The interplay between vulnerable and grandiose narcissism, emotion dysregulation, and distress tolerance in adolescents

2021 ◽  
Vol 179 ◽  
pp. 110901
Author(s):  
Joshua J. Underwood ◽  
Christopher T. Barry ◽  
Nora E. Charles
Keyword(s):  
Emotion Dysregulation ◽  
Distress Tolerance ◽  
Grandiose Narcissism

Dialectical Behavior Therapy and Treatment of Emotion Dysregulation

2019 ◽  
pp. 462-476
Author(s):  
Alexander L. Chapman ◽  
Nora H. Hope
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotion Dysregulation ◽  
Behavioral Treatment ◽  
Distress Tolerance ◽  
Therapy Group ◽  
Skills Training ◽  
Individual Therapy ◽  
Cognitive Behavioral Treatment ◽  
Multimethod Research

Developed to treat highly suicidal patients and often associated with the treatment of borderline personality disorder (BPD), dialectical behavior therapy (DBT) has evolved into a transdiagnostic treatment addressing emotion dysregulation. DBT is an emotion-focused, comprehensive cognitive-behavioral treatment including individual therapy, group skills training, between-session skills coaching (phone coaching), and a therapist consultation team. Several elements of DBT address emotion dysregulation directly or indirectly, including emotion regulation skills, distress tolerance strategies to dampen physiological arousal and curb impulses to engage in problematic behaviors, and individual therapy interventions to reduce emotion dysregulation. Growing evidence suggests that DBT may address behavioral, cognitive, physiological, and neurobiological aspects of emotion dysregulation. Future directions should include increasing multimethod research on the effects of DBT on emotion dysregulation, streamlining treatment, making DBT more efficient and targeted, and conceptualizing DBT’s place within the spectrum of other emotion-focused transdiagnostic treatments.

scholarly journals Why is non-suicidal self-injury more prevalent among women? Mediation and moderation analyses of psychological distress, emotion dysregulation, and impulsivity

2021 ◽  
Author(s):  
Nina Marie Lutz ◽  
Sharon A.S. Neufeld ◽  
Roxanne W Hook ◽  
Peter B Jones ◽  
Ed T Bullmore ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Emotional Distress ◽  
Sensation Seeking ◽  
Emotion Dysregulation ◽  
Distress Tolerance ◽  
Community Sample ◽  
Self Injury ◽  
Gendered Patterns ◽  
The Relationship ◽  
Mediation And Moderation

OBJECTIVE Non-suicidal self-injury (NSSI) appears to be more common among women than men, though the underlying reasons for this remain unclear. In a community sample of young adults (n=996, aged 18-30) assessed during the COVID-19 pandemic, we investigated gendered patterns in NSSI etiology. METHODS Mediation and moderation analyses considered associations between past-year NSSI prevalence, gender, and putative mechanistic variables: self-reported psychological distress (K10), emotion dysregulation (DERS), and impulsivity (UPPS-P). RESULTS Nearly twice as many women as men reported past-year NSSI (14.47% versus 7.78%). Women reported significantly higher psychological distress and significantly lower sensation seeking and positive urgency than men. Psychological distress partially statistically mediated the relationship between gender and past-year NSSI. Gender did not significantly moderate associations between self-reported distress, emotion dysregulation, or impulsivity and past-year NSSI. Past-year NSSI prevalence did not significantly decrease with age and we found no significant age by gender interaction. CONCLUSIONS Greater levels of NSSI in young women are explained by their greater levels of emotional distress. Women do not appear to be more likely than men to report NSSI due to differences in how they manage emotional distress: gender did not moderate the association between psychological distress and past-year NSSI, and there were no gender differences in emotion dysregulation or negative urgency. Furthermore, we show that NSSI remains prevalent beyond adolescence. Early interventions which reduce distress or improve distress tolerance, strengthen emotion regulation skills, and provide alternative coping strategies merit investigation for NSSI.

scholarly journals Distress Tolerance, Emotion Dysregulation, and Anxiety and Depressive Symptoms Among HIV+ Individuals

2012 ◽  
Vol 37 (3) ◽  
pp. 446-455 ◽  
Author(s):  
Charles P. Brandt ◽  
Michael J. Zvolensky ◽  
Marcel O. Bonn-Miller
Keyword(s):  
Depressive Symptoms ◽  
Emotion Dysregulation ◽  
Distress Tolerance

Evaluating the Effectiveness of a Dialectical Behaviour Therapy (DBT) Informed Programme in a Community Perinatal Team

2018 ◽  
Vol 46 (5) ◽  
pp. 541-553 ◽  
Author(s):  
Hannah Wilson ◽  
Alexandra L. Donachie
Keyword(s):  
Mental Health ◽  
Emotional Regulation ◽  
Emotion Dysregulation ◽  
Distress Tolerance ◽  
Training Group ◽  
Skills Training ◽  
Perinatal Period ◽  
Emotional Dysregulation ◽  
Intervention Period ◽  
Behaviour Therapy

