A randomised controlled trial of a psychoeducational group intervention for family and friends of young people with borderline personality disorder features.
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| Title: | A randomised controlled trial of a psychoeducational group intervention for family and friends of young people with borderline personality disorder features. |
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| Authors: | Betts, Jennifer K (AUTHOR), Seigerman, Mirra R (AUTHOR), Hulbert, Carol (AUTHOR), McKechnie, Ben (AUTHOR), Rayner, Victoria K (AUTHOR), Jovev, Martina (AUTHOR), Cotton, Sue M (AUTHOR), McCutcheon, Louise K (AUTHOR), McNab, Catharine (AUTHOR), Burke, Emma (AUTHOR), Chanen, Andrew M (AUTHOR) |
| Source: | Australian & New Zealand Journal of Psychiatry. Nov2023, Vol. 57 Issue 11, p1453-1464. 12p. |
| Subjects: | Treatment of borderline personality disorder, Friendship, Confidence intervals, Caregivers, Psychoeducation, Families, Randomized controlled trials, Descriptive statistics, Research funding, Statistical sampling, Group psychotherapy, Mental health services, Early medical intervention |
| Geographic Terms: | Australia |
| Abstract: | Objective: Preliminary evidence indicates that interventions designed to support family and friends ('carers') of young people with early-stage borderline personality disorder effectively improve carer outcomes. None of these interventions have been tested in a randomised controlled trial. Method: This clustered, partially nested, randomised controlled trial was conducted at Orygen, Melbourne, Australia. Carers of young people (aged 15–25 years) with borderline personality disorder features were randomly assigned as a unit in a 1:1 ratio, balanced for young person's sex and age, to receive a 15-day intervention comprising: (1) the three-session, in-person, Making Sense of BPD (MS-BPD) multi-family group programme, plus two self-directed online psychoeducational modules (MS-BPD + Online, n = 38), or (2) the two self-directed online psychoeducational modules alone (Online, n = 41). The primary outcome was 'negative experiences of care', measured with the Experience of Caregiving Inventory, at the 7-week endpoint. Results: A total of 79 carers were randomised (pool of 281, 197 excluded, 94 declined) and 73 carers (51 females [69.9%], Mage = 43.8 years [standard deviation, SD = 12.9], MS-BPD + Online n = 35 [47.9%], Online n = 38 [52.1%]) provided follow-up data and were included in the intent-to-treat analysis. The intent-to-treat (and per protocol) analyses did not find any significant differences between the groups on the primary (d = −0.32; 95% confidence interval = [−17.05, 3.97]) or secondary outcomes. Regardless of treatment group, caregivers improved significantly in their personality disorder knowledge. Conclusion: Delivering MS-BPD in conjunction with an online psychoeducational intervention was not found to provide additional benefit over and above access to an online intervention alone. In accordance with national guidelines, carer interventions should be routinely offered by youth mental health services as part of early intervention programmes for borderline personality disorder. Further research is warranted into which interventions work for whom, carers' preferences for support and barriers to care. [ABSTRACT FROM AUTHOR] |
| Copyright of Australian & New Zealand Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 173345988 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A randomised controlled trial of a psychoeducational group intervention for family and friends of young people with borderline personality disorder features. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Betts%2C+Jennifer+K%22">Betts, Jennifer K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Seigerman%2C+Mirra+R%22">Seigerman, Mirra R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hulbert%2C+Carol%22">Hulbert, Carol</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McKechnie%2C+Ben%22">McKechnie, Ben</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rayner%2C+Victoria+K%22">Rayner, Victoria K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jovev%2C+Martina%22">Jovev, Martina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cotton%2C+Sue+M%22">Cotton, Sue M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McCutcheon%2C+Louise+K%22">McCutcheon, Louise K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McNab%2C+Catharine%22">McNab, Catharine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burke%2C+Emma%22">Burke, Emma</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chanen%2C+Andrew+M%22">Chanen, Andrew M</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Australian+%26+New+Zealand+Journal+of+Psychiatry%22">Australian & New Zealand Journal of Psychiatry</searchLink>. Nov2023, Vol. 57 Issue 11, p1453-1464. 