Proposition of a transdiagnostic processual approach of emotion dysregulation based on core triggers and interpersonal styles
Emotion dysregulation (ED) has primarily been described in patients suffering from borderline personality disorder (BPD) and is an integral part of this diagnosis, but it is also a transdiagnostic construct that can be found in several other psychiatric disorders. The strong relationships between ED...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-02-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1260138/full |
| _version_ | 1797322334487445504 |
|---|---|
| author | Martin Blay Martin Blay Miguel Duarte Marie-Alix Dessouli Amaury Durpoix Eva Rüfenacht Sébastien Weibel Sébastien Weibel Mario Speranza Mario Speranza Nader Perroud |
| author_facet | Martin Blay Martin Blay Miguel Duarte Marie-Alix Dessouli Amaury Durpoix Eva Rüfenacht Sébastien Weibel Sébastien Weibel Mario Speranza Mario Speranza Nader Perroud |
| author_sort | Martin Blay |
| collection | DOAJ |
| description | Emotion dysregulation (ED) has primarily been described in patients suffering from borderline personality disorder (BPD) and is an integral part of this diagnosis, but it is also a transdiagnostic construct that can be found in several other psychiatric disorders. The strong relationships between ED and BPD may lead clinicians to underestimate ED associated to other clinical contexts. This can lead to difficulties in diagnostic and treatment orientation, especially in the context of comorbidities. In this article, after reviewing the literature on the development and functioning of emotion dysregulation, and on the evidence for emotion dysregulation in eight disorders (borderline personality disorder, pathological narcissism with/without narcissistic personality disorder, obsessive-compulsive personality disorder, antisocial personality disorder, bipolar disorder, autism spectrum disorder, complex post-traumatic stress disorder, and adult attention deficit hyperactivity disorder), we present a transdiagnostic processual model of emotion dysregulation based on core triggers and interpersonal styles to try to address this issue and to provide a simple but technical tool to help clinicians in their diagnostic assessment and treatment orientation. By focusing more on typical patterns and interpersonal dynamics than only on categories, we believe that this model may contribute to the actual need for improvement of our current psychiatric classifications, alongside other well-studied and under-used dimensional models of psychopathology (e.g., HiTOP, AMPD), and may be useful to build more specific treatment frameworks for patients suffering from ED. |
| first_indexed | 2024-03-08T05:12:47Z |
| format | Article |
| id | doaj.art-101155ad704f4252b9f54a7cb12eb788 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-08T05:12:47Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-101155ad704f4252b9f54a7cb12eb7882024-02-07T05:26:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-02-011510.3389/fpsyt.2024.12601381260138Proposition of a transdiagnostic processual approach of emotion dysregulation based on core triggers and interpersonal stylesMartin Blay0Martin Blay1Miguel Duarte2Marie-Alix Dessouli3Amaury Durpoix4Eva Rüfenacht5Sébastien Weibel6Sébastien Weibel7Mario Speranza8Mario Speranza9Nader Perroud10ADDIPSY, Addictology and Psychiatry Outpatient Center, Santé Basque Développement Group, Lyon, FranceCentre de recherche en Epidemiologie et Sante des Populations Team ‘DevPsy’, INSERM, Universite Paris-Saclay, UVSQ, Villejuif, FrancePsychiatric Specialties Unit, University Hospitals of Geneva, Geneva, SwitzerlandDepartment of Emergency Psychiatry, University Hospital Edouard Herriot, Hospices Civils de Lyon, Lyon, FranceDepartment of Psychiatry, University Hospitals of Strasbourg, Strasbourg, FrancePsychiatric Specialties Unit, University Hospitals of Geneva, Geneva, SwitzerlandDepartment of Psychiatry, University Hospitals of Strasbourg, Strasbourg, FranceU1114, INSERM, Strasbourg, FranceCentre de recherche en Epidemiologie et Sante des Populations Team ‘DevPsy’, INSERM, Universite Paris-Saclay, UVSQ, Villejuif, FranceUniversity Department of Child and Adolescent Psychiatry, Versailles Hospital Center, Le Chesnay-Rocquencourt, FrancePsychiatric Specialties Unit, University Hospitals of Geneva, Geneva, SwitzerlandEmotion dysregulation (ED) has primarily been described in patients suffering from borderline personality disorder (BPD) and is an integral part of this diagnosis, but it is also a transdiagnostic construct that can be found in several other psychiatric disorders. The strong relationships between ED and BPD may lead clinicians to underestimate ED associated to other clinical contexts. This can lead to difficulties in diagnostic and treatment orientation, especially in the context of comorbidities. In this article, after reviewing the literature on the development and functioning of emotion dysregulation, and on the evidence for emotion dysregulation in eight disorders (borderline personality disorder, pathological narcissism with/without narcissistic personality disorder, obsessive-compulsive personality disorder, antisocial personality disorder, bipolar disorder, autism spectrum disorder, complex post-traumatic stress disorder, and adult attention deficit hyperactivity disorder), we present a transdiagnostic processual model of emotion dysregulation based on core triggers and interpersonal styles to try to address this issue and to provide a simple but technical tool to help clinicians in their diagnostic assessment and treatment orientation. By focusing more on typical patterns and interpersonal dynamics than only on categories, we believe that this model may contribute to the actual need for improvement of our current psychiatric classifications, alongside other well-studied and under-used dimensional models of psychopathology (e.g., HiTOP, AMPD), and may be useful to build more specific treatment frameworks for patients suffering from ED.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1260138/fullemotion dysregulationtrigger-based approachprocessualtransdiagnosticborderline personality disorder |
| spellingShingle | Martin Blay Martin Blay Miguel Duarte Marie-Alix Dessouli Amaury Durpoix Eva Rüfenacht Sébastien Weibel Sébastien Weibel Mario Speranza Mario Speranza Nader Perroud Proposition of a transdiagnostic processual approach of emotion dysregulation based on core triggers and interpersonal styles Frontiers in Psychiatry emotion dysregulation trigger-based approach processual transdiagnostic borderline personality disorder |
| title | Proposition of a transdiagnostic processual approach of emotion dysregulation based on core triggers and interpersonal styles |
| title_full | Proposition of a transdiagnostic processual approach of emotion dysregulation based on core triggers and interpersonal styles |
| title_fullStr | Proposition of a transdiagnostic processual approach of emotion dysregulation based on core triggers and interpersonal styles |
| title_full_unstemmed | Proposition of a transdiagnostic processual approach of emotion dysregulation based on core triggers and interpersonal styles |
| title_short | Proposition of a transdiagnostic processual approach of emotion dysregulation based on core triggers and interpersonal styles |
| title_sort | proposition of a transdiagnostic processual approach of emotion dysregulation based on core triggers and interpersonal styles |
| topic | emotion dysregulation trigger-based approach processual transdiagnostic borderline personality disorder |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1260138/full |
| work_keys_str_mv | AT martinblay propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles AT martinblay propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles AT miguelduarte propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles AT mariealixdessouli propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles AT amaurydurpoix propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles AT evarufenacht propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles AT sebastienweibel propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles AT sebastienweibel propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles AT mariosperanza propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles AT mariosperanza propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles AT naderperroud propositionofatransdiagnosticprocessualapproachofemotiondysregulationbasedoncoretriggersandinterpersonalstyles |