Application and Analysis of the Effectiveness of the STEPPS Programme in Patients With BPD, Extended to Their Families Through the Family Connections Programme: Study Protocol of a Randomised Controlled Trial

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2025-03-14 DOI:10.1002/capr.12905

Christian López-Cruz, Heliodoro Marco, Jorge Grimaldos, Paz García, Verónica Guillén, Patricia Montejano, Soledad Quero

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引用次数: 0

Abstract

Background

This study investigates Borderline Personality Disorder (BPD), one of the main challenges in mental health care. The main objectives are to determine whether the combined use of established treatments for patients with BPD and their families leads to significant improvement in both groups. In addition, the acceptance and implementation of both programmes, as well as their feasibility, will be evaluated.

Methods

Participants will be randomly assigned to two treatment conditions: (1) STEPPS programme for patients and Family Connections programme (FC) for relatives; and (2) only STEPPS for patients. Qualified professionals from the University Hospital of La Ribera will perform the diagnosis of BPD, based on the DSM-5 criteria, using the SCID-II interview. The instruments used as primary outcome measures for participants will be: the Borderline Symptom List 23 (BSL-23), the Acquired Capability with Rehearsal for Suicide Scale (ACWRSS), and a critical incident registry. The main outcome measures for the family members will be: the Burden Assessment Scale (BAS), the Family Empowerment Scale (FES), and a critical incident registry. The protocol will include pre- and post-treatment evaluations and follow-up after 6 months.

Discussion

This approach responds to the need found in scientific literature to involve families in the treatment of BPD to improve the quality of the intervention and represent an advancement in the treatment of the disorder. This study will be the first randomised controlled trial (RCT) designed to intervene simultaneously in both populations, patients and relatives, and demonstrate the effectiveness and feasibility of the treatment in a real clinical setting.

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STEPPS计划在BPD患者中的应用和有效性分析，通过家庭联系计划扩展到他们的家庭：一项随机对照试验的研究方案

背景本研究探讨边缘性人格障碍（BPD）是精神卫生保健的主要挑战之一。主要目的是确定对BPD患者及其家属联合使用现有治疗方法是否会导致两组患者的显著改善。此外，将评价这两个方案的接受和执行情况及其可行性。方法将参与者随机分配到两种治疗条件中：(1)患者steppps计划和亲属家庭联系计划（FC）；(2)患者仅使用STEPPS。来自La Ribera大学医院的合格专业人员将根据DSM-5标准，使用SCID-II访谈对BPD进行诊断。作为参与者主要结果测量的工具将是：边缘性症状表23 （BSL-23）、自杀预演获得性能力量表（ACWRSS）和关键事件登记册。对家庭成员的主要结果测量将是：负担评估量表（BAS）、家庭赋权量表（FES）和重大事件登记册。该方案将包括治疗前和治疗后的评估以及6个月后的随访。这种方法回应了科学文献中发现的让家庭参与BPD治疗以提高干预质量的需求，并代表了该疾病治疗的一种进步。这项研究将是第一个设计在人群、患者和亲属中同时进行干预的随机对照试验（RCT），并在真实的临床环境中证明治疗的有效性和可行性。

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

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.