MINDFULNESS-BASED COGNITIVE THERAPY FOR EMOTION REGULATION (MBCT-ER) FOR PEOPLE DIAGNOSED WITH BORDERLINE PERSONALITY DISORDER: DEVELOPMENT AND PRELIM

被诊断为“边缘人格障碍”(BPD)的人有严重、痛苦和难以管理的经历。情绪调节方面的困难是这种情况的核心。现有的“黄金标准”治疗是辩证行为疗法(DBT)。这是代价高昂的，许多NHS信托基金没有实施，没有得到很好的容忍，结果不是很好，行动机制也很难理解。基于正念的认知疗法(MBCT)是一种简短的团体干预，对抑郁症和其他精神健康状况有很强的证据基础。MBCT有可能针对BPD的核心问题--情绪失调。本研究有四个相互关联的目标：1.进行系统的回顾和元分析，考察情绪调节在BPD中的作用，并探索基于正念的干预对情绪调节结果的影响。2.对诊断为边缘人格障碍(BPD)的患者进行定性研究，探索MBIS的服务使用者和治疗师体验。目标1和目标2的结果将用于完善正念认知疗法(MBCT)治疗手册。评估MBCT-ER随机对照试验的可行性。用定性的方法探索试验和治疗的可接受性。

People diagnosed with 'Borderline Personality Disorder' (BPD) have severe, distressing, and hard to manage experiences. Difficulties with emotion regulation are core to the condition. The existing 'gold standard' treatment is Dialectical Behaviour Therapy (DBT). This is costly, not implemented by many NHS trusts, not well tolerated and has modest outcomes and poorly understood mechanisms of action. Mindfulness-based cognitive therapy (MBCT) is a brief group intervention with a strong evidence base for depression and other mental health conditions. MBCT has potential to target emotion dysregulation, the core problem of BPD. The research has four interlocking objectives:1. To conduct a systematic review and meta-analysis examining the role of emotion regulation in BPD and exploring the effects of mindfulness-based interventions (MBIs) on emotion regulation outcomes. 2. To conduct a qualitative study exploring service user and therapist experiences of MBIs for people diagnosed with borderline personality disorder (BPD). Findings from objectives 1 and 2 will be used to refine the Mindfulness-Based Cognitive Therapy (MBCT) therapy manual.3. Assess the feasibility of a randomised controlled trial of MBCT-ER.4. Exploring the acceptability of the trial and therapy using qualitative methods.