Comparison of 8-vs-12 weeks, adapted dialectical behavioral therapy (DBT) for borderline personality disorder in routine psychiatric inpatient treatment-A naturalistic study.

Dialectical behavior therapy (DBT) is widely acknowledged as an effective treatment for individuals with borderline personality disorder (BPD). However, the optimal treatment duration within DBT remains a topic of investigation. This retrospective, naturalistic non-randomized study aimed to compare the efficacy of 8 week and 12 week DBT interventions with equivalent content, focusing on the change of BPD-specific symptomatology as the primary outcome and depressive symptoms as the secondary outcome. Overall, 175 patients who participated in DBT and received either 8 week or 12 week intervention were included in the analysis. Routine inpatient treatment was adapted from standard DBT with the modules: skill training, interpersonal skills, dealing with feelings, and mindfulness. Measurements were taken at baseline, mid-point, and endpoint. The borderline symptom list-23 (BSL-23) was used for the assessment of borderline-specific symptoms, while the Beck depression inventory-II (BDI-II) was used for the assessment of depressive symptoms. Statistical analysis was conducted using linear mixed models. Effect sizes were calculated for both measures. The results of the analysis indicated an improvement in both groups over time. Effect sizes were d = 1.29 for BSL-23 and d = 1.79 for BDI-II in the 8 week group, and d = 1.16 for BSL-23 and d = 1.58 for BDI-II in the 12 week group. However, there were no differences in the change of BPD-specific symptoms or the severity of depressive symptoms between the 8 week and 12 week treatment duration groups. Based on these findings, shorter treatment durations, like 8 weeks, could be a viable alternative, offering comparable therapeutic benefits, potential cost reduction, and improved accessibility. However, further research is needed to explore factors influencing treatment outcomes and evaluate the long-term effects of different treatment durations in DBT for BPD.Trial registration: drks.de (DRKS00030939) registered 19/12/2022.

Theta burst stimulation add on to dialectical behavioral therapy in borderline-personality-disorder: methods and design of a randomized, single-blind, placebo-controlled pilot trial.

Specialized psychotherapeutic treatments like dialectical behavioral therapy (DBT) are recommended as first treatment for borderline personality disorder (BPD). In recent years, studies have emerged that focus on repetitive transcranial magnetic stimulation (rTMS) in BPD. Both have independently demonstrated efficacy in the treatment of BPD. Intermitted theta burst stimulation (iTBS), a modified design of rTMS, is thought to increase the excitability of neurons and could be a supplement to psychotherapy in addition to being a standalone treatment. However, no studies to date have investigated the combination of DBT and rTMS/iTBS. This study protocol describes the methods and design of a randomized, single-blinded, sham-controlled clinical pilot study in which BPD patients will be randomly assigned to either iTBS or sham during four consecutive weeks (20 sessions in total) in addition to standardized DBT treatment. The stimulation will focus on the unilateral stimulation of the left dorsolateral prefrontal cortex (DLPFC), which plays an important role in the control of impulsivity and risk-taking. Primary outcome is the difference in borderline symptomatology, while secondary target criteria are depressive symptoms, general functional level, impulsivity and self-compassion. Statistical analysis of therapy response will be conducted by Mixed Model Repeated Measurement using a 2 × 2-factorial between-subjects design with the between-subject factor stimulation (TMS vs. Sham) and the within-subject factor time (T0 vs. T1). Furthermore, structural magnetic resonance imaging (MRI) will be conducted and analyzed. The study will provide evidence and insight on whether iTBS has an enhancing effect as add-on to DBT in BPD.Trial registration: drks.de (DRKS00020413) registered 13/01/2020.

How liquid-liquid phase separation induces active spreading.

The interplay between phase separation and wetting of multicomponent mixtures is ubiquitous in nature and technology and recently gained significant attention across scientific disciplines, due to the discovery of biomolecular condensates. It is well understood that sessile droplets, undergoing phase separation in a static wetting configuration, exhibit microdroplet nucleation at their contact lines, forming an oil ring during later stages. However, very little is known about the dynamic counterpart, when phase separation occurs in a nonequilibrium wetting configuration, i.e., spreading droplets. Here we show that liquid-liquid phase separation strongly couples to the spreading motion of three-phase contact lines. Thus, the classical Cox-Voinov law is not applicable anymore, because phase separation adds an active spreading force beyond the capillary driving. Intriguingly, we observe that spreading starts well before any visible nucleation of microdroplets in the main droplet. Using high-speed ellipsometry, we further demonstrate that the evaporation-induced enrichment, together with surface forces, causes an even earlier nucleation in the wetting precursor film around the droplet, initiating the observed wetting transition. We expect our findings to improve the fundamental understanding of phase separation processes that involve dynamical contact lines and/or surface forces, with implications in a wide range of applications, from oil recovery or inkjet printing to material synthesis and biomolecular condensates.

