{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T16:23:17Z","timestamp":1781108597130,"version":"3.54.1"},"reference-count":54,"publisher":"Guilford Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Personality Disorders"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:p> Borderline personality disorder (BPD) is characterized by deficits in emotion regulation and affective liability, specifically rumination. Despite this, inconsistencies have existed in the literature regarding which rumination type is most prominent in BPD. Taking this into consideration, a meta-analysis was performed to look at how BPD symptoms correlate with rumination, while also considering clinical moderator variables (i.e., BPD symptom domain, comorbidities, GAF score) and demographic moderator variables (i.e., age, gender, sample type, and education level). Analysis of rumination domains for the entire sample revealed a medium correlation between BPD symptoms and rumination. When types of rumination were assessed, the largest correlation was among pain rumination followed by anger, depressive, and anxious rumination. Among BPD symptom domain, affective instability had the strongest correlation with increased rumination, followed by unstable relationships, identity disturbance, and self-harm\/impulsivity. Demographic variables showed no significance. Clinical implications and further therapeutic interventions are discussed considering rumination. <\/jats:p>","DOI":"10.1521\/pedi.2022.36.4.399","type":"journal-article","created":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T15:35:18Z","timestamp":1659368118000},"page":"399-412","source":"Crossref","is-referenced-by-count":13,"title":["Rumination in Borderline Personality Disorder: A Meta-analytic Review"],"prefix":"10.1521","volume":"36","author":[{"given":"Mara J.","family":"Richman Cz\u00e9gel","sequence":"first","affiliation":[{"name":"Endeavor Psychology, Boston, Massachusetts"},{"name":"Institute of Psychology, E\u00f6tv\u00f6s Lor\u00e1nd University, Budapest, Hungary"},{"name":"Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary and Department of Psychiatry, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Unoka","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary and Department of Psychiatry, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert B.","family":"Dudas","sequence":"additional","affiliation":[{"name":"Older People's Mental Health Service, Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK; University of East Anglia, Norwich, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Demetrovics","sequence":"additional","affiliation":[{"name":"Institute of Psychology, E\u00f6tv\u00f6s Lor\u00e1nd University, Budapest, Hungary"},{"name":"Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.17.4.319.23968"},{"key":"ref2","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2000"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.03.002"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1037\/a0019478"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.2307\/2533446"},{"key":"ref7","volume-title":"Comprehensive meta-analysis version 3","author":"Borenstein M.","year":"2005"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.5.4.472"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.188.5.423"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000198138.41709.4f"},{"key":"ref11","first-page":"699","volume":"24","author":"Davis R. 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