Advanced International Journal for Research

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Interventions for Emotional Dysregulation and Interpersonal Deficits- a Narrative Review

Author(s) Dr. Sakthi Prabha R, Dr. Amirtha M, Ms. Lourdu Sofia J
Country India
Abstract Emotional dysregulation refers to difficulty in understanding, managing and responding appropriately to one’s emotions. It involves difficulty the intensity, duration or expression of emotional responses, particularly when facing stressful or challenging situations. Emotional dysreuglation has been linked with a variety of interpersonal problems For instance, the use of maladaptive emotion regulation strategies like emotional suppression is associated with reduced sociability, as indexed by lower scores on indices of openness, agreeableness and extroversion . Emotional dysregulation and interpersonal deficits co-occur across a wide range of clinical presentations, including borderline personality disorder (BPD), depression, eating disorders, autism spectrum conditions, and attention-deficit/hyperactivity disorder (ADHD). Because these two problem domains are functionally linked poor regulation of intense affect frequently undermines the capacity to initiate, repair, and sustain relationships interventions that address both together tend to outperform those that treat them as separate targets. This review synthesizes systematic reviews, meta-analyses, and randomized controlled trials (RCTs) examining psychological interventions for emotional dysregulation and interpersonal deficits, with particular attention to Dialectical Behavior Therapy (DBT), Mentalization-Based Treatment (MBT), Interpersonal Psychotherapy (IPT), and Social Skills Training (SST). Across 20 sources retrieved through a structured search of PubMed, Cochrane Library, PsycINFO, and related databases. DBT shows the most consistent evidence for reducing emotion dysregulation and improving interpersonal functioning in BPD and transdiagnostic samples, while MBT shows comparable efficacy with a stronger theoretical emphasis on social cognition. SST produces small-to-moderate effects on interpersonal skills, particularly when skill-building and cognitive-emotional components are combined. IPT variants show efficacy for depression with interpersonal deficits as an explicit treatment target. The review concludes that combined, transdiagnostic, and skills-based approaches are best supported by current evidence, while noting persistent limitations including small samples, high attrition, and heterogeneous outcome measures across the literature.
Keywords: Emotion Dysregulation, Interpersonal Deficits, Dialectical Behavior Therapy, Mentalization-based treatment, interpersonal psychotherapy, social skills training
Keywords Emotion Dysregulation, Interpersonal Deficits, Dialectical Behavior Therapy, Mentalization-based treatment, interpersonal psychotherapy, social skills training
Published In Volume 7, Issue 5, September-October 2026
Published On 2026-09-13
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E-ISSN 3048-7641
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