Lattice Boltzmann and Jones matrix calculations for the determination of the director field structure in self-propelling nematic droplets.

Nematic droplets immersed in aqueous surfactant solutions can show a self-propelled motion induced by a Marangoni flow in the droplet surface. In addition to the self-propulsion, the Marangoni flow induces within the droplet a convective flow which considerably influences the nematic director field of the droplet. We report numerical simulations aiming at the determination of the director field in the self-propelling droplet. The convective flow and the resulting structure of director field are described by a lattice Boltzmann model. The reliability of the obtained structures is proved by subsequent Jones matrix calculations which enable the direct comparison of experimental polarizing microscopy images of self-propelling droplets with calculated images based on the simulated structures.

Self-shaping liquid crystal droplets by balancing bulk elasticity and interfacial tension.

The shape diversity and controlled reconfigurability of closed surfaces and filamentous structures, universally found in cellular colonies and living tissues, are challenging to reproduce. Here, we demonstrate a method for the self-shaping of liquid crystal (LC) droplets into anisotropic and three-dimensional superstructures, such as LC fibers, LC helices, and differently shaped LC vesicles. The method is based on two surfactants: one dissolved in the LC dispersed phase and the other in the aqueous continuous phase. We use thermal stimuli to tune the bulk LC elasticity and interfacial energy, thereby transforming an emulsion of polydispersed, spherical nematic droplets into numerous, uniform-diameter fibers with multiple branches and vice versa. Furthermore, when the nematic LC is cooled to the smectic-A LC phase, we produce monodispersed microdroplets with a tunable diameter dictated by the cooling rate. Utilizing this temperature-controlled self-shaping of LCs, we demonstrate life-like smectic LC vesicle structures analogous to the biomembranes in living systems. Our experimental findings are supported by a theoretical model of equilibrium interface shapes. The shape transformation is induced by negative interfacial energy, which promotes a spontaneous increase of the interfacial area at a fixed LC volume. The method was successfully applied to many different LC materials and phases, demonstrating a universal mechanism for shape transformation in complex fluids.

Topological Stabilization and Dynamics of Self-Propelling Nematic Shells.

Liquid shells (e.g., double emulsions, vesicles, etc.) are susceptible to interfacial instability and rupturing when driven out of mechanical equilibrium. This poses a significant challenge for the design of liquid-shell-based micromachines, where the goal is to maintain stability and dynamical control in combination with motility. Here, we present our solution to this problem with controllable self-propelling liquid shells, which we have stabilized using the soft topological constraints imposed by a nematogen oil. We demonstrate, through experiments and simulations, that anisotropic elasticity can counterbalance the destabilizing effect of viscous drag induced by shell motility and inhibit rupturing. We analyze their propulsion dynamics and identify a peculiar meandering behavior driven by a combination of topological and chemical spontaneously broken symmetries. Based on our understanding of these symmetry breaking mechanisms, we provide routes to control shell motion via topology, chemical signaling, and hydrodynamic interactions.

Nematic line defects in microfluidic channels: wedge, twist and zigzag disclinations.

We report an experimental study of structural transformations of disclination lines in nematic liquid crystals in microfluidic channels. The anchoring conditions of the channel walls enforce the generation of a disclination line of the wedge type in the absence of flow. The wedge disclination is transformed to a twist disclination by the flow of the nematic liquid crystal in the channel. The application of an electric field perpendicular to the channel axis induces a second transformation to a zigzag shape. The threshold field strength for the second transformation increases with increasing flow velocity. The experimental results are compared to predictions based on model director fields of the different disclination structures.

Curling Liquid Crystal Microswimmers: A Cascade of Spontaneous Symmetry Breaking.

We report curling self-propulsion in aqueous emulsions of common mesogenic compounds. Nematic liquid crystal droplets self-propel in a surfactant solution with concentrations above the critical micelle concentration while undergoing micellar solubilization [Herminghaus et al., Soft Matter 10, 7008 (2014)]. We analyzed trajectories both in a Hele-Shaw geometry and in a 3D setup at variable buoyancy. The coupling between the nematic director field and the convective flow inside the droplet leads to a second symmetry breaking which gives rise to curling motion in 2D. This is demonstrated through a reversible transition to nonhelical persistent swimming by heating to the isotropic phase. Furthermore, autochemotaxis can spontaneously break the inversion symmetry, leading to helical trajectories in 3D.

