None listed
Conditions
Brief summary
Parents with Borderline Personality Disorder (BPD) appear to experience additional burden in their parenting role than those with other mental illnesses (Eliot et al., 2014; Newman et al., 2007). Additionally, individuals with BPD frequently report their own history of childhood maltreatment, which they may find activated in their role as parents. Parenting stress has been shown to mediate the relationship between maternal history of maltreatment and parenting sensitivity (Pererire et al., 20120), and can influence a parent’s capacity to mentalise, that is, the capacity to be attuned to the mental states in self and others (Nolte et al., 2013). Parenting behaviours are, however, amenable to change, and these changes may have positive effects on children’s outcomes, especially when parenting skills deficits are targeted during early development (Stepp et al., 2011). Given the body of research outlining difficulties and impairments faced by parents with BPD, there is a significant dearth in literature on the efficacy of parenting interventions for personality disorders, with even less exploring parenting interventions specifically tailored for individuals with personality disorder. The current trial was therefore aims to compare, in parents with BPD, a brief parenting intervention versus treatment as usual, in terms of parenting stress and parental mental health functioning.
Interventions
The intervention is the 'Parenting with Borderline Personality Disorder and Difficulties with Affect, Identity and Relationships' brief parenting intervention. This brief group parenting intervention is a three module program that covers six target areas, including safety planning, reflecting on the parent-child attachment relationship, keeping the child's mind in mind, connecting with children of different ages and stages, talking to children about complex mental health issues and emphasising s
The intervention is the 'Parenting with Borderline Personality Disorder and Difficulties with Affect, Identity and Relationships' brief parenting intervention. This brief group parenting intervention is a three module program that covers six target areas, including safety planning, reflecting on the parent-child attachment relationship, keeping the child's mind in mind, connecting with children of different ages and stages, talking to children about complex mental health issues and emphasising self care. The brief group parenting intervention provides tailored strategies for health professionals working with parents with a personality disorder, including accompanying resources comprising of a manual, fact sheets, help sheets and an audio-visual case study. Following clinical assessment confirming trial eligibility, all participants will be randomised either to the brief parenting intervention (in addition to treatment as usual) or a waitlist condition (treatment as usual only). Both the parenting intervention and treatment as usual will presented by mental health clinicians (e.g., psychologist, psychiatrist, social worker) in the service in which participants were recruited. The parenting intervention takes place over four weekly two-hour group sessions, which cover the three modules and six target areas outlined above. The intervention is intended to be delivered face to face. However, some adjusts may need to take place. Adherence to the intervention will be monitored by facilitating clinicians completing a questionnaire on treatment fidelity after each group.
Sponsors
Project Air Strategy, University of Wollongong
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Eligible participants were all adults aged 18 or over who were currently parenting at least one child (aged zero to 19 years) and either showed symptoms of, or met caseness for Borderline Personality Disorder (BPD) and/or were experiencing BPD traits such as difficulties with affect, identity or relationships.
Exclusion criteria
Exclusion criteria will be acute suicidal risk, in current episode of psychosis, has a moderate to severe intellectual impairment, not fluent in spoken or written English, is currently in acute alcohol or drug withdrawal, or participation in another supplementary parenting programme.
Outcome results
None listed