背景:边缘性人格障碍(BPD)患者的家庭和重要其他人表现出心理困扰水平的增加。FamilyConnections®,基于辩证行为疗法原则的12周团体干预,旨在为家庭提供有关疾病和情绪调节技能的信息。它已在讲法语的欧洲国家逐步实施。
方法:我们进行了一项观察,法国和瑞士的多中心研究。总的来说,家庭联系计划的149名参与者被包括在五个中心中。负担,抑郁症,应对,干预前后进行情绪调节评估。
结果:单向重复措施MANOVA表明,负担,抑郁症状,干预后情绪调节和应对均发生了显着变化(p<0.001,部分η2=0.297)。T检验表明,干预后负担显着降低(p<0.0001,d=-0.48),抑郁症状(p<0.0001,d=-0.36)和情绪调节困难(p<0.0001,d=-0.32),而应对改善(p<0.0001,d=0.53)。双向混合方差分析显示,女性参与者的负担减轻程度强于男性参与者(p=0.048,η2=0.027)。在干预之前,女性参与者的负担高于男性参与者(p<0.001).最初的线性回归表明,负担的减少与参与者辞职的减少有关(β=0.19,p=0.047)。第二个线性回归显示,负担减轻与基线时亲属症状的强度(β=0.22,p=0.008)和参与者情绪清晰度的改善(β=0.25,p=0.006)相关。
结论:这种基于辩证行为疗法的心理教育干预是支持讲法语的欧洲BPD患者家庭的适当方法。
BACKGROUND: Families and significant others of people with borderline personality disorder (BPD) show increased levels of psychological distress. Family Connections®, a 12-week group intervention based on the principles of Dialectical Behavior Therapy, was designed to provide families with both information about the disorder and emotion regulation skills. It has been progressively implemented in French-speaking European countries.
METHODS: We conducted an observational, multicenter study in France and Switzerland. In total, 149 participants of the Family Connections program were included among five centers. Burden, depression, coping, and emotion regulation were assessed before and after the intervention.
RESULTS: One-way repeated measures MANOVA showed that the burden, depressive symptoms, emotion regulation and coping all changed significantly after the intervention (p < 0.001, partial η2 = 0.297). T-tests showed that the burden significantly decreased after the intervention (p < 0.0001, d = -0.48), as did depressive symptoms (p < 0.0001, d = -0.36) and difficulties in emotion regulation (p < 0.0001, d =-0.32) whereas coping improved (p < 0.0001, d = 0.53). Two-way mixed ANOVA showed that burden reduction was stronger among female than male participants (p = 0.048, η2 = 0.027). Before the intervention, the burden was higher for female than male participants (p < 0.001). An initial linear regression showed the burden reduction to be associated with a decrease in the resignation of the participants (β = 0.19, p = 0.047). A second linear regression showed the burden reduction to be associated with the intensity of the relatives\' symptoms at baseline (β = 0.22, p = 0.008) and improvement of emotional clarity of the participants (β = 0.25, p = 0.006).
CONCLUSIONS: This Dialectical Behavior Therapy-Based psychoeducational intervention is an appropriate way to support French-speaking European families of people with BPD.