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This systematic review identified 55 studies comparing ER strategy use between individuals diagnosed with BPD versus psychiatric and non\u2010psychiatric comparison groups. Individuals with BPD reported more frequent maladaptive and less frequent adaptive ER strategy use than non\u2010psychiatric controls. Results were less consistent relative to psychiatric comparison groups, though individuals with BPD reported greater self\u2010criticism and avoidance. Groups responded comparably to instructed use of adaptive (but not maladaptive) ER strategies. 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