Faculty of Medicine
Library of the School of Health Sciences

2024-04-05

2024

Liakopoulou Efstathia

Φραγκίσκος Γονιδάκης, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Πεχλιβανίδης Αρτέμιος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βασλαματζής Γρηγόρης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Στεφανής Νίκος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μιχόπουλος Ιωάννης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Παπαρηγόπουλος Θωμάς, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ρωσσέτος Γουρνέλης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ

Μελέτη παρέμβασης για τη διερεύνηση της αποτελεσματικότητας εφαρμογής βραχείας εκπαίδευσης δεξιοτήτων της Διαλεκτικής Συμπεριφορικής Θεραπείας σε γονείς νεαρών ασθενών με οριακή διαταραχή προσωπικότητας και διαταραχή πρόσληψης τροφής

Greek

Intervention study to investigate the effectiveness of applying short-term of Dialectical Behavior Therapy Skills Training to parents of young patients with borderline personality disorder and eating disorder

Dialectical Behavior Therapy (DBT), is an effective therapy for individuals with Borderline Personality Disorder (BPD). Support from caregivers, such as family members, friends, or partners, during the therapeutic process, can be crucial for achieving remission of the bordering symptomatology.
This study aimed to measure the effectiveness of a brief DBT skills-based intervention for caregivers of people suffering from BPD with comorbid Eating Disorders (EDs). The proposed intervention consists of 8 4-hour skills training meetings over six months. The use of skills training group appears scientifically proven to be a very important and integral part of DBT. Several researchers support the existence of advantages of learning skills in the parenting environment of those with BPD as ambiguity is observed regarding the clinical picture of their children as well as insufficient knowledge and understanding of their impulsive, self-destructive behavior, with the result that the child's behaviors and emotional expressions are often misinterpreted. The accompanying difficulties in managing the various painful situations by the parents often result in adverse effects on the mental health of both themselves and the children. The ultimate aim of the research is to measure the effectiveness of the specific intervention in terms of the treatment course of the patients and the emotional burden on families.
The participants of the study consist of: a) patients who were diagnosed with the comorbidity of BPD and ED during their assessment at the Eating Disorders Unit in the 1st Psychiatric Clinic of the University of Athens, Eginition Hospital, and b) by parents-caregivers of the patients under treatment who participated in the intervention group, which was structured as a skills training group based on the principles of DBT. In total, 72 young adults aged 17 to 30 completed the 1-year treatment based on DBT, while 54 people completed the group of caregivers.
The study looked at whether or not the parent-caregiver skills training group was associated with improvement in caregivers' mental health, and it was found to be unrelated to their overall improvement. However, a statistically significant improvement in their emotional burden was observed after the 6-month intervention. The mental health of those being treated, both in terms of the symptoms of BPD and in terms of the symptoms of EDs, showed a statistically significant improvement in all mental health indicators measured 1 year after joining DBT.
In addition, covariation of results was found between indicators of BPD and EDs, which confirms that the EDs were treated in the context of the emotion dysregulation of these patients. Finally, the more intense the dysfunction displayed by the patients in dealing with stressful situations, the worse the quality of life of the caregivers was found to be, and the greater the increase in the skills of the treated patients to deal with stressful situations in their lives more positively, the greater the increase in the quality of life of the parents-caregivers, which reinforces the hypothesis of the effectiveness of DBT in this particular group of patients.
Overall, DBT appears to be an effective mode of intervention for this clinically "difficult" group of patients and their caregivers. However, there is need for randomized controlled trials to demonstrate the effectiveness of these interventions so that the implementation of group skills training for parents-caregivers of patients with BPD can be considered scientifically substantiated.

Health Sciences

Dialectical behavior therapy, Borderline disorder, Eating disorders, Family members, Skills training

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File access is restricted until 2026-04-08.

https://pergamos.lib.uoa.gr/uoa/dl/object/3395580