Dimensionality matters in the collective behaviour of active emulsions.

The behaviour of artificial microswimmers consisting of droplets of a mesogenic oil immersed in an aqueous surfactant solution depends qualitatively on the conditions of dimensional confinement; ranging from only transient aggregates in Hele-Shaw geometries to hexagonally packed, convection-driven clusters when sedimenting in an unconfined reservoir. We study the effects of varying the swimmer velocity, the height of the reservoir, and the buoyancy of the droplet swimmers. Two simple adjustments of the experimental setting lead to a suppression of clustering: either a decrease of the reservoir height below a certain value, or a match of the densities of droplets and surrounding phase, showing that the convection is the key mechanism for the clustering behaviour.

Connecting and disconnecting nematic disclination lines in microfluidic channels.

Disclination lines in nematic liquid crystals can be used as "soft rails" for the transport of colloids or droplets through microfluidic channels [A. Sengupta, C. Bahr and S. Herminghaus, Soft Matter, 2013, 9, 7251]. In the present study we report on a method to connect and disconnect disclination lines in microfluidic channels using the interplay between anchoring, flow, and electric field. We show that the application of an electric field establishes a continuous disclination that spans across a channel region in which a disclination usually would not exist (because of different anchoring conditions), demonstrating an interruptible and reconnectable soft rail for colloidal transport.

Direct visualization of spatiotemporal structure of self-assembled colloidal particles in electrohydrodynamic flow of a nematic liquid crystal.

Characterization of spatiotemporal dynamics is of vital importance to soft matter systems far from equilibrium. Using a confocal laser scanning microscopy, we directly reveal three-dimensional motion of surface-modified particles in the electrohydrodynamic convection of a nematic liquid crystal. Particularly, visualizing a caterpillar-like motion of a self-assembled colloidal chain demonstrates the mechanism of the persistent transport enabled by the elastic, electric, and hydrodynamic contributions. We also precisely show how the particles' trajectory is spatially modified by simply changing the surface boundary condition.

Single-molecule diffusion in freely suspended smectic films.

We present a study of the molecular diffusion in freely suspended smectic-A liquid crystal films with thicknesses ranging from 20 down to only two molecular layers. The molecular mobility is directly probed by determining the trajectories of single, fluorescent tracer molecules. We demonstrate, using several different smectic compounds, that a monotonic increase of the diffusion coefficient with decreasing film thickness is a general phenomenon. In two-layer films, the diffusion is enhanced by a factor of 3 to 5 compared to the corresponding bulk smectic phase. Molecular dynamics simulations of freely suspended smectic films are presented which support the experimental results.

Colloidal caterpillars for cargo transportation.

Tunable transport of tiny objects in fluid systems is demanding in diverse fields of science such as drug delivery, active matter far from equilibrium, and lab-on-a-chip applications. Here, we report the directed motion of colloidal particles and self-assembled colloidal chains in a nematic liquid crystal matrix using electrohydrodynamic convection (EHC) rolls. The asymmetric distortion of the molecular orientation around the particles results - for single particles - in a hopping motion from one EHC roll to the next and - for colloidal chains - in a caterpillar-like motion in the direction perpendicular to the roll axes. We demonstrate the use of colloidal chains as microtraction engines for the transport of various types of microcargo.

Interfacial mechanisms in active emulsions.

Active emulsions, i.e., emulsions whose droplets perform self-propelled motion, are of tremendous interest for mimicking collective phenomena in biological populations such as phytoplankton and bacterial colonies, but also for experimentally studying rheology, pattern formation, and phase transitions in systems far from thermal equilibrium. For fuelling such systems, molecular processes involving the surfactants which stabilize the emulsions are a straightforward concept. We outline and compare two different types of reactions, one which chemically modifies the surfactant molecules, the other which transfers them into a different colloidal state. While in the first case symmetry breaking follows a standard linear instability, the second case turns out to be more complex. Depending on the dissolution pathway, there is either an intrinsically nonlinear instability, or no symmetry breaking at all (and hence no locomotion).

Myelin structures formed by thermotropic smectic liquid crystals.

