Dificultades en la regulación emocional de pacientes con trastorno límite de personalidad atendidos en un centro de terapia dialéctico conductual de Medellín, Colombia
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 de... Ver más
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Dificultades en la regulación emocional de pacientes con trastorno límite de personalidad atendidos en un centro de terapia dialéctico conductual de Medellín, Colombia Ruan, W. J. (2008). Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Borderline Personality Disorder. The Journal of Clinical Psychiatry, 69(4), 533–545. https://doi.org/10.4088/JCP.v69n0404 Labbé-Arocca., N., Castillo-Tamayo, R., Steiner-Segal, V., & Careaga-Diaz, C. (2020). Diagnóstico De La Organización De La Personalidad: Una actualización teórico-empírica de la propuesta de Otto F. Kernberg. Revista chilena de neuro-psiquiatría, 58(4), 372–383. https://doi.org/10.4067/S0717-92272020000400372 Imada, T., & Ellsworth, P. C. (2011). Proud Americans and lucky Japanese: Cultural differences in appraisal and corresponding emotion. Emotion, 11(2), 329–345. https://doi.org/10.1037/a0022855 Hill, J., Pilkonis, P., Morse, J., Feske, U., Reynolds, S., Hope, H., Charest, C., & Broyden, N. (2008). 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Emotion Regulation as a Scientific Construct: Methodological Challenges and Directions for Child Development Research. Child Development, 75(2), 317–333. https://doi.org/10.1111/j.1467-8624.2004.00673.x Depresión 15 Transtorno do Deficit de Atenção com Hiperatividade Depressão Transtornos de Ansiedade Emoções Regulação Emocional Transtorno da Personalidade Borderline Trastorno por Déficit de Atención con Hiperactividad Trastornos de Ansiedad Artículo de revista Emociones Regulación Emocional Trastorno de Personalidad Limítrofe Estrada Jaramillo, Santiago Andrade Carrillo, Rommel Zapata Ospina, Juan Pablo Gómez Valero, Maria Alejandra 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. Núm. 1 , Año 2022 : Revista Iberoamericana de Psicología 1 Publication https://reviberopsicologia.ibero.edu.co/article/view/rip.15102 American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th Edition). American Psychiatric Association. https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596 Berking, M., & Wupperman, P. (2012). Emotion regulation and mental health. Current Opinion in Psychiatry, 25(2), 128–134. https://doi.org/10.1097/YCO.0b013e3283503669 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0. Revista Iberoamericana de Psicología - 2021 https://creativecommons.org/licenses/by-nc-sa/4.0 Español Butler, E. A., Lee, T. L., & Gross, J. J. (2007). Emotion regulation and culture: Are the social consequences of emotion suppression culture-specific? Emotion, 7(1), 30–48. https://doi.org/10.1037/1528-3542.7.1.30 Borza, L. (2017). Cognitive-behavioral therapy for generalized anxiety. Dialogues in Clinical Neuroscience, 19(2), 203–208. https://doi.org/10.31887/DCNS.2017.19.2/lborza Carpenter, R. W., & Trull, T. J. (2013). Components of Emotion Dysregulation in Borderline Personality Disorder: A Review. Current Psychiatry Reports, 15(1), 335. https://doi.org/10.1007/s11920-012-0335-2 Revista iberoamericana de psicología Bogotá: Corporación Universitaria Iberoamericana application/pdf Chanen, A. M. (2015). Borderline Personality Disorder in Young People: Are We There Yet? Journal of Clinical Psychology, 71(8), 778–791. https://doi.org/10.1002/jclp.22205 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. Emotional Regulation Difficulties in The Emotional Regulation Of Patients With Borderline Personality Disorder Treated In A Behavioral Dialectical Therapy Center In Medellín, Colombia Journal article Borderline Personality Disorder Attention Deficit Disorder with Hyperactivity Depression Anxiety Disorders Emotions 2022-04-13 https://reviberopsicologia.ibero.edu.co/article/download/rip.15102/1757 19 2022-04-13T00:00:00Z https://doi.org/10.33881/2027-1786.rip.15102 10.33881/2027-1786.rip.15102 2500-6517 2027-1786 2022-04-13T00:00:00Z 11 |
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CORPORACIÓN UNIVERSITARIA IBEROAMERICANA |
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Colombia |
