A new intervention for people with borderline personality disorder who are also parents: a pilot study of clinician acceptability

McCarthy, Kye L; Lewis, Kate L.; Bourke, Marianne E.; Grenyer, Brin F. S.

doi:10.1186/s40479-016-0044-2

Cited by 16 publications

(11 citation statements)

References 35 publications

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“…There is also a significant dearth in parenting interventions specifically developed for this population (for preliminary work see [58–60]). This is concerning given the findings of the present overview, and may highlight a divide between psychological research and clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Parenting and personality disorder: An overview and meta-synthesis of systematic reviews

2019

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Background/ObjectivesMaladaptive parenting (including childhood maltreatment, abuse and neglect) has been implicated in the scientific literature exploring the aetiology of personality disorder, particularly borderline personality disorder (BPD). Our primary objective was to summarise the evidence on the relationship between parenting and personality disorder, assisting clinical decision-makers to translate this research into clinical policy and practice.MethodsWe conducted an overview of systematic reviews that assessed individuals with personality disorder pathology for experiences of maladaptive parenting, compared to psychiatric or healthy comparisons/controls, and the impact on psychopathological and relational outcomes. Systematic literature searches were conducted in Scopus, Web of Science, MEDLINE, PsycINFO, and by hand in August 2018. Methodological quality was assessed using the CASP systematic review checklist, and results were qualitatively synthesised. A pre-determined protocol was registered in Prospective Register of Systematic Reviews (PROSPERO 2019:CRD42018096177).ResultsOf the 312 identified records, 293 abstracts were screened, 36 full-text articles were retrieved and eight systematic reviews met pre-determined criteria for qualitative synthesises. The majority of studies reported outcomes related to BPD (n = 7), and study design, methodology and quality varied. Within the eight systematic reviews there were 211 primary studies, of which 140 (66.35%) met eligibility criteria for inclusion in this overview. Eligible primary studies reported on 121,895 adult, child/adolescent and parent-offspring participants, with most studies focused on borderline personality pathology (n = 100, 71.43%). Study design and methodology also varied for these studies. Overall, five systematic reviews overwhelming found that maladaptive parenting was a psychosocial risk factor for the development of borderline personality pathology, and three studies found that borderline personality pathology was associated with maladaptive parenting, and negative offspring and parenting-offspring outcomes.ConclusionsIn light of these findings, we recommend greater emphasis on parenting in clinical practice and the development of parenting interventions for individuals with personality disorder. However, our understanding is limited by the heterogeneity and varying quality of the evidence, and as such, future research utilising more rigorous research methodology is needed.

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Section: Discussionmentioning

confidence: 99%

Parenting and personality disorder: An overview and meta-synthesis of systematic reviews

2019

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“…In Australia, the multi-agency Project Air group has developed a modular package of parenting support designed to be incorporated into routine clinical practice. This has been found to have good clinical acceptability and ongoing use 12 months post the initial roll-out (McCarthy et al, 2016;Gray et al, 2019). In the United Kingdom, equivalent interventions are not available and parents (if they receive any service) are caught between standardized community interventions and BPD-focused treatment pathways.…”

Section: Discussionmentioning

confidence: 99%

The Parenting Experience of Those With Borderline Personality Disorder Traits: Practitioner and Parent Perspectives

et al. 2020

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Background: Borderline Personality Disorder (BPD) is associated with challenges around emotional intensity and interpersonal difficulties. The children of parents with BPD are at risk of poorer outcomes in terms of their own mental health, educational outcomes and wellbeing. The challenges of being a parent can also exacerbate the symptoms of those with BPD traits. There is a pressing need to understand the experience of these parents and to determine what support would be appropriate and useful. Aim: To explore and compare the experiences and support needs of parents with BPD traits with the experiences and understanding of practitioners who work with them. Methods: Interviews with 12 parents with BPD traits and 21 practitioners with experience of working with individuals with BPD. The two strands of interviews were analyzed independently using a thematic framework approach, after which the superordinate and subordinate themes were subject to comparison. Results: Parents with BPD traits represent themselves as experiencing considerable challenges in their role as a parent. These included the impact of emotional intensity, social isolation and lack of a positive parenting models to draw upon. Practitioners demonstrated a strong degree of shared understanding into these difficulties. Both groups highlighted a lack of appropriate support for these parents. Conclusion: This research highlights the clinical need for parenting-focused support for individuals with BPD traits. Preliminary suggestions for format and content are given.

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“…Undoubtedly, it can be enriching to analyze some of the intervention components that have been found to be useful for helping families with other serious psychological disorders, thus broadening the range of interventions for families of patients with BPD, which is currently quite limited. Alternatively, the problem can be approached from a broader perspective, as in McCarthy, Lewis, Bourke, and Grenyer (2016), through community studies, offering interventions designed for patients and family members, but also offering training for other groups of professionals (teachers, counselors, social workers, and educators) who might be in contact with this vulnerable population.…”

Section: Discussionmentioning

confidence: 99%

Interventions for Family Members and Carers of Patients with Borderline Personality Disorder: A Systematic Review

et al. 2020

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Carers of patients with borderline personality disorder (BPD) experience high levels of distress. Several studies have been carried out on interventions designed to decrease their burden. However, the evidence from these studies has not been summarized. The objective of this work is to explore the clinical utility of interventions developed for family members of patients with BPD. A systematic review was conducted following the PRISMA guidelines (registration number CRD42018107318), including psychological interventions focused on relatives of patients with BPD. The following databases were used: PsycINFO, PubMed, EBSCOhost, and Web of Science. Two independent researchers reviewed the studies to determine whether the eligibility criteria were met. A total of 2303 abstracts were identified. After duplicates had been removed, 1746 studies were screened. Finally, 433 full-text articles were reviewed, yielding 11 studies that satisfied the inclusion criteria. Results show that these interventions with different clinical formats and settings are effective. The quality of the included studies varies, and the empirical support for these programmes is still preliminary. The results help to establish a Page 1 of 42 Family Process general framework for interventions specifically developed for family members of patients with BPD, but additional efforts should be made to improve the methodological quality of this field of research and more solidly determine the utility of these interventions. Given the paucity of data so far, this information may open up new lines of research to improve the effectiveness of future programmes for carers of patients with BPD and help to reduce their burden.

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A new intervention for people with borderline personality disorder who are also parents: a pilot study of clinician acceptability

Cited by 16 publications

References 35 publications

Parenting and personality disorder: An overview and meta-synthesis of systematic reviews

Parenting and personality disorder: An overview and meta-synthesis of systematic reviews

The Parenting Experience of Those With Borderline Personality Disorder Traits: Practitioner and Parent Perspectives

Interventions for Family Members and Carers of Patients with Borderline Personality Disorder: A Systematic Review

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