Iranian Journal of Psychiatry and Behavioral Sciences

Published by: Kowsar

The Applicability and Efficacy of Transdiagnostic Cognitive Behavior Therapy on Reducing Signs and Symptoms of Borderline Personality Disorder With Co-Occurring Emotional Disorders: A Pilot Study

Farzaneh Mohammadi 1 , * , Maryam Bakhtiari 2 , Abbas Masjedi Arani 2 , Behrooz Dolatshahi 3 and Mojtaba Habibi 4
Authors Information
1 Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
2 Department of Clinical Psychology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
3 Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran
4 Department of Psychology, Shahid Beheshti University, Tehran, IR Iran
Article information
  • Iranian Journal of Psychiatry and Behavioral Sciences: March 2018, 12 (1); e9697
  • Published Online: January 3, 2018
  • Article Type: Original Article
  • Received: November 22, 2016
  • Revised: December 22, 2016
  • Accepted: August 7, 2017
  • DOI: 10.5812/ijpbs.9697

To Cite: Mohammadi F, Bakhtiari M, Masjedi Arani A, Dolatshahi B, Habibi M. The Applicability and Efficacy of Transdiagnostic Cognitive Behavior Therapy on Reducing Signs and Symptoms of Borderline Personality Disorder With Co-Occurring Emotional Disorders: A Pilot Study, Iran J Psychiatry Behav Sci. 2018 ; 12(1):e9697. doi: 10.5812/ijpbs.9697.