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Revista Iberoamericana de Psicología |
title |
Dificultades en la regulación emocional de pacientes con trastorno límite de personalidad atendidos en un centro de terapia dialéctico conductual de Medellín, Colombia |
spellingShingle |
Dificultades en la regulación emocional de pacientes con trastorno límite de personalidad atendidos en un centro de terapia dialéctico conductual de Medellín, Colombia Estrada Jaramillo, Santiago Andrade Carrillo, Rommel Zapata Ospina, Juan Pablo Gómez Valero, Maria Alejandra Depresión Transtorno do Deficit de Atenção com Hiperatividade Depressão Transtornos de Ansiedade Emoções Regulação Emocional Transtorno da Personalidade Borderline Trastorno por Déficit de Atención con Hiperactividad Trastornos de Ansiedad Emociones Regulación Emocional Trastorno de Personalidad Limítrofe Emotional Regulation Borderline Personality Disorder Attention Deficit Disorder with Hyperactivity Depression Anxiety Disorders Emotions |
title_short |
Dificultades en la regulación emocional de pacientes con trastorno límite de personalidad atendidos en un centro de terapia dialéctico conductual de Medellín, Colombia |
title_full |
Dificultades en la regulación emocional de pacientes con trastorno límite de personalidad atendidos en un centro de terapia dialéctico conductual de Medellín, Colombia |
title_fullStr |
Dificultades en la regulación emocional de pacientes con trastorno límite de personalidad atendidos en un centro de terapia dialéctico conductual de Medellín, Colombia |
title_full_unstemmed |
Dificultades en la regulación emocional de pacientes con trastorno límite de personalidad atendidos en un centro de terapia dialéctico conductual de Medellín, Colombia |
title_sort |
dificultades en la regulación emocional de pacientes con trastorno límite de personalidad atendidos en un centro de terapia dialéctico conductual de medellín, colombia |
title_eng |
Difficulties in The Emotional Regulation Of Patients With Borderline Personality Disorder Treated In A Behavioral Dialectical Therapy Center In Medellín, Colombia |
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.
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description_eng |
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.
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author |
Estrada Jaramillo, Santiago Andrade Carrillo, Rommel Zapata Ospina, Juan Pablo Gómez Valero, Maria Alejandra |
author_facet |
Estrada Jaramillo, Santiago Andrade Carrillo, Rommel Zapata Ospina, Juan Pablo Gómez Valero, Maria Alejandra |
topicspa_str_mv |
Depresión Transtorno do Deficit de Atenção com Hiperatividade Depressão Transtornos de Ansiedade Emoções Regulação Emocional Transtorno da Personalidade Borderline Trastorno por Déficit de Atención con Hiperactividad Trastornos de Ansiedad Emociones Regulación Emocional Trastorno de Personalidad Limítrofe |
topic |
Depresión Transtorno do Deficit de Atenção com Hiperatividade Depressão Transtornos de Ansiedade Emoções Regulação Emocional Transtorno da Personalidade Borderline Trastorno por Déficit de Atención con Hiperactividad Trastornos de Ansiedad Emociones Regulación Emocional Trastorno de Personalidad Limítrofe Emotional Regulation Borderline Personality Disorder Attention Deficit Disorder with Hyperactivity Depression Anxiety Disorders Emotions |
topic_facet |
Depresión Transtorno do Deficit de Atenção com Hiperatividade Depressão Transtornos de Ansiedade Emoções Regulação Emocional Transtorno da Personalidade Borderline Trastorno por Déficit de Atención con Hiperactividad Trastornos de Ansiedad Emociones Regulación Emocional Trastorno de Personalidad Limítrofe Emotional Regulation Borderline Personality Disorder Attention Deficit Disorder with Hyperactivity Depression Anxiety Disorders Emotions |
citationvolume |
15 |
citationissue |
1 |
citationedition |
Núm. 1 , Año 2022 : Revista Iberoamericana de Psicología |
publisher |
Bogotá: Corporación Universitaria Iberoamericana |
ispartofjournal |
Revista iberoamericana de psicología |
source |
https://reviberopsicologia.ibero.edu.co/article/view/rip.15102 |
language |
Español |
format |
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