Psychological Distress in Caretakers or Relatives of Patients With Borderline Personality Disorder

Scheirs, J.G.M.; Bok, Sissela

doi:10.1177/0020764006074554

Cited by 59 publications

(61 citation statements)

References 18 publications

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“…Scheirs and Bok [39] administered the Symptom Check List (SCL-90) to 64 spouses and parents of BPD patients. The results showed a degree of psychological distress comparable with what is normally observed in families of schizophrenic, depressive, or post-traumatic stress disorder patients.…”

Section: Partner Choice and Partner Well-beingmentioning

confidence: 99%

Borderline personality disorder and couple dysfunctions

Bouchard

Sabourin²

2009

Curr Psychiatry Rep

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The central characteristics of borderline personality disorder (BPD) are bound to be associated with the development and maintenance of couple dysfunction. Although seven of the nine diagnostic criteria of BPD in the DSM-IV-TR refer directly to interpersonal functioning, very few empiric studies have addressed the exact nature of the relationship between BPD and couple functioning. This article examines recent studies describing couple outcomes--union formation and durability, partner choice, relationship satisfaction, intimate violence, attachment security, and sexual functioning--associated with BPD. The relationship between couple dynamics (including partner personality characteristics) and BPD symptomatology is probably bidirectional or reciprocal. The review concludes with an exploration of diagnostic and treatment implications.

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Section: Partner Choice and Partner Well-beingmentioning

confidence: 99%

Borderline personality disorder and couple dysfunctions

Bouchard

Sabourin²

2009

Curr Psychiatry Rep

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“…It has been suggested that over time, stress can deplete family members’ capacity to cope effectively, compromising their health and life agenda [5]. Carers of those with BPD, whether related or unrelated, show higher levels of psychological and somatic distress than the general population [6]. The unpredictability of life, as a result of self-harm and suicidal behaviours [3, 4] for individuals who have a family member with a BPD diagnosis, the strain of 24-hr duty and worry, and the sense of perpetual crisis has been described as living a ‘life tiptoeing’, which can lead to feelings of powerlessness, guilt and lifelong grief [7].…”

Section: Introductionmentioning

confidence: 99%

Family Connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: non-randomised controlled study

Flynn

Kells

Joyce

et al. 2017

bord personal disord emot dysregul

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BackgroundBorderline personality disorder (BPD) is challenging for family members who are often required to fulfil multiple roles such as those of advocate, caregiver, coach and guardian. To date, two uncontrolled studies by the treatment developers suggest that Family Connections (FC) is an effective programme to support, educate and teach skills to family members of individuals with BPD. However, such studies have been limited by lack of comparison to other treatment approaches. This study aimed to compare the effectiveness of FC with an optimised treatment-as-usual (OTAU) programme for family members of individuals with BPD. A secondary aim was to introduce a long term follow-up to investigate if positive gains from the intervention would be maintained following programme completion.MethodsThis study was a non-randomised controlled study, with assessment of outcomes at baseline (pre-intervention) and end of programme (post-intervention) for both FC and OTAU groups, and at follow-up (3 months post-intervention; 12 or 19 months post-intervention) for the FC group. Eighty family members participated in the FC (n = 51) and the OTAU (n = 29) programmes. Outcome measures included burden, grief, depression and mastery. Linear mixed-effects models were used to assess baseline differences in the outcome measures by gender, age group and type of relationship to the individual with BPD. Linear mixed-effects models were also used to estimate the treatment effect (FC versus OTAU) utilising all available data from baseline and end of programme.ResultsThe FC group showed changes indicating significant improvement with respect to all four outcome measures (p < 0.001). The OTAU group showed changes in the same direction as the intervention group but none of the changes were statistically significant. The intervention effect was statistically significant for total burden (including both subscales; p = .02 for subjective burden and p = .048 for objective burden) and grief (p = 0.013). Improvements were maintained at follow-up for FC participants.ConclusionsThe findings of the current study indicate that FC results in statistically significant improvements on key measures while OTAU does not yield comparable changes. Lack of significant change on all measures for OTAU suggests that a three session psycho-education programme is of limited benefit. Further research is warranted on programme components and long-term supports for family members.

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“…Caregivers and relatives of adults with BPD experience higher rates of psychological symptoms and distress than the general population [7]. Burden among families with a member with BPD has been reported to be even greater than that associated with other severe mental disorders [8, 9].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a psychoeducational group intervention for family and friends of youth with borderline personality disorder

Pearce

Jovev

Hulbert

et al. 2017

bord personal disord emot dysregul

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BackgroundDespite high levels of burden and distress among families with a member who has borderline personality disorder (BPD), only two BPD specific family psychoeducation groups have been empirically evaluated. Neither of these is designed specifically for the family and friends of young people who are presenting early in the course of BPD. This study aimed to evaluate Making Sense of Borderline Personality Disorder (MS-BPD), a three-session, developmentally tailored, manualised psychoeducational group for the family and friends of youth with BPD features.MethodsThe study employed a pre- and post-intervention, repeated measures design. Twenty-three participants completed self-report measures assessing for family burden, psychological distress, and knowledge about personality disorder. Demographic data were collected for the group participants and for their associated young person with BPD. Paired-samples t-tests were conducted to evaluate the effect of the MS-BPD intervention on participants’ burden, distress and personality disorder knowledge.ResultsAt the completion of session three (day 15), group participants reported significantly decreased subjective burden and increased personality disorder knowledge. Objective burden and distress remained unchanged.ConclusionsFamily and friends of young people with BPD features experienced subjective, but not objective, benefit from attending a brief group-based psychoeducation intervention. Longer follow-up is likely to be required to detect behavioural change. The current findings support proceeding to a randomised controlled trial of MS-BPD.

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Psychological Distress in Caretakers or Relatives of Patients With Borderline Personality Disorder

Cited by 59 publications

References 18 publications

Borderline personality disorder and couple dysfunctions

Borderline personality disorder and couple dysfunctions

Family Connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: non-randomised controlled study

Evaluation of a psychoeducational group intervention for family and friends of youth with borderline personality disorder

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