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Difficulties in The Emotional Regulation Of Patients With Borderline Personality Disorder Treated In A Behavioral Dialectical Therapy Center In Medellín, Colombia

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dc.creator Gómez Valero, Maria Alejandra
dc.creator Zapata Ospina, Juan Pablo
dc.creator Andrade Carrillo, Rommel
dc.creator Estrada Jaramillo, Santiago
dc.date 2022-03-21
dc.date.accessioned 2023-03-20T15:55:16Z
dc.date.available 2023-03-20T15:55:16Z
dc.identifier https://reviberopsicologia.ibero.edu.co/article/view/rip.15102
dc.identifier 10.33881/2027-1786.rip.15102
dc.identifier.uri https://biblioteca-repositorio.clacso.edu.ar/handle/CLACSO/215610
dc.description Emotional dysregulation may express differently in borderline personality disorder (BPD), possibly due to the influence of the cultural context. The objective of this study was to characterize the difficulties in emotional regulation in patients with BPD who consult a center specialized in Dialectical Behavioral Therapy (DBT) in Medellín, Colombia.  A descriptive cross-sectional study was carried out with 54 patients, mainly young, single, and high socioeconomic status women, who were admitted to treatment and evaluated with “Difficulties in Emotional Regulation Scale” (DERS). The median (M) and interquartile range (IQR) and the p value were calculated with the U Mann-Whitney with their respective effect size (r value). The total score on the DERS was high (M = 134; IQR = 117-142). Differences were found between men and women, with an intermediate effect size for the total score (Female = 135.5 versus Male = 119; p = 0.047; r = -0.26). No differences were found between age groups. When analyzing by comorbidities, it was found that the difficulties in emotional regulation were different in patients who also had ADHD, anxiety, depression, and anxiety combined, and bipolar disorder. This may indicate that in patients with BPD from a city in Colombia in DBT, the difficulties in emotional regulation are high and seem to be greater in women. The presence of anxiety, depression, ADHD, and bipolar disorder could influence the intensity of emotional dysregulation and the facets in which it is shown, which suggests a high variability within the diagnosis. en-US
dc.description La desregulación emocional puede expresarse de distinta manera en el trastorno límite de personalidad (TLP), posiblemente por la influencia del contexto cultural. El objetivo de este estudio fue caracterizar las dificultades en la regulación emocional en pacientes con TLP que consultan a un centro especializado en Terapia Dialéctico Conductual (DBT) en la ciudad de Medellín, Colombia. Se realizó un estudio de corte transversal con 54 pacientes, principalmente mujeres jóvenes, solteras y de estrato socioeconómico alto con TLP que ingresaron a tratamiento y se les aplicó la “Escala de Dificultades en la Regulación Emocional” (DERS). Se calcularon la mediana (M) y rango intercuartílico (RIQ) y valor de p con la U de Mann-Whitney y el tamaño del efecto (valor r). El puntaje total en la DERS fue alto (M=134; RIQ=117-142). Se encontraron diferencias entre hombres y mujeres, con un tamaño de efecto intermedio (Mmujer=135,5 versus Mhombre=119; p=0,047; r=-0,26). No se encontraron diferencias entre grupos etarios, pero las dificultades en la regulación emocional sí fueron diferentes en los pacientes que cursaban además con TDAH, ansiedad, depresión y ansiedad combinados, y trastorno bipolar. Esto indicaría que en pacientes de una ciudad de Colombia en tratamiento con DBT, las dificultades en la regulación emocional son altas y parecen ser mayores en las mujeres. La presencia de ansiedad, depresión, TDAH y trastorno bipolar podría influir en la intensidad de la desregulación emocional y en las facetas en la que se manifiesta, lo que sugiere alta variabilidad dentro del diagnóstico. es-ES
dc.description A desregulação emocional pode se expressar de forma diferente no transtorno de personalidade limítrofe (TPB), possivelmente devido à influência do contexto cultural. O objetivo deste estudo foi caracterizar as dificuldades de regulação emocional em pacientes com DBP que consultam um centro especializado em Terapia Comportamental Dialética (DBT) em Medellín, Colômbia. Estudo transversal descritivo realizado com 54 pacientes, principalmente mulheres jovens, solteiras e de alto nível socioeconômico, internadas em tratamento e avaliadas pela “Escala de Dificuldades de Regulação Emocional” (DERS). A mediana (M) e o intervalo interquartil (IQR) e o valor de p foram calculados com o U Mann-Whitney com seus respectivos tamanhos de efeito (valor r). A pontuação total no DERS foi alta (M = 134; IQR = 117-142). Foram encontradas diferenças entre homens e mulheres, com tamanho de efeito intermediário para o escore total (Feminino = 135,5 versus Masculino = 119; p = 0,047; r = -0,26). Não foram encontradas diferenças entre os grupos de idade. Ao analisar por comorbidades, constatou-se que as dificuldades de regulação emocional foram diferentes nos pacientes que também apresentavam TDAH, ansiedade, depressão e ansiedade combinadas e transtorno bipolar. Isso pode indicar que em pacientes com DBT de uma cidade da Colômbia com DBT, as dificuldades de regulação emocional são altas e parecem ser maiores nas mulheres. A presença de ansiedade, depressão, TDAH e transtorno bipolar podem influenciar na intensidade da desregulação emocional e nas facetas em que ela se manifesta, o que sugere alta variabilidade dentro do diagnóstico. pt-BR
dc.format application/pdf
dc.language spa
dc.publisher ĬbērAM es-ES
dc.relation https://reviberopsicologia.ibero.edu.co/article/view/rip.15102/1757
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dc.rights Derechos de autor 2021 Revista Iberoamericana de Psicología es-ES
dc.rights https://creativecommons.org/licenses/by-nc-sa/4.0 es-ES
dc.source Revista Iberoamericana de Psicología; Vol. 15 Núm. 1 (2022): Revista Iberoamericana de Psicología; 11-19 es-ES
dc.source 2500-6517
dc.source 2027-1786
dc.subject Borderline Personality Disorder en-US
dc.subject Emotional Regulation en-US
dc.subject Emotions en-US
dc.subject Anxiety Disorders en-US
dc.subject Depression en-US
dc.subject Attention Deficit Disorder with Hyperactivity en-US
dc.subject Trastorno de Personalidad Limítrofe es-ES
dc.subject Regulación Emocional es-ES
dc.subject Emociones es-ES
dc.subject Trastornos de Ansiedad es-ES
dc.subject Depresión es-ES
dc.subject Trastorno por Déficit de Atención con Hiperactividad es-ES
dc.subject Transtorno da Personalidade Borderline pt-BR
dc.subject Regulação Emocional pt-BR
dc.subject Emoções pt-BR
dc.subject Transtornos de Ansiedade pt-BR
dc.subject Depressão pt-BR
dc.subject Transtorno do Deficit de Atenção com Hiperatividade pt-BR
dc.title Difficulties in The Emotional Regulation Of Patients With Borderline Personality Disorder Treated In A Behavioral Dialectical Therapy Center In Medellín, Colombia en-US
dc.title Dificultades en la regulación emocional de pacientes con trastorno límite de personalidad atendidos en un centro de terapia dialéctico conductual de Medellín, Colombia es-ES
dc.title Dificuldades na Regulação Emocional de pacientes com Transtorno de Personalidade Fronteira tratados em centro de dialética do comportamento em Medellín, Colômbia pt-BR
dc.type info:eu-repo/semantics/article
dc.type info:eu-repo/semantics/publishedVersion


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