Borderline Personality Disorder (BPD) is characterized by a pervasive pattern of instability of interpersonal relationships, self-image and emotions as well as marked impulsivity. When patients have children, they are at high risk of severe emotional and relational disturbances (withdrawal, low self-esteem, depression, suicidal thoughts). In addition, studies support the effectiveness of parental guidance group to reduce emotional and behavioral difficulties of children. To our knowledge there are no programs directed to mothers with BPD who received a controlled evaluation. From experience with parental guidance, data from the observation of children of patients with BPD and psychosocial programs directed to patients BPD, we have built for preventive intervention. The Supportive Program for Mothers with BPD (SuPMother-B) consists of 10 group sessions providing information (education, childcare, care specific to BPD) and promotes mother-child interactions (observation, games). Purpose: Compare the effect of a program (SuPMother-B) group, of 10 sessions, offered to mothers with a BPD in addition to a minimal intervention (diagnostic announcement and provision of health care resources) on behavior withdrawal of children at 6 months compared to a group of mothers receiving only minimal intervention. Primary outcome: Difference at 6 months between the experimental and control groups on scores on the assessment scale withdrawal (Alarm Distress Baby (ADBB)).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
10
The development of the program is based on several principles: group process, groupware, mentalization, parental values, behavioral strategies and information on the child's needs, knowledge of the BPD and the strategies of get better. The program will last 10 sessions of group of about 2h. Minimal intervention. All study participants receive an individual interview about 45 minutes with a psychiatrist for three objectives: information on the diagnosis of BPD, information on resources for health care and educational aids.
Service de psychiatrie de l'enfant et de l'adolescent - Hôpital La Grave - centre Hospitalier de Toulouse
Toulouse, France
Difference between the experimental and control groups on scores on the assessment scale withdrawal (Alarm Distress Baby (ADBB)).
Time frame: Visit 3 at 6 months
Brunet-Lezine Scale
This scale permits to assess the psychomotor development of the child.
Time frame: Visit 2 (inclusion), 3 (6 months) and 4 (1 year)
Borderline Personality Disorder Severity Index (BPDSI)
Borderline Personality Disorder Severity Index (BPDSI) is a semi-structured interview assessing the frequency and severity of manifestations of borderline personality disorders of the mother during an agreed period (3 months to 1 year).
Time frame: Visit 2 (inclusion), 3 (6 months) and 4 (1 year)
Global Assessment Scale
This scale corresponds to the 5th axis of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and permits to assess the overall functioning of the mother.
Time frame: Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 Year)
Difference between the experimental and control groups on scores on the assessment scale withdrawal (Alarm Distress Baby (ADBB)).
Time frame: Visit 2 (inclusion) and visit 4 (1 Year)
M.I.N.I. 5.0.0 French version
Structured interview to assess 17 disorders such as actual or passed depression, mania, abuse...
Time frame: Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year)
Parenting Sense of Competence Scale (P.S.O.C)
This scale assess the perceived competence of the parent's role as educator.
Time frame: Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year)
social and demographic data
marital status, profession, socio-economic level, number of children
Time frame: Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year)
Data on care pathways
Questionnaire established by the research team to evaluate the use of care services by the mothers and children.
Time frame: Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year)
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