A case series of sage: a new couple-based intervention for borderline personality disorder.

IF 4 2区 医学 Q1 PSYCHIATRY
Skye Fitzpatrick, Sonya Varma, David Chafe, Nikoo Norouzian, Jenna Traynor, Sophie Goss, Elizabeth Earle, Alyssa Di Bartolomeo, Ashley Siegel, Lindsay Fulham, Candice M Monson, Rachel E Liebman
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Abstract

Background: Research suggests that interpersonal dysfunction may be central to borderline personality disorder (BPD), and that the relationships of people with BPD are particularly impaired. Further, the significant others of people with BPD exhibit elevated psychological problems but little access to mental healthcare. Despite this, most BPD interventions are delivered individually and do not routinely incorporate significant others. This manuscript presents the first case series of Sage, a 12-session manualized intervention for people with borderline personality disorder (BPD) and their intimate partners with three targets: a) BPD severity, b) relationship conflict, and c) intimate partner mental health.

Findings: Five couples of people with BPD with frequent suicidal/self-injurious behavior or high suicidal ideation and their intimate partners received Sage. Measures of Sage targets as well as tertiary outcomes were administered at pre-, mid-, and post-intervention. Four out of five dyads completed Sage, with high intervention satisfaction ratings. Improvements were generally demonstrated in BPD severity, suicidal ideation, and suicidal behavior/self-injury. Half of dyads exhibited improvements in conflict, and additional improvements in mental health outcomes for dyad members were demonstrated. One dyad exhibited poor outcomes and speculations regarding this are offered.

Conclusions: Findings provide proof of concept of Sage as an intervention that can improve BPD and other mental health outcomes in those with BPD and their intimate partners. Incorporating intimate partners into BPD treatment may optimize and expedite its outcomes. However, further testing is needed.

Trial registration: This project was pre-registered at Clinicaltrials.gov (Identifier: [NCT04737252]).

鼠尾草案例系列:针对边缘型人格障碍的一种新型情侣干预方法。
背景:研究表明,人际关系功能障碍可能是边缘型人格障碍(BPD)的核心问题,而边缘型人格障碍患者的人际关系尤其受到损害。此外,边缘型人格障碍患者的重要他人表现出更严重的心理问题,但却很少获得心理保健服务。尽管如此,大多数 BPD 干预措施都是单独实施的,并没有将重要他人纳入其中。本手稿介绍了 Sage 的首个案例系列,这是一项针对边缘型人格障碍(BPD)患者及其亲密伴侣的 12 节手册化干预措施,有三个目标:a) BPD 严重程度;b) 关系冲突;c) 亲密伴侣心理健康:五对经常有自杀/自残行为或自杀意念强烈的边缘型人格障碍患者及其亲密伴侣接受了 "赛奇 "治疗。在干预前、干预中和干预后,对萨奇目标和三级结果进行了测量。五对伴侣中有四对完成了 "赛琪 "干预,并获得了较高的干预满意度。在 BPD 严重程度、自杀意念和自杀行为/自伤方面普遍有所改善。半数伴侣在冲突方面有所改善,伴侣成员的心理健康结果也有所改善。有一个组合的结果较差,我们对此进行了推测:研究结果证明了 "赛奇 "作为一种干预措施的概念,可以改善 BPD 患者及其亲密伴侣的 BPD 及其他心理健康结果。将亲密伴侣纳入 BPD 治疗可能会优化并加快治疗效果。不过,还需要进一步的测试:本项目已在 Clinicaltrials.gov 进行了预注册(标识符:[NCT04737252])。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.00
自引率
9.80%
发文量
30
审稿时长
28 weeks
期刊介绍: Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.
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