Copyright © 2018, Iranian Journal of Psychiatry and Behavioral Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Objectives
3. Materials and Methods
4. Results
5. Discussion
  • 1. Lieb K, Zanarini MC, Schmahl C, Linehan MM, Bohus M. Borderline personality disorder. The Lancet. 2004;364(9432):453-61. doi: 10.1016/S0140-6736(04)16770-6. [PubMed: 15288745].
  • 2. Soloff PH, Lynch KG, Kelly TM, Malone KM, Mann JJ. Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: a comparative study. Am J Psychiatry. 2000;157(4):601-8. doi: 10.1176/appi.ajp.157.4.601. [PubMed: 10739420].
  • 3. Trull TJ, Sher KJ, Minks-Brown C, Durbin J, Burr R. Borderline personality disorder and substance use disorders: a review and integration. Clin Psychol Rev. 2000;20(2):235-53. [PubMed: 10721499].
  • 4. Association AP. Diagnostic and statistical manual of mental disorders. Washington DC; 2000.
  • 5. Linehan M. Cognitive-behavioral treatment of borderline personality disorder. Guilford press; 1993.
  • 6. Kaplan HI, Sadock BJ. Synopsis of psychiatry: Behavioral sciences clinical psychiatry. Williams & Wilkins Co; 1988.
  • 7. Bateman A, Fonagy P. [Comorbid antisocial and borderline personality disorders: mentalization-based treatment]. Prax Kinderpsychol Kinderpsychiatr. 2010;59(6):477-95. doi: 10.13109/prkk.2010.59.6.477. [PubMed: 20795523].
  • 8. Kernberg OF, Selzer MA, Koenigsberg HW, Carr AC, Appelbaum AH. Psychodynamic psychotherapy of borderline patients. Basic Books; 1989.
  • 9. Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner's guide. Guilford Press; 2003.
  • 10. Barlow D, Farchione T, Fairholme C, Ellard K, Boisseau C, Allen L. The unified protocol for transdiagnostic treatment Of emotional disorders: therapist guide. New York: Oxford University Press; 2011.
  • 11. Ellard KK, Fairholme CP, Boisseau CL, Farchione TJ, Barlow DH. Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: Protocol Development and Initial Outcome Data. Cogn Behav Pract. 2010;17(1):88-101. doi: 10.1016/j.cbpra.2009.06.002.
  • 12. Farchione TJ, Fairholme CP, Ellard KK, Boisseau CL, Thompson-Hollands J, Carl JR, et al. Unified protocol for transdiagnostic treatment of emotional disorders: a randomized controlled trial. Behav Ther. 2012;43(3):666-78. doi: 10.1016/j.beth.2012.01.001. [PubMed: 22697453].
  • 13. McEvoy PM, Nathan P, Norton PJ. Efficacy of Transdiagnostic Treatments: A Review of Published Outcome Studies and Future Research Directions. J Cogn Psychother. 2009;23(1):20-33. doi: 10.1891/0889-8391.23.1.20.
  • 14. Norton PJ, Philipp LM. Transdiagnostic approaches to the treatment of anxiety disorders: A quantitative review. Psychotherapy (Chic). 2008;45(2):214-26. doi: 10.1037/0033-3204.45.2.214. [PubMed: 22122418].
  • 15. Reinholt N, Krogh J. Efficacy of transdiagnostic cognitive behaviour therapy for anxiety disorders: a systematic review and meta-analysis of published outcome studies. Cogn Behav Ther. 2014;43(3):171-84. doi: 10.1080/16506073.2014.897367. [PubMed: 24646219].
  • 16. Lotfi M, Bakhtiyari M, Asgharnezhad-Farid AA, Amini M. Comparison of the effect of transdiagnostic Therapy and cognitive-behavior therapy on patients with emotional disorders: A randomized clinical trial. Zahedan J Res Med Sci. 2014;16(10):15-8.
  • 17. Mohammadi A, Birashk B, Gharaie B. Comparison of the effect of group transdiagnostic therapy and group cognitive therapy on anxiety and depressive symptoms. Iran J Public Health. 2013;42(1):48-55. [PubMed: 23514901].
  • 18. Zeonoozian S, Birashk B, Gharraee B, Asgharnejad A. Comparison of transdiagnostic group therapy with cognitive group therapy in university students with adjustment disorder. Int J Psychol. 2013;7(2):96-116.
  • 19. Lopez ME, Stoddard JA, Noorollah A, Zerbi G, Payne LA, Hitchcock CA, et al. Examining the Efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in the Treatment of Individuals With Borderline Personality Disorder. Cogn Behav Pract. 2015;22(4):522-33. doi: 10.1016/j.cbpra.2014.06.006.
  • 20. Sauer-Zavala S, Bentley KH, Wilner JG. Transdiagnostic Treatment of Borderline Personality Disorder and Comorbid Disorders: A Clinical Replication Series. J Pers Disord. 2016;30(1):35-51. doi: 10.1521/pedi_2015_29_179. [PubMed: 25710737].
  • 21. Kendall PC, Butcher JN, Holmbeck GN. Handbook of research methods in clinical psychology. Hoboken, NJ, US: John Wiley and Sons Inc; 1999.
  • 22. Leichsenring F. Development and first results of the Borderline Personality Inventory: a self-report instrument for assessing borderline personality organization. J Pers Assess. 1999;73(1):45-63. doi: 10.1207/S15327752JPA730104. [PubMed: 10497801].
  • 23. Mohamad Zadeh A, Rezaee A. Validation of Borderline Personality Inventory in Iranian society. J Behav Sci. 2011;5(3):269-77. Persian.
  • 24. First MB, Spitzer RL, Gibbon M, Williams JBW. The structured clinical interview for DSM-III-R personality disorders (SCID-II). Part I: Description. J Pers Disord. 1995;9(2):83-91.
  • 25. Bakhtiari M, Atef Vahid M, Yazdan Doost R. Assessing mental disorders in patients with Body Dysmorphic Disorder. Iran University of Medical Sciences; 2000.
  • 26. Zanarini MC, Skodol AE, Bender D, Dolan R, Sanislow C, Schaefer E, et al. The Collaborative Longitudinal Personality Disorders Study: reliability of axis I and II diagnoses. J Pers Disord. 2000;14(4):291-9. [PubMed: 11213787].
  • 27. Sharifi V, Asadi M, Mohammadi M, Amini H, Kaviani H, Semnani YSA, et al. Reliability and usability of Persian version of Structured Clinical Interview for DSM Disorders. Adv Cogn Sci. 2005;6(1):10-22.
  • 28. Gratz KL, Roemer L. Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behav Assess. 2004;26(1):41-54. doi: 10.1023/b:joba.0000007455.08539.94.
  • 29. Khanzadeh M, Saeediyan M, Hosseinchari M, Edrissi F. Factor structure and psychometric properties of difficulties in emotional regulation scale. Int J Behav Sci. 2012;6(1):87-96.
  • 30. Jacobson NS, Truax P. Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol. 1991;59(1):12-9. doi: 10.1037/0022-006x.59.1.12.
  • 31. Ogles BM, Lunnen KM, Bonesteel K. Clinical significance. Clin Psychol Rev. 2001;21(3):421-46. doi: 10.1016/s0272-7358(99)00058-6.
  • 32. Ingram RE, Hayes W. Handbook of psychological change. Empirically supported treatment: A critical analysis. In: Syder CR, Ingram RE, editors. New York: John Wiley & sons; 2000. p. 40-60.
  • 33. Barnicot K, Katsakou C, Bhatti N, Savill M, Fearns N, Priebe S. Factors predicting the outcome of psychotherapy for borderline personality disorder: a systematic review. Clin Psychol Rev. 2012;32(5):400-12. doi: 10.1016/j.cpr.2012.04.004. [PubMed: 22681913].
  • 34. Kleindienst N, Limberger MF, Ebner-Priemer UW, Keibel-Mauchnik J, Dyer A, Berger M, et al. Dissociation predicts poor response to Dialectial Behavioral Therapy in female patients with Borderline Personality Disorder. J Pers Disord. 2011;25(4):432-47. doi: 10.1521/pedi.2011.25.4.432. [PubMed: 21838560].
  • 35. Boisseau CL, Farchione TJ, Fairholme CP, Ellard KK, Barlow DH. The Development of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: A Case Study. Cogn Behav Pract. 2010;17(1):102-13. doi: 10.1016/j.cbpra.2009.09.003. [PubMed: 23997572].
  • 36. Chamberlain LD, Norton PJ. An evaluation of the effects of diagnostic composition on individual treatment outcome within transdiagnostic cognitive-behavioral group therapy for anxiety. Cogn Behav Ther. 2013;42(1):56-63. doi: 10.1080/16506073.2012.748090. [PubMed: 23505993].
  • 37. Mansell W, Harvey A, Watkins E, Shafran R. Conceptual Foundations of the Transdiagnostic Approach to CBT. J Cogn Psychothe. 2009;23(1):6-19. doi: 10.1891/0889-8391.23.1.6.
  • 38. Brown TA, Barlow DH. A proposal for a dimensional classification system based on the shared features of the DSM-IV anxiety and mood disorders: implications for assessment and treatment. Psychol Assess. 2009;21(3):256-71. doi: 10.1037/a0016608. [PubMed: 19719339].
  • 39. Brown TA, Campbell LA, Lehman CL, Grisham JR, Mancill RB. Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. J Abnorm Psychol. 2001;110(4):585-99. [PubMed: 11727948].
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments