Emotion Regulation in Suicidal Patients with BPD

辩证行为疗法(DBT)是一种认知-行为疗法，专门用于治疗符合边缘人格障碍(BPD)标准的自杀个体。到目前为止，已完成8项随机试验和4项对照试验，证明了DBT的疗效。大量的试验正在进行或计划中。然而，很少有实证研究对Linehan作为治疗基础的BPD的基本理论进行测试。没有研究检验Linehan的基本假设，即情绪调节的改善与临床结果的改善有关。本研究的目的是：1)开发和评估适用于未来纵向治疗的创新的多方法情绪调节和调节失调的实验室和现场措施；3)通过比较自杀的BPD患者和健康对照的测量组件的反应，检验Linehan理论产生的假说。我们打算在三个时间点考察情绪易损性和调节的五个主要测试：1)无压力任务的基线情绪测量，2)情绪唤起电影，3)与挫折容忍和延迟满足任务配对的问题解决任务，4)压力任务后的信息处理任务和5)32小时的动态监测。

Dialectical Behavioral Therapy (DBT) is a cognitive-behavioral treatment developed specifically for the treatment of suicidal individuals meeting criteria for Borderline Personality Disorder (BPD). Eight randomized trials and four controlled trials have been completed to date demonstrating the efficacy of DBT. A large number of trials are underway or planned. However, very few empirical studies have been conducted testing the Linehan's underlying theory of BPD on which the treatment is based. No studies have examined Linehan's principle hypothesis that improvements in emotion regulation are associated with improved clinical outcomes. Aims of this research are to: 1) develop and evaluate innovative multi-method laboratory and field measures of emotion regulation and dysregulation suitable for use in future longitudinal treatment and 3) test hypotheses generated by Linehan's theory by comparing responses on the measurement battery of suicidal BPD patients with healthy controls. We intend to examine five principle tests of emotional vulnerability and regulation given at three time points: 1) baseline emotion measures during a non-stressful task, 2) emotionally evocative films, 3) a problem-solving task paired with tasks of frustration tolerance and delay of gratification, and 4) an information processing task following a stressful task and 5) 32-hour ambulatory monitoring.