A Randomized Controlled Trial of Group Psychoeducation for Carers of Persons With Borderline Personality Disorder

Grenyer, Brin F. S.; Bailey, Rachel; Lewis, Kate L.; Matthias, Michael; Garretty, Toni; Bickerton, Annemaree

doi:10.1521/pedi_2018_32_340

Cited by 45 publications

(73 citation statements)

References 35 publications

(45 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A total of 11 studies describing seven interventions for or involving carers of people with BPD were retained. Six studies were conducted in the USA, two in Australia, one in the Republic of Ireland and two in the UK . Table provides a brief description of each intervention and identifies the associated studies.…”

Section: Resultsmentioning

confidence: 99%

“…Three of the seven interventions are based on DBT principles, with the others based on cognitive behavioural therapy and transactional analysis, cognitive analytic therapy, mentalization‐based therapy (MBT) and relational models . All interventions were structured as multi‐family group sessions, and none described any additional tailoring to meet individual needs of group members.…”

Section: Resultsmentioning

confidence: 99%

“…Only two studies were RCTs, comparing Staying Connected and MBT–Family and Carer Training and Support (FACTS) to waiting list control groups. The former study used pretreatment and post‐treatment outcomes plus a 12‐month follow‐up, with the latter using pretreatment, weekly treatment and post‐treatment outcomes plus a 12‐week follow‐up . Another study was a non‐randomized controlled study, comparing Family Connections to ‘optimized treatment as usual' (O‐TAU), using pretreatment and post‐treatment outcomes, plus follow‐up outcomes at 3 months and 12 or 19 months, although there were significant discrepancies in duration of the TAU intervention, which may limit the value of the control group in this study.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of the studies measured carer burden and carer mental health/well‐being. Additionally, some studies also measured carer grief, carer mastery/empowerment, family functioning and/or knowledge of personality disorder (see Table for summary of measures and outcomes). Three studies directly measured outcomes for the person with BPD .…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies measured burden using the Burden Assessment Scale, which measures objective and subjective burden. Objective burden refers to the more practical effects of caring such as financial problems; subjective burden refers to emotional impacts such as guilt or embarrassment.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Support, interventions and outcomes for families/carers of people with borderline personality disorder: A systematic review

Sutherland¹,

Baker

Prince³

2019

Personality & Mental Health

View full text Add to dashboard Cite

It is clear from existent literature that families and carers of relatives and friends with borderline personality disorder (BPD) experience high levels of burden. Whilst family interventions are considered vital to improving the outcomes of those with a range of mental health difficulties, there has been limited development of direct interventions for carers of people with BPD, despite a high level of need. This systematic review aimed to appraise and synthesize the existing research evidence for interventions for carers of people with BPD. Ten studies were included that were directly related to six interventions for families and carers of people with personality disorder. The findings of these studies, whilst limited, do provide some initial evidence that interventions for carers may lead to significant outcomes for the participants, particularly in improving carer well-being and reducing carer burden.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Support, interventions and outcomes for families/carers of people with borderline personality disorder: A systematic review

Sutherland¹,

Baker

Prince³

2019

Personality & Mental Health

View full text Add to dashboard Cite

show abstract

Borderline Personality Disorder

Leichsenring

Heim

Leweke

et al. 2023

JAMA

View full text Add to dashboard Cite

ImportanceBorderline personality disorder (BPD) affects approximately 0.7% to 2.7% of adults in the US. The disorder is associated with considerable social and vocational impairments and greater use of medical services.ObservationsBorderline personality disorder is characterized by sudden shifts in identity, interpersonal relationships, and affect, as well as by impulsive behavior, periodic intense anger, feelings of emptiness, suicidal behavior, self-mutilation, transient, stress-related paranoid ideation, and severe dissociative symptoms (eg, experience of unreality of one’s self or surroundings). Borderline personality disorder is typically diagnosed by a mental health specialist using semistructured interviews. Most people with BPD have coexisting mental disorders such as mood disorders (ie, major depression or bipolar disorder) (83%), anxiety disorders (85%), or substance use disorders (78%). The etiology of BPD is related to both genetic factors and adverse childhood experiences, such as sexual and physical abuse. Psychotherapy is the treatment of choice for BPD. Psychotherapy such as dialectical behavior therapy and psychodynamic therapy reduce symptom severity more than usual care, with medium effect sizes (standardized mean difference) between −0.60 and −0.65. There is no evidence that any psychoactive medication consistently improves core symptoms of BPD. For discrete and severe comorbid mental disorders, eg, major depression, pharmacotherapy such as the selective serotonin reuptake inhibitors escitalopram, sertraline, or fluoxetine may be prescribed. For short-term treatment of acute crisis in BPD, consisting of suicidal behavior or ideation, extreme anxiety, psychotic episodes, or other extreme behavior likely to endanger a patient or others, crisis management is required, which may include prescription of low-potency antipsychotics (eg, quetiapine) or off-label use of sedative antihistamines (eg, promethazine). These drugs are preferred over benzodiazepines such as diazepam or lorazepam.Conclusions and RelevanceBorderline personality disorder affects approximately 0.7% to 2.7% of adults and is associated with functional impairment and greater use of medical services. Psychotherapy with dialectical behavior therapy and psychodynamic therapy are first-line therapies for BPD, while psychoactive medications do not improve the primary symptoms of BPD.

show abstract

Borderline personality disorder and stigma: Lived experience perspectives on helpful and hurtful language

van Schie,

Lewis,

Barr

et al. 2024

Personality & Mental Health

View full text Add to dashboard Cite

Borderline personality disorder (BPD) is a severe mental health disorder that is subject to significant stigmatisation. With language being a key reinforcer of stigma, this co‐produced study aims to explore the language use regarding BPD and its effect on those with BPD and carers. Recommendations to reduce stigmatisation are provided for both clinicians and researchers. Participants with BPD (consumer n = 33) and those supporting someone with BPD (carer n = 30) discussed their experience of hurtful and helpful language. Reflexive thematic analysis was used to analyse written and verbal responses into core conflictual relationship themes (CCRT) reflecting how different words were heard and experienced. All consumers and carers in the study reported experiences with stigmatising language. Feelings of inadequacy and frustration were common amongst consumers, specifically when they perceived others as trivialising their needs or not seeing them as a unique individual. Carers often reported feelings of frustration when they perceived others as blaming them or not acknowledging their needs. Both consumers and carers reported helpful language as being connecting, validating and accepting. Unhelpful communication patterns have negative consequences for the person's self‐understanding (i.e., self‐stigma) and their relationships with others, including the therapeutic alliance. A consideration of these communication patterns may foster the use of reflective positive language that is compassionate and hopeful.

show abstract

A Randomized Controlled Trial of Group Psychoeducation for Carers of Persons With Borderline Personality Disorder

Cited by 45 publications

References 35 publications

Support, interventions and outcomes for families/carers of people with borderline personality disorder: A systematic review

Support, interventions and outcomes for families/carers of people with borderline personality disorder: A systematic review

Borderline Personality Disorder

Borderline personality disorder and stigma: Lived experience perspectives on helpful and hurtful language

Contact Info

Product

Resources

About