对完成母婴辩证行为疗法的边缘型人格障碍母亲的主观体验进行专题分析:3 年随访。

IF 4 2区 医学 Q1 PSYCHIATRY
Alexandra Giles, Anne Sved Williams, Stephanie Webb, Phoebe Drioli-Phillips, Amelia Winter
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引用次数: 0

摘要

背景:围产期边缘型人格障碍(BPD)是围产期精神健康环境中的一种常见疾病,几乎没有专门的治疗方案,而且人们对现有治疗方案的持久效果知之甚少。本研究探讨了患有边缘型人格障碍的妇女在完成母婴辩证行为疗法(MI-DBT)后的后续经历:对 8 名在 3 年前完成 MI-DBT 的女性进行了半结构化访谈。采用反思性主题分析法对访谈进行分析,以便更深入地了解这些母亲的生活经历:专题分析产生了四个主要专题,表明参与者发现 MI-DBT 提高了她们的能力,使她们能够牢记自己的孩子、意识到自己的内心状态和行为、管理自己的情绪反应并保持冷静,以及管理成人关系中的人际互动。患有围产期边缘型人格障碍的母亲还强调,在养育子女方面需要持续的支持:本研究首次探讨了母亲在接受此类干预后的长期经历,为这一弱势妇女群体发出了声音。本研究的结果让我们对边缘型人格障碍母亲在养育子女过程中经历的复杂挑战有了更深入的了解,同时也让我们深入了解了母亲们在接受 MI-DBT 后的生活经历以及该计划对她们生活的影响。本文还讨论了研究结果的临床和研究意义:本研究于 2024 年 3 月 7 日进行了回顾性注册,注册号为 ACTRN12624000225516。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A thematic analysis of the subjective experiences of mothers with borderline personality disorder who completed Mother-Infant Dialectical Behaviour Therapy: a 3-year follow-up.

Background: Perinatal borderline personality disorder (BPD) is a common condition in perinatal mental health settings with few specialised treatment options, and little is known about the enduring effects of available treatment programs. This study explored the follow-up experiences of women with BPD after completing Mother-Infant Dialectical Behaviour Therapy (MI-DBT).

Methods: Semi-structured interviews were conducted with eight women who had completed MI-DBT 3 years prior. Reflexive Thematic Analysis was used to analyse the interviews to gain a richer understanding of these mothers' lived experience.

Results: A thematic analysis generated four main themes which indicated that participants found that MI-DBT improved their ability to hold their child in mind, be aware of their own internal state and behaviours, manage their own emotional reactions and stay calm, and manage interpersonal interactions within adult relationships. Mothers with perinatal borderline personality disorder also highlighted the need for ongoing support in the context of parenting.

Conclusions: This study is the first of its kind to explore the longer-term experiences of mothers following such an intervention, giving voice to this vulnerable group of women. The findings of this study provide a greater understanding of the complex challenges experienced as part of parenting for mothers with borderline personality disorder, and provides both insight into mothers' experiences of life after MI-DBT and the impact of the program on their lives. The clinical and research implications of the study's findings are discussed.

Trial registration: This research was retrospectively registered on 07/03/2024, ACTRN12624000225516.

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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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