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Rumination, Attention Disengagement, and Mindfulness as Predictors of Suicide-Related Outcomes Among Inpatient and Community Adults With Borderline Personality Disorder: A Longitudinal and Cross-Sectional Investigation

Navarre, Kellyann M
http://rave.ohiolink.edu/etdc/view?acc_num=csu1717262853015908

Abstract Details

2024, Master of Arts in Psychology, Cleveland State University, College of Sciences and Health Professions.
Despite extensive research highlighting elevated rates of suicidality among people with borderline personality disorder (BPD), the underlying factors that contribute to this risk remain less understood. Theory-driven research elucidating pathways to suicidality may inform the development of targeted treatments to mitigate this risk. Prior studies have established a strong link between BPD features and use of ineffective emotion regulation strategies, especially rumination (Bud et al., 2023). Additionally, prior studies suggest attention disengagement difficulties may underlie rumination (Koster et al., 2011). Therefore, these studies investigated longitudinal and cross-sectional components of the emotional cascade model (Selby et al., 2008). Study 1 investigated the intervening role of rumination and potentiating role of eye-tracking attention disengagement from sad facial content on the relationship between BPD and suicide-related rehospitalization among inpatient adults (N = 95). The results confirm a robust relationship between elevated BPD features and ruminative tendencies; however, the hypothesized mediating and moderating roles were not supported. Study 2 investigated an extension of the emotional cascade model by testing the relationships between mindfulness, rumination, and their sequential effects on suicidogenic cognitions among diverse community adults diagnosed with BPD (N = 81). This study found support for the hypothesized intervening role of rumination between BPD features and suicide cognitions. Although BPD and difficulty employing mindfulness were strongly related, the mediation was not supported. Collectively, these studies provide partial support for ruminative cycles as an intervention target to alleviate suicide-related outcomes for BPD. Additionally, these results provide thought-provoking insights into study limitations. They also suggest considerations for the conceptualization of BPD and the incorporation of attention paradigms in future research.
Ilya Yaroslavsky (Committee Chair)
Amir Poreh (Committee Member)
Kelsey Pritchard (Committee Member)
Eric Allard (Committee Member)
113 p.
Clinical Psychology; Psychology
Borderline Personality Disorder; Suicide; Psychiatric Hospitalization; Rumination; Emotion Regulation; Mindfulness

Recommended Citations

Citations

  • Navarre, K. M. (2024). Rumination, Attention Disengagement, and Mindfulness as Predictors of Suicide-Related Outcomes Among Inpatient and Community Adults With Borderline Personality Disorder: A Longitudinal and Cross-Sectional Investigation [Master's thesis, Cleveland State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=csu1717262853015908

    APA Style (7th edition)

  • Navarre, Kellyann. Rumination, Attention Disengagement, and Mindfulness as Predictors of Suicide-Related Outcomes Among Inpatient and Community Adults With Borderline Personality Disorder: A Longitudinal and Cross-Sectional Investigation. 2024. Cleveland State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=csu1717262853015908.

    MLA Style (8th edition)

  • Navarre, Kellyann. "Rumination, Attention Disengagement, and Mindfulness as Predictors of Suicide-Related Outcomes Among Inpatient and Community Adults With Borderline Personality Disorder: A Longitudinal and Cross-Sectional Investigation." Master's thesis, Cleveland State University, 2024. http://rave.ohiolink.edu/etdc/view?acc_num=csu1717262853015908

    Chicago Manual of Style (17th edition)

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This open access ETD is published by Cleveland State University and OhioLINK.