Supportive Program for Mother With BPD
- Conditions
- Parent-child ProblemBorderline Personality Disorder
- Interventions
- Other: Supportive Program for Mother with BPD (SuPMother-B).
- Registration Number
- NCT02203708
- Lead Sponsor
- University Hospital, Toulouse
- Brief Summary
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)).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 10
Mother:
- Women with children and at least one child aged 2 months to 2 years, Borderline Personality Disorder with SIDP (Structured Interview for DSM Personality Disorders)
- age above 18 years
- written consent
Child:
- ages between 2 months and 2 years,
- parental consent for research participation.
Mother:
- chronic psychotic disorder, major depressive disorder, current mania or hypomania,
- legal protection,
- if no child can be included, the mother cannot be included.
Child :
•major psychomotor development disorder or psychiatric disorder according to the investigator.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description BPD prevention Supportive Program for Mother with BPD (SuPMother-B). Supportive Program for Mother with BPD (SuPMother-B) : BPD mothers participate to prevention program in groups or/and house calls.
- Primary Outcome Measures
Name Time Method Difference between the experimental and control groups on scores on the assessment scale withdrawal (Alarm Distress Baby (ADBB)). Visit 3 at 6 months
- Secondary Outcome Measures
Name Time Method Brunet-Lezine Scale Visit 2 (inclusion), 3 (6 months) and 4 (1 year) This scale permits to assess the psychomotor development of the child.
Borderline Personality Disorder Severity Index (BPDSI) Visit 2 (inclusion), 3 (6 months) and 4 (1 year) 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).
Global Assessment Scale Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 Year) 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.
Difference between the experimental and control groups on scores on the assessment scale withdrawal (Alarm Distress Baby (ADBB)). Visit 2 (inclusion) and visit 4 (1 Year) M.I.N.I. 5.0.0 French version Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year) Structured interview to assess 17 disorders such as actual or passed depression, mania, abuse...
Parenting Sense of Competence Scale (P.S.O.C) Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year) This scale assess the perceived competence of the parent's role as educator.
social and demographic data Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year) marital status, profession, socio-economic level, number of children
Data on care pathways Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year) Questionnaire established by the research team to evaluate the use of care services by the mothers and children.
Trial Locations
- Locations (1)
Service de psychiatrie de l'enfant et de l'adolescent - Hôpital La Grave - centre Hospitalier de Toulouse
🇫🇷Toulouse, France