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

Autor: Daniel Flynn, Mary Kells, Mary Joyce, Paul Corcoran, Sarah Herley, Catalina Suarez, Padraig Cotter, Justina Hurley, Mareike Weihrauch, John Groeger
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Borderline Personality Disorder and Emotion Dysregulation, Vol 4, Iss 1, Pp 1-9 (2017)
Druh dokumentu: article
ISSN: 2051-6673
DOI: 10.1186/s40479-017-0069-1
Popis: Abstract Background Borderline 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. Methods This 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. Results The FC group showed changes indicating significant improvement with respect to all four outcome measures (p
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