{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T14:27:25Z","timestamp":1779114445380,"version":"3.51.4"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Based on research, borderline personality disorder is associated with many behavioral and emotional problems, including Internet addiction and high-risk behaviors. On the other hand, integrative trans-diagnostic treatment, by targeting trans-diagnostic factors in emotional pathology, is considered a suitable treatment for comorbid psychological pathologies. Also, since in adolescence, the opinion of others about oneself is more important, online therapy has the advantage of protecting them from the fear of stigma and shame in the face of others\u2019 judgments. Therefore, the aim of the current research was to investigate the effectiveness of online integrative trans-diagnostic treatment on the internet addiction and high-risk behaviors in adolescents with borderline personality disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The current research was applied and quasi-experimental in a pre-test-post-test manner with a control group. The research sample included 40 female adolescents with borderline personality disorder who were randomly divided into two groups of 20 people, experimental and control groups. The criteria for entering the research included the age range of 12 to 18\u2009years, female, confirmation of the disease by a psychologist, not receiving other psychological treatments in the last 3\u2009months, and having a smartphone to participate in the online group. Substance abuse, any serious mental and physical illness\/disorder that interferes with treatment, and failure to attend more than two sessions in therapy sessions were some of the exclusion criteria.The participants were tested on the scales of internet addiction and high-risk behaviors. Then, the treatment plan based on online integrative trans-diagnostic group therapy was presented to the participants of the experimental group online in 9 two-hour sessions. The control group was placed on the waiting list until the completion of the treatment sessions and the post-test implementation, and after the post-test implementation, they received the treatment. Then, their scores were measured, after completing the treatment, and a three-month follow-up period. Descriptive statistics and covariance test were used to analyze the data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients showed a clear improvement in the severity of internet addiction and high-risk behavior symptoms. So that the scores of internet addiction and high-risk behaviors in the experimental group after receiving the treatment, as well as after a three-month follow-up period, were significantly reduced (<jats:italic>p<\/jats:italic> &amp;lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results show that online integrative trans-diagnostic therapy can be an effective treatment option for reducing some symptoms of risky behaviors and internet addiction in adolescents with borderline personality disorder and should be studied further. It is noteworthy that the limitations of this study were the available sampling method, the use of a unisex sample of female patients, and the short-term follow-up period, which makes it difficult to generalize the results.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2023.1291579","type":"journal-article","created":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T05:45:44Z","timestamp":1704433544000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of online integrative trans-diagnostic treatment on internet addiction and high-risk behaviors in female adolescents with borderline personality disorder with comorbid depressive disorder"],"prefix":"10.3389","volume":"14","author":[{"given":"Fahimeh","family":"Mohamadpour","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nurallah","family":"Mohammadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,1,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1521\/pedi_2019_33_425","article-title":"Risk factors for borderline personality disorder in adolescents","volume":"34","author":"Zanarini","year":"2020","journal-title":"J Personal Disord"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"199","DOI":"10.2147\/AHMT.S156565","article-title":"Borderline personality disorder in adolescents: prevalence, diagnosis, and treatment strategies","volume":"9","author":"Guil\u00e9","year":"2018","journal-title":"Adolesc Health Med Ther"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.cpr.2015.12.001","article-title":"The aetiological and psychopathological validity of borderline personality disorder in youth: a systematic review and meta-analysis","volume":"44","author":"Winsper","year":"2016","journal-title":"Clin Psychol Rev"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12888-021-03377-x","article-title":"Borderline personality disorder and adolescent suicide attempt: the mediating role of emotional dysregulation","volume":"21","author":"Mirkovic","year":"2021","journal-title":"BMC Psychiatry"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1016\/j.jad.2020.11.111","article-title":"How does borderline personality disorder affect management and treatment response of patients with major depressive disorder? A comprehensive review","volume":"281","author":"Ceresa","year":"2021","journal-title":"J Affect Disord"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1556\/2006.6.2017.053","article-title":"Relationship between borderline personality symptoms and internet addiction: the mediating effects of mental health problems","volume":"6","author":"Lu","year":"2017","journal-title":"J Behav Addict"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1016\/j.psychres.2012.06.003","article-title":"Neuropsychological performance, impulsivity, ADHD symptoms, and novelty seeking in compulsive buying disorder","volume":"200","author":"Black","year":"2012","journal-title":"Psychiatry Res"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1399","DOI":"10.3390\/healthcare9101399","article-title":"Borderline personality symptoms: what not to be overlooked when approaching suicidal ideation among university students","volume":"9","author":"Wongpakaran","year":"2021","journal-title":"Healthcare"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1089\/cyber.2010.0574","article-title":"Prevalence and psychosocial risk factors associated with internet addiction in a nationally representative sample of college students in Taiwan","volume":"14","author":"Lin","year":"2011","journal-title":"Cyberpsychol Behav Soc Netw"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1256","DOI":"10.3389\/fpsyg.2014.01256","article-title":"Internet addiction: coping styles, expectancies, and treatment implications","volume":"5","author":"Brand","year":"2014","journal-title":"Front Psychol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"609467","DOI":"10.3389\/fnhum.2020.609467","article-title":"The brain emotional systems in addictions: from attachment to dominance\/submission systems","volume":"14","author":"Giacolini","year":"2021","journal-title":"Front Hum Neurosci"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1016\/j.neubiorev.2020.08.013","article-title":"Systematic review and meta-analysis of epidemiology of internet addiction","volume":"118","author":"Pan","year":"2020","journal-title":"Neurosci Biobehav Rev"},{"key":"ref13","doi-asserted-by":"crossref","DOI":"10.1145\/3373722.3373790","article-title":"Internet addiction and youth coping strategies","author":"Berezovskaya","year":"2019"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.psychres.2019.01.010","article-title":"Longitudinal development of risk-taking and self-injurious behavior in association with late adolescent borderline personality disorder symptoms","volume":"273","author":"Ghinea","year":"2019","journal-title":"Psychiatry Res"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"e206","DOI":"10.1016\/S2589-7500(19)30088-3","article-title":"Effectiveness of school-based eHealth interventions to 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Supplement","volume":"70","author":"Nock","year":"2013","journal-title":"JAMA Psychiatry"},{"key":"ref27","first-page":"1","article-title":"Research methodology: a step-by-step guide for beginners","author":"Kumar","year":"2018","journal-title":"Res Methodol"},{"key":"ref28","volume-title":"Sampling statistics","author":"Fuller","year":"2011"},{"key":"ref29","volume-title":"Applied multivariate research: Design and interpretation","author":"Meyers","year":"2016"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1016\/j.cpr.2012.02.004","article-title":"Computer-based psychological treatments for depression: a systematic review and meta-analysis","volume":"32","author":"Richards","year":"2012","journal-title":"Clin Psychol Rev"},{"key":"ref31","volume-title":"Statistical analysis in psychology and education","author":"Ferguson","year":"1959"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1051","DOI":"10.1017\/S0954579405050492","article-title":"Borderline personality features in childhood: a short-term longitudinal study","volume":"17","author":"Crick","year":"2005","journal-title":"Dev Psychopathol"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1016\/j.jaac.2011.01.017","article-title":"Theory of mind and emotion regulation difficulties in adolescents with borderline traits","volume":"50","author":"Sharp","year":"2011","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"ref34","first-page":"338","article-title":"Validation of borderline personality traits scale in high school students of shiraz city","volume":"25","author":"Zargar","year":"2014","journal-title":"Stud Med Sci"},{"key":"ref35","first-page":"199","article-title":"Prognosis of internet addiction based on ethical values and 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