Group intervention for family members of people with borderline personality disorder based on Dialectical Behavior Therapy: Implementation of the Family Connections® program in France and Switzerland.

IF 4 2区 医学 Q1 PSYCHIATRY
Satchel Cohen, Virginie Salamin, Nader Perroud, Karen Dieben, Déborah Ducasse, Amaury Durpoix, Florence Guenot, Hervé Tissot, Ueli Kramer, Mario Speranza
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Abstract

Background: Families and significant others of people with borderline personality disorder (BPD) show increased levels of psychological distress. Family Connections®, a 12-week group intervention based on the principles of Dialectical Behavior Therapy, was designed to provide families with both information about the disorder and emotion regulation skills. It has been progressively implemented in French-speaking European countries.

Methods: We conducted an observational, multicenter study in France and Switzerland. In total, 149 participants of the Family Connections program were included among five centers. Burden, depression, coping, and emotion regulation were assessed before and after the intervention.

Results: One-way repeated measures MANOVA showed that the burden, depressive symptoms, emotion regulation and coping all changed significantly after the intervention (p < 0.001, partial η2 = 0.297). T-tests showed that the burden significantly decreased after the intervention (p < 0.0001, d = -0.48), as did depressive symptoms (p < 0.0001, d = -0.36) and difficulties in emotion regulation (p < 0.0001, d =-0.32) whereas coping improved (p < 0.0001, d = 0.53). Two-way mixed ANOVA showed that burden reduction was stronger among female than male participants (p = 0.048, η2 = 0.027). Before the intervention, the burden was higher for female than male participants (p < 0.001). An initial linear regression showed the burden reduction to be associated with a decrease in the resignation of the participants (β = 0.19, p = 0.047). A second linear regression showed the burden reduction to be associated with the intensity of the relatives' symptoms at baseline (β = 0.22, p = 0.008) and improvement of emotional clarity of the participants (β = 0.25, p = 0.006).

Conclusion: This Dialectical Behavior Therapy-Based psychoeducational intervention is an appropriate way to support French-speaking European families of people with BPD.

以辩证行为疗法为基础,对边缘型人格障碍患者的家庭成员进行小组干预:在法国和瑞士实施家庭联系®计划。
背景:边缘型人格障碍(BPD)患者的家人和重要他人的心理困扰程度有所增加。家庭联系®是一种基于辩证行为疗法原则的为期 12 周的小组干预措施,旨在为患者家庭提供有关该疾病的信息和情绪调节技能。该疗法已在欧洲法语国家逐步推行:我们在法国和瑞士开展了一项多中心观察研究。方法:我们在法国和瑞士进行了一项多中心观察性研究,共有 149 名 "家庭联系 "项目参与者参与了五个中心的研究。对干预前后的负担、抑郁、应对和情绪调节进行了评估:单向重复测量 MANOVA 显示,干预后,负担、抑郁症状、情绪调节和应对能力都发生了显著变化(P 2 = 0.297)。T 检验表明,干预后负担明显减轻(p 2 = 0.027)。干预前,女性参与者的负担高于男性参与者(p 结论:干预后,女性参与者的负担明显减轻:这种以辩证行为疗法为基础的心理教育干预是支持讲法语的欧洲 BPD 患者家庭的适当方法。
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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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