12p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Treatment+of+borderline+personality+disorder%22">Treatment of borderline personality disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Friendship%22">Friendship</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoeducation%22">Psychoeducation</searchLink><br /><searchLink fieldCode="DE" term="%22Families%22">Families</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Group+psychotherapy%22">Group psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Australia%22">Australia</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: Preliminary evidence indicates that interventions designed to support family and friends ('carers') of young people with early-stage borderline personality disorder effectively improve carer outcomes. None of these interventions have been tested in a randomised controlled trial. Method: This clustered, partially nested, randomised controlled trial was conducted at Orygen, Melbourne, Australia. Carers of young people (aged 15–25 years) with borderline personality disorder features were randomly assigned as a unit in a 1:1 ratio, balanced for young person's sex and age, to receive a 15-day intervention comprising: (1) the three-session, in-person, Making Sense of BPD (MS-BPD) multi-family group programme, plus two self-directed online psychoeducational modules (MS-BPD + Online, n = 38), or (2) the two self-directed online psychoeducational modules alone (Online, n = 41). The primary outcome was 'negative experiences of care', measured with the Experience of Caregiving Inventory, at the 7-week endpoint. Results: A total of 79 carers were randomised (pool of 281, 197 excluded, 94 declined) and 73 carers (51 females [69.9%], Mage = 43.8 years [standard deviation, SD = 12.9], MS-BPD + Online n = 35 [47.9%], Online n = 38 [52.1%]) provided follow-up data and were included in the intent-to-treat analysis. The intent-to-treat (and per protocol) analyses did not find any significant differences between the groups on the primary (d = −0.32; 95% confidence interval = [−17.05, 3.97]) or secondary outcomes. Regardless of treatment group, caregivers improved significantly in their personality disorder knowledge. Conclusion: Delivering MS-BPD in conjunction with an online psychoeducational intervention was not found to provide additional benefit over and above access to an online intervention alone. In accordance with national guidelines, carer interventions should be routinely offered by youth mental health services as part of early intervention programmes for borderline personality disorder. Further research is warranted into which interventions work for whom, carers' preferences for support and barriers to care. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Australian & New Zealand Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/00048674231172108 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 1453 Subjects: – SubjectFull: Treatment of borderline personality disorder Type: general – SubjectFull: Friendship Type: general – SubjectFull: Confidence intervals Type: general – SubjectFull: Caregivers Type: general – SubjectFull: Psychoeducation Type: general – SubjectFull: Families Type: general – SubjectFull: Randomized controlled trials Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Research funding Type: general – SubjectFull: Statistical sampling Type: general – SubjectFull: Group psychotherapy Type: general – SubjectFull: Mental health services Type: general – SubjectFull: Early medical intervention Type: general – SubjectFull: Australia Type: general Titles: – TitleFull: A randomised controlled trial of a psychoeducational group intervention for family and friends of young people with borderline personality disorder features. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Betts, Jennifer K – PersonEntity: Name: NameFull: Seigerman, Mirra R – PersonEntity: Name: NameFull: Hulbert, Carol – PersonEntity: Name: NameFull: McKechnie, Ben – PersonEntity: Name: NameFull: Rayner, Victoria K – PersonEntity: Name: NameFull: Jovev, Martina – PersonEntity: Name: NameFull: Cotton, Sue M – PersonEntity: Name: NameFull: McCutcheon, Louise K – PersonEntity: Name: NameFull: McNab, Catharine – PersonEntity: Name: NameFull: Burke, Emma – PersonEntity: Name: NameFull: Chanen, Andrew M IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 00048674 Numbering: – Type: volume Value: 57 – Type: issue Value: 11 Titles: – TitleFull: Australian & New Zealand Journal of Psychiatry Type: main |
| ResultId | 1 |
