ágnes Zinner-Gérecz1, Dóra Perczel-Forintos1
1Semmelweis University, Faculty of Medicine, Department of Clinical Psychology
2Semmelweis University, Doctoral School of Mental Health Sciences, Doctoral Program of Mental Health Sciences (4/2)