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25
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Introduction
Additional affiliations
May 2008 - May 2010
Education
August 2010 - May 2013
August 2004 - June 2008
Publications
Publications (25)
Problems with interpersonal functioning and difficulties with emotion regulation are core characteristics of borderline personality disorder (BPD). Little is known, however, about the interrelationship between these areas of dysfunction in accounting for BPD symptom severity. The present study examines a model of the relationship between difficulti...
Previous research has demonstrated that thought suppression is an effortful emotion regulation strategy frequently used to avoid unwanted thoughts or emotions. This is a maladaptive strategy because it paradoxically increases the frequency of the unwanted thoughts or emotions. Although thought suppression has been linked to borderline personality d...
Two prominent emotions in borderline personality disorder (BPD) are shame and anger. Rumination has been demonstrated to occur in response to shame and to escalate anger, and rumination, particularly anger rumination, has been shown to predict BPD symptoms. The present study tested a structural equation model in which shame leads to the features of...
Previous research has demonstrated that maladaptive cognitive content, including dysfunctional attitudes and negative automatic thoughts, is associated with emotional distress. Similarly, dysfunctional cognitive processes, including thought suppression and rumination, have been shown to intensify psychological difficulties. Although maladaptive cog...
Psychotherapy is an effective treatment for PMADs and should be considered as a first-line treatment option. Therapeutic modalities that have an evidence base for mood and anxiety symptoms common during the perinatal period include cognitive behavioral therapy, interpersonal therapy, listening visits, dialectical behavior therapy, acceptance and co...
Background
The opioid crisis in the United States may be exacerbated by the COVID-19 pandemic. Increases in opioid use, emergency medical services (EMS) runs for opioid-related overdoses, and opioid overdose deaths have been reported. No study has examined changes in multiple naloxone administrations, an indicator of overdose severity, during the C...
Background: Cardiorespiratory fitness (CRF) is associated with important health risk outcomes, including the development of Type 2 diabetes and cardiovascular disease. Measures of maximal or peak oxygen consumption (VO2) are the typical criterion methods for determining CRF; however, in clinical settings, these measures are impractical.
Methods: We...
Objective:
Early life abuse (ELAb) initiates pathophysiological cascades resulting in long-term maladaptive stress responsivity, hyperalgesia and an increased risk for psychopathology. Mindfulness-based stress reduction (MBSR) is effective in modifying psychological and somatic symptoms; thus, we predicted that MBSR would be particularly efficacio...
Background: Compared to men, women are more susceptible to inflammatory disorders, including major depression. The underlying mechanisms of risk remain poorly understood. The ovarian steroid Estradiol (E2) has potent anti-depressant and anti-inflammatory properties and modulates the hypothalamic-pituitary-adrenal axis stress-response. During the me...
Objective:
The aim of this study was to determine the efficacy of transdermal estradiol (E2) plus intermittent progesterone (EPT) for improving self-reported sleep in perimenopausal women, after controlling for vasomotor symptoms (VMS) bother and depressive symptoms.
Methods:
Using a double-blind, placebo-controlled design, 172 healthy women mee...
Negative humor styles are associated with rumination, aggression, and suicidal ideation. BPD features are positively associated with negative humor styles; however, few studies have identified factors that mediate this relationship. The present study examines mindfulness skills as a mediator of the link between BPD features and negative humor style...
Subjective cognitive complaints increase with age. Although subjective cognitive difficulties have been linked to cognitive impairment and psychological distress, some studies have failed to establish a link between subjective cognitive complaints and present or future cognitive impairment. The present study examined the interactive, longitudinal e...
The ability to savor positive life events is associated with higher emotional well-being; however, few studies have examined savoring ability in older adults. The present study used a longitudinal design to examine changes in perceived savoring abilities and associations with perceived health in older adulthood. Older adults (N = 131) reported on b...
Theoretical conceptualizations highlight emotional reactivity as a core problem for borderline personality disorder (BPD); however, empirical work investigating emotional reactivity in BPD has produced mixed and inconclusive findings. The current study aimed to clarify emotional reactivity in adults diagnosed with BPD (N = 22) and healthy controls...
Socioemotional selectivity theory predicts that when perceived time in life is limited, people will prefer emotionally close social partners over less emotionally rewarding partners. Regulating social choices with regard to time perspective can make the best use of time with regard to well-being. However, doing so may depend on the self-regulatory...
Shame has emerged as a particularly relevant emotion to the maintenance and exacerbation of borderline personality disorder (BPD) features; however, little attention has been paid to the potentially differing effects of other forms of self-conscious affect. While guilt has been demonstrated to have adaptive functions in the social psychology litera...
Objective:
Exposure to endogenous cortisol is associated with hippocampal degeneration and may contribute to problems with declarative memory, but effects of persistent versus phasic cortisol elevations have not been established. The present longitudinal investigation examined persistent individual differences and phasic changes in cortisol as the...
Dysregulated emotions are central to borderline personality disorder (BPD) and disrupt goal directed behavior. However, there has been limited research elucidating the mechanisms through which this occurs. This study tested the hypothesis that BPD-specific cognitive distortions, particularly under cognitive load, account for the relationship betwee...
This comprehensive review examined the effects of
mindfulness-based interventions on the physical and emotional
well-being of older adults, a rapidly growing segment of the
general population. Search procedures yielded 15 treatment
outcome studies meeting inclusion criteria. Support was found
for the feasibility and acceptability of mindfulness-bas...
Background/Study Context: Chronic pain is associated with increased interference in daily functioning that becomes more pronounced as pain intensity increases. Based on previous research showing that older adults maintain well-being in the face of pain as well as or better than their younger counterparts, the current study examined the interaction...
Mindfulness training reduces anger and aggression, but the mechanisms of these effects are unclear. Mindfulness may reduce anger expression and hostility via reductions in anger rumination, a process of thinking repetitively about angry episodes that increases anger. Previous research supports this theory but used measures of general rumination and...
Previous research has identified an invalidating childhood environment and a biological predisposition for affective instability to be two precursors for the development of borderline personality disorder (BPD). In addition, rumination, particularly in response to anger, is significantly associated with symptom severity and dysregulated behavior in...
Individuals with borderline personality disorder (BPD) are widely considered to have problems with emotional reactivity. However, the specific kinds of stimuli that are associated with heightened emotional reactivity in BPD have not been well characterized. Thus, it is unclear whether the emotional dysfunction in BPD occurs in response to any emoti...