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Working Memory and Borderline Personality Disorder: The Effectiveness of Working Memory Training with Emotional Stimulation on Improving Self-Injury Behaviors among Individuals with Borderline Personality Disorder
Nassim Zakibakhsh Mohammadi, Sajjad Basharpoor, Mohammad Narimani, Moslem Kord,
Volume 7, Issue 4 (2-2020)
Abstract
The purpose of this study was to evaluate the effectiveness of working memory training with emotional stimulation on self-injury behaviors of people with borderline personality disorder. The method of current study was semi-experimental and its design was pre-test and post-test with a control group. All the students of University of Mohaghegh Ardebili with borderline personality disorder in the 2017-2018 academic year comprised the population of this study. Forty people were selected by the screening method via the Boderline Traits Scale (STB) and the Structured Clinical Interview for Mental Disorders (SCID-II) and they were assigned to two experimental and control groups. The experimental group attended working memory training with emotional stimulation for 10 sessions of 30 to 45 minutes for 10 days, i.e. during two weeks every day (except Thursdays and Fridays), while the control group did not receive such training. The Sansone and Wiederman Self-Harm Inventory (SHI) questionnaire was used to collect information for both pre-test and post-test stages. Data were analyzed using a statistical method of single variable covariance analysis. The results showed that the mean self-injury scores of the subjects in the experimental group were significantly reduced compared to the control group in the post-test stage. According to the present study, it could be suggested that working memory training with emotional stimulation via strengthening cognitive control is effective for reducing impulsive behaviors such as self-injury.

Modeling the relationship between Overgeneral Autobiographical Memory and problem solving in people with borderline personality disorder: The mediating role of metacognitive awareness
Barzan Soleimani, Kamran Yazdanbakhsh, Khodamorad Momeni,
Volume 9, Issue 3 (10-2021)
Abstract
People with borderline personality disorder experience problems in a variety of cognitive areas, including information processing, decision making, planning, memory, and problem solving. The aim of the study was to modeling the intermediate role of metacognitive awareness on the relationship between overgeneral autobiographical memory and problem solving. The research was fundamental and in terms of implementation method was correlational. The statistical population included all individuals with borderline personality disorder who referred to psychological and psychiatric clinics in Kurdistan province in 1397-98. 300 patients with diagnosis of borderline personality disorder based on clinical interview and willing to participate in the study were selected. They answered the Autobiographical memory test, metacognition awareness questionnaire and social problem solving inventory. Data were analyzed using Amos software. Findings showed that overgeneral autobiographical memory has a direct effect on problem solving skills and metacognitive awareness with coefficients of 0.17 and 0.20, respectively. Also, the direct effect of metacognitive awareness on problem solving was 0.35. Overgeneral Autobiographical memory predicted 4% of the variance of metacognitive awareness, and Overgeneral autobiographical memory with metacognitive awareness predicted 17% of problem-solving changes. On the other hand, the indirect effect of Overgeneral autobiographical memory on problem-solving skills was 0.07, which shows that the indirect effect of Overgeneral autobiographical memory on problem-solving skills is significant. Therefore, it can be concluded that metacognitive awareness acts as a mediator as an observer, which increases the scores of problem-solving skills.

The Design of neurofeedback protocol and it’s effect on impulsivity, emotional instability, self-mutilation behavior in patient with borderline personality disorder (BPD)
Mrs Fereshte Bakhshian, Dr Kamran Yazdanbakhsh, Dr Jahangir Karami, Dr Seyed Hamze Hoseini,
Volume 10, Issue 3 (3-2023)
Abstract 
Borderline personality disorder is a disorder with a pervasive pattern of instability in interpersonal relationships, self-image, and emotions with impulsivity. This disorder is characterized by defects in the frontal activity circuits that play an important role in inhibiting and aggression regulation. The aim of this study is to design a neurofeedback protocol and investigate its effect on impulsivity, emotional instability and self-mutilation behavior in patients with borderline personality disorder. This study is a quasi-experimental study with a pre-test, post-test, follow up and control group design. The research sample consisted of 30 patients with borderline personality disorder that received a diagnosis of borderline personality disorder according to the diagnosis of a psychiatrist and a structured clinical interview based on DSM5. They were selected by available sampling and divided into experimental (neurofeedback training) and control groups randomly. The experimental group underwent 30 sessions of neurofeedback training and the control group was placed on a waiting list. 

After the last treatment session, both groups were re-evaluated. To collect the data, The Borderline Personality Disorder Scale (STB), Barat Impulsivity Questionnaire (1957 Difficulties in Emotion Regulation Scale (Gratz and Roemer ,2004), and the Self-injury Scale (Swanson et al., 1998) were used. Three months after the study, the subjects were followed up again . The results showed that after controlling the effect of pretest, neurofeedback training had a significant effect on reducing the impulsivity, emotional instability and its components, as well as self-mutilation behavior in the experimental group compared to the control group(p<0/001(. With regard these results, we can say that the neurofeedback training method is an effective way to reduce the impulsivity, emotion dysregulation, and self-mutilation behavior in the treatment centers.

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