In the present study we aim to assess the effectiveness of a Dutch version of the parenting training based on DBT for mothers with BPD, with children aged 0-8 years (developed by Renneberg and Rosenbach, 2016) on (1) parenting behaviour, (2)…
ID
Source
Brief title
Condition
- Personality disorders and disturbances in behaviour
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The parameters are parental stress and parenting behaviour measured by
self-report questionnaires (respectively the NOSI-K and APQ).
Secondary outcome
not applicable
Background summary
To address emotion dysregulation and problems in interpersonal relations of
patients suffering from Borderline Personality Disorder (BPD), Dialectical
Behaviour Therapy (DBT) is a highly efficacious treatment. Although qualitative
research showed that mothers with BPD wished parenting was integrated more in
their current treatment, DBT does not focus specifically on parenting. BPD
patients report significantly higher levels of parenting stress and distress
than healthy mothers do. Systematic reviews show that mothers with BPD or BPD
symptoms appear to lack parenting skills. In 2016 Renneberg and Rosenbach
developed a DBT parenting skill training for mothers with BPD, the
effectiveness of which has not yet been researched.
Study objective
In the present study we aim to assess the effectiveness of a Dutch version of
the parenting training based on DBT for mothers with BPD, with children aged
0-8 years (developed by Renneberg and Rosenbach, 2016) on (1) parenting
behaviour, (2) parental stress.
Study design
A multiple baseline study with a randomized baseline period of three to seven
weeks.
Intervention
A Dutch version of the DBT based parenting training for mothers with BPD. The
training focusses on BPD problems concerning parenting, interaction with the
child and general knowledge about parenting strategies. The parenting training
consists of twelve weekly group sessions of two and a half hour, and six
biweekly individual sessions of 45 minutes.
Study burden and risks
Apart from receiving treatment, participants will be assessed before treatment,
halfway treatment, after treatment and two months follow-up. In total these
assessments will take 60 minutes. Subscales of the parental stress and parental
behaviour questionnaires will be measured biweekly, during baseline and
treatment, which will take 5 minutes weekly, for 15-19 weeks (due to variable
baseline), in total approximately 75-95 minutes. As part of the parenting skill
training participants will need to fill in diary cards weekly (as during
regular DBT) will take 15 minutes per week for 15-19 weeks (225-285 minutes).
Because the dairy card specifically (other than regular DBT cards) provides
insight in the urges for and acts of impulsive behaviour the mothers can be
confronted by their possible aggressive impulses towards their child.
Stationsplein 38
Heerhugowaard 1703 WC
NL
Stationsplein 38
Heerhugowaard 1703 WC
NL
Listed location countries
Age
Inclusion criteria
In order to be eligible to participate in this study, a subject must meet all
of the following criteria:
Inclusion criteria:
- A full diagnosis of BPD: meeting Diagnostic and Statistical Manual of Mental
Disorders, 5th Edition (DSM-5) criteria for BPD according to the diagnosis in
their electronic patient file, measured by a SCID-P-5, a structured clinical
interview
- Age above 18 year.
- The primary caregiver to at least 1 child under the age of 8 years at the
start of the group; whereby the acute welfare of the child is not endangered.
- fluent in Dutch verbally and in writing
- Willing and able to commit to attending to all 2,5-hour group sessions once a
week for 12 weeks, and individual coaching sessions (45 minutes) every other
week and all (baseline) measurements.
Exclusion criteria
A potential subject who meets any of the following criteria will be excluded
from participation in this study:
Exclusion criteria:
Women will be excluded from the study if they meet 1 or more of the following
criteria:
- Lifetime psychosis or bipolar disorder type I.
- Insufficient cognitive capacity to comprehend the topics being discussed;
screened by the SCIL
- Significant substance abuse, addictive disorders that would have an impact on
group functioning; as per clinical judgement following discussion with the
research team.
- Start of new medication within 3 months before the start of the study
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL74201.029.20 |