Background:Adapted DBT programmes have been well documented but little has been published on such programmes in the perinatal period.Aim:To assess the effectiveness of a stand-alone DBT skills group for perinatal women with emotion dysregulation.Method:A stand-alone DBT-informed skills training group was offered to 21 women with emotional dysregulation under the care of a perinatal community mental health team; 14 completed the programme. Staff received support via a consultation group. Modules included mindfulness, emotional regulation, distress tolerance and interpersonal effectiveness adapted to the specific demands of parenting infants. Outcome measures were collected at three time points: assessment, start of the group and at the end.Results:Statistical analysis showed significant reduction in CORE scores over the intervention period (t(13) = 5.32,p< .001; Cohen'sd= 0.83), with similar effects on the Mental Health Confidence Scale (t(13) = ‒8.03,p< .001, Cohen'sd= 0.83) and Living with Emotions Scale (t(13) = ‒9.42,p< .001, Cohen'sd= 0.93). There were no significant changes on these three measures from assessment to start of the group.Conclusions:In this uncontrolled study, the intervention period was associated with reduced distress, increased confidence and ability to regulate emotion. Recommendations for continuing this model of service delivery are made. Further research is needed.

The Structure of Distress Tolerance and Neighboring Emotion Regulation Abilities

Assessment ◽  
2020 ◽  
pp. 107319112095491
Author(s):  
Christopher C. Conway ◽  
Kristin Naragon-Gainey ◽  
Molly T. Harris
Keyword(s):  
Emotion Regulation ◽  
Experiential Avoidance ◽  
Emotion Dysregulation ◽  
Discriminant Validity ◽  
Distress Tolerance ◽  
Factor Model ◽  
Emotional Health ◽  
Data Sets ◽  
Mental Health Patient ◽  
Broad Dimension

Distress tolerance has fuzzy boundaries with neighboring emotion regulation abilities. In the present study, we probed the structure of this domain and examined its link to emotional disorder outcomes. We recruited mental health patient ( ns = 225 and 210) and university student ( n = 1,525) samples to report on diverse components of distress tolerance, emotion dysregulation, experiential avoidance, and anxiety sensitivity. Confirmatory factor analysis supported a one-factor model of these individual differences; this broad dimension was closely related to depressive symptoms (standardized effect range = .63 to .74) and suicide risk (.42 to .50), and it was almost perfectly associated with a latent dimension representing borderline personality disorder features (.93-.97). We conclude that a reformulation of this domain—with special attention to discriminant validity—would help understand how distress tolerance is so intimately intertwined with emotional health. The data sets and analysis code for this study are published at https://osf.io/8ab2v/ .

A Proof of Concept for Using Brief Dialectical Behavior Therapy as a Treatment for Problem Gambling

2013 ◽  
Vol 30 (2) ◽  
pp. 117-137 ◽  
Author(s):  
Darren R. Christensen ◽  
Nicki A. Dowling ◽  
Alun C. Jackson ◽  
Meredith Brown ◽  
James Russo ◽  
...  
Keyword(s):  
Problem Gambling ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotion Dysregulation ◽  
Distress Tolerance ◽  
Gambling Behaviour ◽  
Problem Gamblers ◽  
Gambling Expenditure ◽  
Clinically Significant ◽  
Negative Relationships

Fourteen ‘treatment resistant’ problem gamblers received 9 weeks of Dialectical Behavior Therapy (DBT) at specialist problem gambling services delivered in Melbourne, Australia. This study is the first to investigate the effectiveness of a brief DBT treatment for problem gambling, with a focus on measuring change in the four DBT process skills (mindfulness, distress tolerance, emotion dysregulation, and negative relationships). Although there were no statistically significant improvements in measures of gambling behaviour, 83% of participants were abstinent or reduced their gambling expenditure pre- to post-treatment. Participants also reported statistically and clinically significant improvements in psychological distress, mindfulness, and distress tolerance. Moreover, there were no increases in alcohol or substance use. These results are discussed in the context of focusing on a single DBT process skill, and the benefits of using group-based approaches.

The Relationship Between Narcissism and Personality Traits of the Five-Factor-Model in Adolescents and Young Adults

2018 ◽  
Vol 46 (6) ◽  
pp. 516-522 ◽  
Author(s):  
Marc Allroggen ◽  
Peter Rehmann ◽  
Eva Schürch ◽  
Carolyn C. Morf ◽  
Michael Kölch
Keyword(s):  
Young Adults ◽  
Personality Traits ◽  
Five Factor Model ◽  
Self Report ◽  
Adolescents And Young Adults ◽  
Personality Factors ◽  
Big Five Personality ◽  
Grandiose Narcissism ◽  
Vulnerable Narcissism ◽  
The Relationship

Abstract.Narcissism is seen as a multidimensional construct that consists of two manifestations: grandiose and vulnerable narcissism. In order to define these two manifestations, their relationship to personality factors has increasingly become of interest. However, so far no studies have considered the relationship between different phenotypes of narcissism and personality factors in adolescents. Method: In a cross-sectional study, we examine a group of adolescents (n = 98; average age 16.77 years; 23.5 % female) with regard to the relationship between Big Five personality factors and pathological narcissism using self-report instruments. This group is compared to a group of young adults (n = 38; average age 19.69 years; 25.6 % female). Results: Grandiose narcissism is primarily related to low Agreeableness and Extraversion, vulnerable narcissism to Neuroticism. We do not find differences between adolescents and young adults concerning the relationship between grandiose and vulnerable narcissism and personality traits. Discussion: Vulnerable and grandiose narcissism can be well differentiated in adolescents, and the pattern does not show substantial differences compared to young adults.

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