We report on transient structures, formed by thermotropic smectic-A liquid crystals, resembling the myelin figures of lyotropic lamellar liquid crystals. The thermotropic myelin structures form during the solubilization of a smectic-A droplet in an aqueous phase containing a cationic surfactant at concentrations above the critical micelle concentration. Similar to the lyotropic myelin figures, the thermotropic myelins appear in an optical microscope as flexible tubelike structures growing at the smectic/aqueous interface. Polarizing microscopy and confocal fluorescence microscopy show that the smectic layers are parallel to the tube surface and form a cylindrically bent arrangement around a central line defect in the tube. We study the growth behavior of this new type of myelins and discuss similarities to and differences from the classical lyotropic myelin figures.

AFM study of Gibbs films of semifluorinated alkanes at liquid crystal/air interfaces.

Forming micelles: The first in situ AFM study of Gibbs films of semifluorinated alkanes at liquid crystal/air interfaces is presented. The Gibbs films self-organize in a hexagonal close packing of surface micelles with shapes and lateral dimensions that are similar to micelles forming on aqueous and solid surfaces. It is concluded that he formation of surfaces micelles and their self-organization in large-area dense hexagonal arrays are intrinsic properties of semifluorinated alkane molecules.

Lasing and waveguiding in smectic A liquid crystal optical fibers.

We demonstrate a new class of soft matter optical fibers, which are self-assembled in a form of smectic-A liquid crystal microtubes grown in an aqueous surfactant dispersion of a smectic-A liquid crystal. The diameter of the fibers is highly uniform and the fibers are highly birefringent. They are characterized by a line topological defect in the core of the fiber with an optical axis pointing from the defect core towards the surface. We demonstrate guiding of light along the fiber and Whispering Gallery Mode (WGM) lasing in a plane perpendicular to the fiber. The light guiding as well as the lasing threshold are significantly dependent on the polarization of the excitation beam. The observed threshold for WGM lasing is very low (≈ 75µJ/cm(2)) when the pump beam polarization is perpendicular to the direction of the laser dye alignment and is similar to the lasing threshold in nematic droplets. The smectic-A fibers are soft and flexible and can be manipulated with laser tweezers demonstrating a promising approach for realization of soft photonic circuits.

Liquid crystal microfluidics for tunable flow shaping.

We explore the flow of a nematic liquid crystal in microfluidic channels with a rectangular cross section through experiments and numerical modeling. The flow profile and the liquid crystal orientational profile show three distinct regimes of weak, medium, and strong flow as the driving pressure is varied. These are identified by comparing polarizing optical microscopy experiments and numerical solutions of the nematofluidic equations of motion. The relative stability of the regimes is related to the de Gennes characteristic shear-flow lengths e(1) and e(2), together with the channel's aspect ratio w/d. Finally, we show that the liquid crystalline microfluidic flow can be fully steered from left to right of a simple microchannel by applying transverse temperature gradients.

Solubilization of thermotropic liquid crystal compounds in aqueous surfactant solutions.

We study the micellar solubilization of three thermotropic liquid crystal compounds by immersing single drops in aqueous solutions of the ionic surfactant tetradecyltrimethylammonium bromide. For both nematic and isotropic drops, we observe a linear decrease of the drop size with time as well as convective flows and self-propelled motions. The solubilization is accompanied by the appearance of small aqueous droplets within the nematic or isotropic drop. At low temperatures, nematic drops expell small nematic droplets into the aqueous environment. Smectic drops show the spontaneous formation of filament-like structures which resemble the myelin figures observed in lyotropic lamellar systems. In all cases, the liquid crystal drops become completely solubilized, provided the weight fraction of the liquid crystal in the system is not larger than a few percent. The solubilization of the liquid crystal drops is compared with earlier studies of the solubilization of alkanes in ionic surfactant solutions.

Surface order at surfactant-laden interfaces between isotropic liquid crystals and liquid phases with different polarity.

We present an ellipsometry study of the interface between thermotropic liquid crystals and liquid phases consisting of various binary mixtures of water and glycerol. The liquid-crystal samples contain a small constant amount of a surfactant which induces a homeotropic anchoring at the interface. We determine the smectic or nematic order at the interface in the temperature range above the liquid-crystal-isotropic transition while the water to glycerol ratio is varied, corresponding to a systematic modification of the polarity of the liquid phase. The surface-induced order becomes less pronounced with increasing glycerol concentration in the liquid phase. The observed behavior is compared with previous studies in which the surfactant concentration in the liquid-crystal bulk phase was varied. The results indicate that in both cases the magnitude of the surfactant coverage at the interface is the key quantity which determines the liquid-crystal surface order at the interface.